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Research Article

Vaginal Hysterectomy for Non Descent Uterus- A Prospective Multicentric Study

Chaitra Ramachandra, Ramlingappa, Deepa and Shankaregowda

Correspondence Address :

Chaitra Ramachandra
Assistant Professor, Department of Obstetrics and Gynaecology
BGS Global Medical College, Bangalore
Karnataka
India
Tel: 91-9611137336
Email: drchaitraramachandra@gmail.com

Received on: March 23, 2016, Accepted on: April 18, 2016, Published on: May 04, 2016

Citation: Chaitra Ramachandra, Ramlingappa, Deepa, Shankaregowda(2016). Vaginal Hysterectomy for Non Descent Uterus- A Prospective Multicentric Study

Copyright: 2016 Chaitra Ramachandra, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • Abstract

Abstract
Introduction: Vaginal route of hysterectomy is being reinvented in the present era due to the advantage of reduced operating time, lesser hospital stay, reduced morbidities and better patient satisfaction. Therefore, the objective of this study was to evaluate the effectiveness of vaginal hysterectomy as a primary route for all indicated cases, in absence of uterovaginal prolapse.
Materials and Methods: In this study, 863 cases of non-descent vaginal hysterectomy for uterine size between normal to 18weeks gravid size were included and operated after complete evaluation with a valid consent. Operating time, blood loss, haemoglobin levels and hospital stay were estimated. An Intra operative and post-operative complication if any was noted. Patient was asked to report to the outpatient department after two and six weeks for follow up.
Results: The commonest age group in the study was between 41-50 years comprising of 43.80% of the cases followed by 30-40 years (28.04%). The most common indication in the study was Dysfunctional uterine Bleeding (48.9%) followed by Fibroid Uterus (33.8%), Adenomyosis (10%) and Chronic Pelvic Inflammatory disease (3.24%). 6-10weeks gravid size was most commonly operated upon constituting 53% of cases. The average operating time was between 20-60 minutes, with an average blood loss between 50 to 150 ml, with an average hospital stay of 3-4 days. A total of 83 cases (9.61%) developed complications with urinary tract infection in 24 cases (2.78%), wound infection in 47 cases (5.44%), vaginal bleeding in 12 cases (1.39%).
Conclusion: For properly selected cases vaginal hysterectomy is the preferred route in the hands of experienced surgeons. The need of the hour is minimally invasive surgery, early discharge from the hospital, early resumption of work, avoidance of disfiguring scar on the abdomen and cost-effectiveness of the procedure are as important as cure of the disease. Vaginal hysterectomy fulfils these criteria to absolute satisfaction.