A Comparative Study of Abdominal Versus Non – Descent Vaginal Hysterectomy in a Tertiary Care Centre

Abstract

Objectives: Hysterectomy means surgical removal of uterus. Both abdominal and non-decent vaginal

hysterectomies are quite popular and acceptable methods among the gynecologist.

To evaluate the appropriate route of hysterectomy (abdominal or vaginal) in our hospital population for

benign disease by comparing peri-operative and post-operative complications.

Materials and Method: As per the inclusion and exclusion criteria, 100 cases admitted to the gynaecology

unit hysterectomy for benign diseases were randomly selected, out of which 50 cases underwent NDVH

(non- descent hysterectomy) and 50 cases underwent AH (abdominal hysterectomy). The parameters

evaluated were operating time, I loss, postoperative pain and other postoperative complications.

Results: The results were indicative towards vaginal hysterectomy being a better surgical modality with

lesser operating I blood loss, postoperative pain and other postoperative complications.

Conclusion: With adequate vaginal access, good uterine mobility and technical skill, vaginal hysterectomy

can performed on a non-prolapsed uterus, with an additional advantage of shorter duration of surgery,

intraoperative com| postoperative morbidity and shorter hospital stay. Hence, stating it to be a better surgical

alternative to at hysterectomy.