Authors : L. Pranathi, Y. Madhavi
DOI : 10.18231/2394-2754.2018.0017
Volume : 5
Issue : 1
Year : 0
Page No : 77-81
Introduction: Hysterectomies are carried out to treat many uterine conditions, and are performed by two principal routes i.e. abdominal and vaginal. However even after many studies, the best route of performing hysterectomy is not clear.
Aim: To compare the complications of vaginal and abdominal hysterectomies in treating non-prolapsed cases with good uterine mobility and uterine size less than 12 weeks.
Materials and Methods: We carried a prospective, randomized controlled trial on 80 patients requiring hysterectomy for benign diseases at ESI College, Sanathnagar, Hyderabad, Telangana State from May 2016 to September 2017. The sample was categorized into Group A (n=40) in whom non descent vaginal hysterectomy and Group B (n=40) in whom abdominal hysterectomy was performed. The primary outcome measures compared were time of operation, blood loss, post-operative pain, duration in hospital, febrile morbidity and postoperative systemic infections.
Results: We found comparable baseline features in both the groups. Mean time of operation, blood loss intra-operatively, was more in Group B (69.82 ± 8.15 minutes, 235 ± 46.89 ml) when compared to Group A (48.36 ± 1.47 minutes, 115 ± 41.35 ml) respectively. Non descent vaginal hysterectomy group showed faster recovery, shorter hospital stay, lesser operative and postoperative morbidity compared to abdominal route.
Conclusion: In patients requiring hysterectomy for benign non prolapsed cases, vaginal route may be preferred as it is less invasive, with minimal or no complications, more economical and effective.
Keywords: Abdominal hysterectomy, Gynaecology, Intra-operative complications, Non descent vaginal hysterectomy, Postoperative outcome.