Non-Descent Vaginal Hysterectomy Versus Total Abdominal Hysterectomy-A Case Control Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 12
Abstract
Background: Hysterectomy is the commonest major operation performed by gynaecologist through various approaches and techniques including vaginal, abdominal, laparoscopic and robotic hysterectomy. Vaginal hysterectomy offers lesser complications during intra and post-operative period in comparison to abdominal hysterectomy. Vaginal route for non descent uterus is acceptable method of hysterectomy in selected cases and with the help of debulking technique it becomes easier in large size uterus also. Objectives: The aim of the study was to explore safety and efficacy of non-descent vaginal hysterectomy in comparison to abdominal hysterectomy. Methods: This prospective case -control study was carried out in Faridpur Medical College Hospital, Faridpur, Bangladesh from May 2016 to April 2017. A total 150 cases with an indication of hysterectomy were selected of which 50 underwent non descent vaginal hysterectomy and rest 100 underwent total abdominal hysterectomy. Main outcome measures were: time taken to complete operation, estimated blood loss, need of blood transfusion, complications and length of hospital stay. Results: No significant association was found between age and parity. Commonest indication was dysfunctional uterine bleeding in non descent vaginal hysterectomy and fibroid was the most common indication for total abdominal hysterectomy. Patients of non descent vaginal hysterectomy group were operated with minimal blood loss, in lesser duration in comparison to patients operated by abdominal hysterectomy. Post-operative complications were more in abdominal hysterectomy like febrile morbidity (12%), wound infection (7%), UTI (6%), respiratory infection (8%) and paralytic ileus (6%) which was significantly higher than non descent vaginal hysterectomy. Faster recovery was observed in group of non descent vaginal hysterectomy. Conclusions: Non descent vaginal hysterectomy offers several benefits over abdominal surgery in terms of less intra-operative blood loss, less febrile morbidity, low postoperative complications, faster recovery, less hospital stay. So, non descent vaginal hysterectomy should be the choice of operation in selected cases.
Authors and Affiliations
Rosy N, Roy BN, Naher L, Hayat S, Sultana N
Keywords
Related Articles
- EP ID EP251457
- DOI 10.9790/0853-1612092427
- Views 111
- Downloads 0
Hearing screening using OAE and ABR.
Objective: This study included screening of hearing assessment of neonates and children using combined automated auditory brainstem response audiometry and otoacoustic emission testing in a tertiary care set-up, to asses...
Prospective Study of Thyroglossal Cysts
Objectives: Our study was done on 15 cases of Thyroglossal cysts during a period of three years from January 2014 to March 2017. All the cases were treated surgically by Modified Sistrunk's operation under general anaest...
Clinical Diagnosis – The Promising Traditional Platform.
Periodontal diagnosis is an important label that clinicians place on patients periodontal condition or disease. A well structured and detailed history with a comprehensive and complete examination helps establish an accu...
A Study of Changes in Liver Enzymes (ALT & AST) with Antitubercular Treatment in Newly Diagnosed Sputum Smear Positive Patients At Rims, Ranchi
Introduction: Tuberculosis is caused by mycobacterium tuberculosis complex.India is the country with the highest burden of T.B. Objective: To analyse changes in liver enzymes( ALT& AST) with anti tubercular treatment in...
Genetics And Dental Disorders – A Clinical Concept.Part;1
In dentistry we encounter numerous differences in the dentofacial characteristics of individuals, even among family members. The three most common problems in dentistry today remain dental caries, periodontal diseases an...