Nondescent vaginal hysterectomy, a changing practice in Indian scenario for scar less surgery
Journal Title: International Journal of Medical Research and Review - Year 2016, Vol 4, Issue 1
Abstract
Introduction: Hysterectomy is the most common operation performed next only to caesarean operation by gynaecologist. This decade has seen resurgence of hysterectomy by vaginal route for indication other than prolapse, may be due to better compliance by the patients. Aims and objective: This prospective observational study was conducted to assess safety, morbidity, and feasibility of nondescent vaginal hysterectomy. Method: All patients who fulfilled the criteria for the study were included in the study. NDVH was performed in the cases with adequate vaginal access, good uterine mobility and uterine size not exceeding 18 weeks. Different morcellation techniques were employed for bigger size uterus. Result: Total 50 patients underwent nondescent vaginal hysterectomy. 28 out of 50 patients were in 40 -49 years of age group. 98% of them were multiparous. Dysfunctional uterine bleeding (44%) was the most common indication followed by Pelvic inflammatory disease (26%). Morcellation techniques were employed in 33 cases (66%). Mean operating time was 79.6 minutes with average blood loss 110 ml and average duration of pain disappearance was on 4th day and hospital stay 6 days. Complications were minimal. Conclusion: Vaginal hysterectomy in non descended uterus is feasible, safe, associated with less morbidity and better compliance by patients.
Authors and Affiliations
Sangam Kumari, Nishi Mitra, Sashibala Shrivastava
Keywords
Related Articles
- EP ID EP227475
- DOI 10.17511
- Views 301
- Downloads 0
Optimisation of intramuscular dosage of dexmedetomidine fo hypotensive anesthesia in functional endoscopic sinus surgery- a prospective randomized double blind study
Background of the study: Dexmedetomidine, a selective alpha-2 agonist which is being used widely in anesthesia and critical care practice. It has both sedative and analgesic property. The studies on intravenous usage of...
A rare complication seen in a child diagnosed with acute lymphoblastic leukemia: Isolated penile gangrene
Leukemia is the most common cancer seen in children with acute lymphoblastic leukemia, accounting for 80% of all childhood leukemias and 24% of all cancers in children. The intensive chemotherapy regimen used in the trea...
Spectrum of MRI findings in traumaticknee
Introduction: Injuries to the intraarticular structures like menisci and cruciate ligaments are diagnosed with high sensitivity and specificity by MRI as compared with arthroscopy, which is still regarded as the gold sta...
Insulinoma with seizures – a rare presentation of a rare tumour
Insulinoma is a rare pancreatic endocrine tumour with an incidence of 4 per million population per year and is typically sporadic, solitary and less than 2 cms in diameter. Fewer than 5% of insulinomas are larger than 3...
Transient acute paralysis (? Toxicity of ayurvedic medications)- a Case Report
Ayurvedic medicines have a long history of usage in Indian history. Side effects have been listed but enough experience of side effects and toxicity in humans is unknown. Here is a case presented with possible toxicity o...