Abstract
Objective
We designed this study to focus on women with mobile uteri benign no larger than 14 weeks, who would ordinarily be considered candidates for vaginal hysterectomy and compare the outcomes when abdominal routes were chosen. We also compared the intra and post operative complications, requirement for blood transfusion, length of hospital stay, between abdominal and vaginal route of hysterectomy.
Method
In a simple randomized prospective comparative study 200 consecutive patients requiring hysterectomy for benign uterine conditions were analysed over a period of 2 years. (June 2006–May 2008). Group A (n = 100) underwent vaginal hysterectomy (non descent vaginal hysterectomy, NDVH) which was compared with group B (n = 100) who had abdominal hysterectomy.
Results
As far as duration of operation, duration of i.v. drip, mobilization in post operative ward, duration of hospital stay, P value was significant. Regarding blood loss P value was insignificant.
Conclusion
The accessibility of the vaginal passage, disease confined to the uterus and the surgeons experience are the major determining factors for the choice of the route of hysterectomy.
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References
Kovac SR. Hysterectomy outcome in patients with similar indications. Obstet Gynecol. 2000;95:787–93.
ACOG Committee Opinion. Number 311, April 2005. Appropriate use of laparoscopically assisted vaginal hysterectomy. Obstet Gynecol. 2005;105:929–30.
Kovac SR. Guidelines to determine the route of hysterectomy. Obstet Gynecol. 1995;85:18–23.
Dicker RC, Greenspan JR, Strauss LT, et al. Complications of abdominal and vaginal hysterectomy among women of reproductive age in the United States. The collaborative review of sterilization. Am J Obstet Gynecol. 1982;144:841–8.
Wingo PA, Huezo CM, Rubin GL, et al. The mortality risk associated with hysterectomy. Am J Obstet Gynecol. 1985;152:803–8.
Van den Eeden SK, Glasser M, Mathias SD, et al. Quality of life, health care utilization, and costs among women undergoing hysterectomy in a managed-care setting. Am J Obstet Gynecol. 1998;178:91–100.
McCracker G, Hunter D, Morgan D, et al. Comparison of laparoscopically assisted vaginal hysterectomy, abdominal hysterectomy and vaginal hysterectomy. Ulster Med J. 2006;75:54–8.
Harris MB, Olive DL. Changing hysterectomy pattern after introduction of LAVH. Am J Obstet Gynecol. 1994;171:340–4.
Kovac SR. Hysterectomy outcome in patients with similar indications. Obstet Gynecol. 2000;95:787–93.
Hwang JL, Seow KM, Tsai YL, et al. Comparative study of vaginal, laparoscopically assisted vaginal and abdominal hysterectomy for uterine myoma larger than 6 cm in diameter or uterus weighing at least 450 g. Acta Obstet Gynecol Scand. 2002;81:1132–8.
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Chakraborty, S., Goswami, S., Mukherjee, P. et al. Hysterectomy…..Which Route?. J Obstet Gynecol India 61, 554–557 (2011). https://doi.org/10.1007/s13224-011-0076-x
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DOI: https://doi.org/10.1007/s13224-011-0076-x