Previous LSCS: NO more Contraindication for non Descent Vaginal Hysterectomy
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 8
Abstract
Introduction: Hysterectomy is the most common operation performed in Gynecology department worldwide. It is performed by different route and for different indications. NDVH has many advantages over other routes. But presence of previous lower segment cesarean section scar makes the Gynecologists hesitant to choose NDVH as route of operation. Present study aimed to study difficulty encountered and ease to overcome these difficulties while performing NDVH in previous LSCS scarred cases. Material and methods: This prospective study was conducted over 25 cases of previous LSCS, with clear cut indication of hysterectomy between 2015 October to 2017 February. Time taken in operation, difficulties encountered during operation, any complication, their management, blood loss estimation and number of units of blood transfused required were noted. Result: Out of 25 cases bladder was injured in one case. Laparotomy was not required in any case. Bisection only was done in 16 (64%) cases, bisection myomectomy in 5 (20%) cases, morcellation plus bisection in 4 (16%) cases. Amount of blood loss and operating time was proportional to the size of uterus. Conclusion: Non descent vaginal hysterectomy is safe, cost effective method in previous LSCS scarred uteri where hysterectomy is indicated for different benign conditions with less morbidity and shorter hospital stay.
Authors and Affiliations
Neelam Nalini, Bijeta . , Shashi Kumari
Keywords
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