A comparative study between laparoscopic assisted vaginal hysterectomy (LAVH) vs. non descent vaginal hysterectomy (NDVH) in patients with benign gynecological pathology

Abstract

Objective: To find out the intraoperative and postoperative complications associated with Laparoscopic assisted vaginal hysterectomy and Non descent vaginal hysterectomy. Design: Prospective observational study. Methods: A prospective observational study was undertaken in patients undergoing Laparoscopic assisted vaginal hysterectomy and Non descent vaginal hysterectomy in patients with benign gynecological pathology. Results: Operating time was lesser in Non descent vaginal hysterectomy group. Operating time was (87.36+/- 16.32 minutes in Laparoscopic assisted vaginal hysterectomy and 67.38+/-16.77 minutes in Non descent vaginal hysterectomy p-value =0.001). Intraoperative blood loss was significantly less in Non descent vaginal hysterectomy group (269.85+/-103.85ml in Laparoscopic assisted vaginal hysterectomy group and 219.05+/-84.37 ml in Non descent vaginal hysterectomy group p-value =0.026). Postoperative pain was also less in women undergoing Non descent vaginal hysterectomy group. Pain score was in the immediate postoperative period was 7.04+/- 0.46 in the Laparoscopic assisted vaginal hysterectomy group and 6.12+/-0.72 in the Non descent vaginal hysterectomy group (p-value=0.001). Complications like bladder hematoma and paralytic ileus were seen was seen only in Laparoscopic hysterectomy. Funding: No funding received for the study. Conclusion: Non descent vaginal hysterectomy should be the preferred route of hysterectomy in benign Gynaecological pathology.