European Journal of Molecular & Clinical Medicine

Abstract

Background: Hysterectomy is a common surgical procedure most commonly performed in the practice of gynaecology. Non-descent vaginal hysterectomy (NDVH), which is an art of gynaecological surgeons, has established its place in the gynaecological surgeries. Total laparoscopic hysterectomy (TLH) has a steep learning curve, requires modernized OT set-up including special endoscopic instruments and may not be available in all centres. Non-decent vaginal hysterectomy is a viable alternative in such a scenario. Hence these two surgeries have been compared in this study.
Methods: A total 50 patients undergoing hysterectomy for various benign indications, were included in this study. They were divided into two groups of 25 each. One group underwent TLH and the other NDVH. Demographic profile and other peri-operative events were compared and statistically analysed.
Results: NDVH group experienced more pain and required a greater number of analgesic doses. The intra-operative blood loss was more in NDVH group and duration of surgery was significantly higher in NDVH group. Two most common complications in the post operative period were fever and hematuria.