Non-Descent Vaginal Hysterectomy Versus Total Abdominal Hysterectomy-A Case Control Study
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 12
Abstract
Background: Hysterectomy is the commonest major operation performed by gynaecologist through various approaches and techniques including vaginal, abdominal, laparoscopic and robotic hysterectomy. Vaginal hysterectomy offers lesser complications during intra and post-operative period in comparison to abdominal hysterectomy. Vaginal route for non descent uterus is acceptable method of hysterectomy in selected cases and with the help of debulking technique it becomes easier in large size uterus also. Objectives: The aim of the study was to explore safety and efficacy of non-descent vaginal hysterectomy in comparison to abdominal hysterectomy. Methods: This prospective case -control study was carried out in Faridpur Medical College Hospital, Faridpur, Bangladesh from May 2016 to April 2017. A total 150 cases with an indication of hysterectomy were selected of which 50 underwent non descent vaginal hysterectomy and rest 100 underwent total abdominal hysterectomy. Main outcome measures were: time taken to complete operation, estimated blood loss, need of blood transfusion, complications and length of hospital stay. Results: No significant association was found between age and parity. Commonest indication was dysfunctional uterine bleeding in non descent vaginal hysterectomy and fibroid was the most common indication for total abdominal hysterectomy. Patients of non descent vaginal hysterectomy group were operated with minimal blood loss, in lesser duration in comparison to patients operated by abdominal hysterectomy. Post-operative complications were more in abdominal hysterectomy like febrile morbidity (12%), wound infection (7%), UTI (6%), respiratory infection (8%) and paralytic ileus (6%) which was significantly higher than non descent vaginal hysterectomy. Faster recovery was observed in group of non descent vaginal hysterectomy. Conclusions: Non descent vaginal hysterectomy offers several benefits over abdominal surgery in terms of less intra-operative blood loss, less febrile morbidity, low postoperative complications, faster recovery, less hospital stay. So, non descent vaginal hysterectomy should be the choice of operation in selected cases.
Authors and Affiliations
Rosy N, Roy BN, Naher L, Hayat S, Sultana N
Keywords
Related Articles
- EP ID EP251457
- DOI 10.9790/0853-1612092427
- Views 121
- Downloads 0
A Comparative Study Of Clonidine Vs Dexamethasone As Adjuvants With Local Anaesthetic In Supraclavicular Brachial Plexus Block
Objectives: To Compare the Effictiveness of Clonidine in 0.5% Bupivacaine with Dexamethasone in 0. 5% Bupivacaine in Supraclavicular Brachial Plexus Block in terms of onset of sensory and motor blockade 2. Duration of se...
Post Appendectomy Syndrome
Summary: On the basis of my experience of more than twenty years surgical practice, I have found that a large number of patients suffer from persisting right lower abdominal pain after appendectomy. This perplexing situa...
Arrested Caries Lesion: Minimal Invasive Treatment ApproachA case report
Esthetic treatment of stained arrested caries lesions (ACLs) has mostly been done using invasive restorative techniques. The aim of this paper was to propose and report the efficacy of a conservative approach based on de...
Renaissance in Periodontal Imaging: A Systematic Review
Dentistry has seen colossal advances in all its branches in the course of the last three decades. With these advances, the requirement for more exact analytic tools, specially imaging methods, have end up plainly obligat...
A study of comparison of fasting blood glucose level and postprandial blood glucose level v/s HbA1c level for long term control of diabetes: An observational study
Introduction: Diabetes mellitus is a noncommunicable disease which is most prevalent and has become a modern epidemic. For many times, diabetes was diagnosed based on plasma glucose criteria, either the fasting blood sug...