A comparision of intraoperative complication and post operative pain scaling of Laproscopic assisted vaginal hysterectomy (LAVH) and Nondescendent vaginal hysterectomy

Abstract

Objective: To find out the intraoperative complications and postoperative pain scaling associated with Laparoscopic assisted vaginal hysterectomy and Non descent vaginal hysterectomy. Design: Prospective analytical observational clinical study. Methods: A Prospective analytical observational clinical study was undertaken in patients undergoing Laparoscopic assisted vaginal hysterectomy and Non descent vaginal hysterectomy. Results: Operating time was lesser in Non descent vaginal hysterectomy group. Intraoperative blood loss was significantly less in Non descent vaginal hysterectomy group than in Laparoscopic assisted vaginal hysterectomy group. Postoperative pain was also less in women undergoing Non descent vaginal hysterectomy group. Pain score was in the immediate postoperative period was more approximately 7 in the Laparoscopic assisted vaginal hysterectomy group and approximately 6 in the Non descent vaginal hysterectomy group. Complications like bladder hematoma and paralytic ileus were seen only in Laparoscopic hysterectomy. Because of more complications there were also more hospital stay in case of laparoscopic hysterectomy. Funding: No funding received for the study. Conclusion: Non descent vaginal hysterectomy should be the preferred route of hysterectomy attributed to less postoperative pain and complications.