Authors : Sudha .R, Umashankar, Dharmavijay
DOI : 10.18231/2394-2754.2018.0089
Volume : 5
Issue : 3
Year : 0
Page No : 389-391
Introduction: Hysterectomy is one of the commonly performed gynaecological surgery. Vaginal hysterectomy is a natural orifice surgery where as laparoscopic hysterectomy is a minimally invasive procedure. Vaginal hysterectomy is associated with less morbidity, less operative time, short duration of hospital stay and reduced cost compared to laparoscopy. With increasing containment of health care costs and epidemic increase of non communicable medical disorders there is a need for performing vaginal hysterectomy in benign non prolapsed uteri especially in rural settings.
Aims and Objectives: The objective of this study is to know the intra operative factors and to study the short term outcomes associated with non descent vaginal hysterectomy {Heaney,s hysterectomy}.
Materials and Methods: This is prospective observational study conducted at MVJ Medical College and Research Hospital located in rural setting from January 2012 to December 2012. All the patients requiring hysterectomy for benign conditions not associated with uterine descent underwent non descent vaginal hysterectomy. Intra operative factors like blood loss, difficulty in delivery of uterus, bowel and bladder injuries, and conversion rates to laparotomy were noted. Post operative complications were noted.
Results: Seventy two patients were planned to undergo non descent vaginal hysterectomy for various benign conditions. Vaginal hysterectomy was done successfully in 70 patients. The mean age was 45.6±3.4 and mean parity was 2.2±0.45. Dysfunctional uterine bleeding (55%) was the most common indication. Average duration of surgery was 45- 80 min. The requirement of post operative analgesia was minimal by the patient as there was no abdominal incision. Post operative complications were less. The duration of hospital stay was 3-5 days.
Conclusions: Non descent vaginal hysterectomy is less invasive surgery. Less morbidity, lesser duration of hospital stay, cost effectiveness makes vaginal route as the choice for women in rural settings.
Keywords: Heane,s hysterectomy, Benign pathology.