Total abdominal hysterectomy versus non descent vaginal hysterectomy in benign uterine disorders:¬ A comparative study

Abstract

Introduction: Hysterectomy is the commonest surgery performed by abdominal, vaginal or laparoscopic method. Vaginal method has distinct health and economic benefits. It is an acceptable method of hysterectomy for non descent uterus. Methods: A retrospective study conducted on 100 women who underwent hysterectomy for benign uterine disorders other than prolapse uterus in the department of OBG, Tertiary hospital, Coimbatore. Results: Out of 100 patients, 60 patients underwent total abdominal hysterectomy (TAH) and 40 patients underwent non descent vaginal hysterectomy (NDVH). It was observed that intraoperative blood loss, duration of hospital stay, intra and postoperative complications were less in vaginal route. Conclusion: NDVH is associated with less blood loss, quicker recovery, early mobilization, less duration of hospital stay than TAH. The post operative complications were less irrespective of increased operating time in NDVH. Therefore NDVH is safe and feasible in women requiring hysterectomy for benign conditions.