Feasibility of non-descent vaginal hysterectomy (NDVH) in women with scarred uterus-our experience

Abstract

Aims and objectives: To assess feasibility and safety of NDVH in patients with scarred uterus undergoing hysterectomy for benign conditions. Methods: Prospective study conducted at department of Obstetrics and Gynecology at IOG, Chennai. Vaginal hysterectomy was attempted in women with benign conditions in absence of uterine prolapse with history of cesarean section. Information regarding age, parity, uterine size, co-morbid conditions, blood loss, duration of operation, intra-operative, post-operative complications, hospital stay were recorded. Results: All the 25 cases selected for NDVH successfully underwent NDVH. None had bladder injury. Commonest indication was leiomyoma. Mean duration of surgery was 60 ± 15 min. Mean blood loss was 150 ± 20 ml. Post-operative complications were minimal. Patient mobility, resumption of daily activities was fast with minimal need for pain relief. Hospital stay was 4-5 days.Conclusion: Vaginal hysterectomy is feasible, safe and cost effective with fewer complications.