STUDY OF SAFETY AND FEASIBILITY OF NON-DESCENT VAGINAL HYSTERECTOMY IN MODERN GYNAECOLOGICAL PRACTICE
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 50
Abstract
BACKGROUND Vaginal route of hysterectomy is being reinvented as a part of enhanced recovery with advantages of reduced operating time, lesser hospital stay, reduced morbidities and better patient satisfaction as scarless surgery. The aim of our study was to evaluate the safety and feasibility of non-descent vaginal hysterectomy. MATERIALS AND METHODS In this study, 78 cases with uterine size from normal to 18 weeks selected and operated after complete evaluation with valid consent. Operating time, blood loss, duration of hospital stay, intraoperative and postoperative complications were noted. Patients were followed up after two and six weeks. RESULTS The commonest age group in the study was 41-45 years (58.97%). Most common indication of hysterectomy was fibroid uterus (61.53%). The average operating time was 62 minutes with average blood loss of 220 mL and average hospital stay of 3-4 days. Only 2 cases developed major complications. One had primary haemorrhage requiring laparotomy, other developed ureterovaginal fistula requiring further surgery for repair. CONCLUSION NDVH is feasible, safe and can also be utilised for enlarged uterus upto 18 weeks, but descent and mobility of uterus, adequate vaginal space, uterine dimensions in both antero-posterior and transverse directions should be taken into account before contemplating NDVH.
Authors and Affiliations
Nina Mishra, Subhasis Panigrahy, Ishita Priyam Singh
Keywords
Related Articles
- EP ID EP220207
- DOI 10.18410/jebmh/2017/607
- Views 76
- Downloads 0
CLINICAL PRESENTATION, RADIOLOGICAL FEATURES AND COURSE OF THE DISEASE IN SWINE FLU POSITIVE PATIENTS ADMITTED IN THE RESPIRATORY INTENSIVE CARE UNIT OF A TERTIARY CARE HOSPITAL
BACKGROUND: Since the 2009 pandemic of H1N1 or Swine Flu influenza, there have been respiratory emergencies every year throughout India, but in the early part of this year that is between January and April 2015 an explos...
CLINICAL PROFILE OF PATIENTS WITH ALCOHOLIC LIVER DISEASE IN UPPER ASSAM OF NORTH EAST INDIA
BACKGROUND Alcohol is the most commonly abused drug worldwide causing liver injury with respect to dose, duration, type of alcohol consumption and drinking patterns and gender with diverse ethnicity and social customs. T...
IMPACT OF HONEY DRESSING IN CHRONIC ULCER
BACKGROUND This was an open label study. Although, honey has been used for centuries in wound care, now only it is being integrated into modern medical practice. The resurgence of interest in honey as a medicine for mode...
A NEW TECHNIQUE FOR FAST AND SAFE COLLECTION OF URINE IN NEW BORNS
INTRODUCTION Clean urine samples are necessary to accurately diagnose several diseases in new-borns, especially Urinary Tract Infections (UTIs). A wide range of clinical interventions for urine collection is described in...
CLINICAL EVALUATION OF ORAL KETAMINE AND ORAL MIDAZOLAM FOR PREMEDICATION IN PAEDIATRIC SURGICAL OUTPATIENTS
BACKGROUND Forty children of ASA grade I, aged 1 to 8 years, both males and females undergoing elective surgery under general anaesthesia and regional anaesthesia for procedures such as herniotomy and circumcision were i...