TO COMPARE VAGINAL AND ABDOMINAL HYSTERECTOMY IN UNDESCENDED UTERUS FOR BENIGN GYNAECOLOGICAL CONDITIONS IN TERMS OF MORBIDITY, HOSPITAL STAY AND RECOVERY

Abstract

Background & Method: This is a prospective comparative study, conducted on the patients admitted to department of Obstetrics and Gynaecology, index medical college, Indore (M.P.), on 100 patients requiring hysterectomy for benign diseases in absence of prolapse. A minimum of 50 patients in each group has been taken. All the patients are followed up for atleast 3 months.

Result: 8 cases (16%) in NDVH group and 8 cases (16%) in TAH group had fever >38oc post operatively. When the febrile morbidity was compared between the two groups, p value obtained was 0.037, which was statistically not significant. Fever occurred more frequently in TAH than in NDVH group.

Conclusion: Vaginal hysterectomy is associated with less blood loss during surgery and decreased post operative morbidity when compared to total abdominal hysterectomy. There is no significant difference in other intra operative complications between the two groups. One hundred patients requiring hysterectomy for gynecological disorders without prolapse were included in the study. 50 underwent hysterectomy by vaginal route whereas 50 by abdominal route. These cases were assessed in terms of duration of surgery, blood loss, intraoperative and post-operative complications.

Keywords: vaginal, abdominal, hysterectomy & gynaecological.