A Cross Sectional Descriptive Study on Non Descent Vaginal Hysterectomy (NDVH)

Shahana Begum, Rowshan Akhtar, Sharmilla Barua, Jannatul Ferdous
In: Chattagram Maa-O-Shishu Hospital Medical College Journal · 2014 · vol. 13(1) , pp. 13–16 · doi:10.3329/cmoshmcj.v13i1.19411 · W2009518721
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-11 ⓘ

This study evaluated Non Descent Vaginal Hysterectomy (NDVH) in 126 patients, finding it a less invasive procedure with benefits like shorter hospital stays and reduced costs compared to abdominal hysterectomy.

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This cross-sectional descriptive study evaluated 126 patients who underwent non-descent vaginal hysterectomy (NDVH) in Chittagong Medical College Hospital and private clinics from May 2010 to April 2013, primarily focusing on operative approach and morbidity outcomes. Indications included dysfunctional uterine bleeding, fibroid uterus, adenomyosis, chronic cervicitis, CIN II–III, endometrial hyperplasia, PID, and invasive mole, with NDVH performed for mobile uteri sized up to 14 weeks and with adequate vaginal access; morcellation techniques were used for larger/firmer uteri. The study reported that most operations finished within 90 minutes with average blood loss ≤200 ml in 72.2% of cases, mean hospital stay was commonly 2 days, and postoperative complications included secondary hemorrhage (9.52%) and vault granuloma (11.11%), along with bladder (4.76%) and rectal injury (0.79%). Relevance to endometriosis: adenomyosis was listed as an indication for NDVH in this study, though the paper’s main focus is surgical outcomes of non-descent vaginal hysterectomy.

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Abstract

Aims and objectives: The objective of this study was to determine the less post operative morbidities and better compliance of the patient following vaginal hysterectomy in case of non descent uterus.Materials and Methods: This is a cross sectional descriptive study of patients admitted in Chittagong medical college Hospital and different private clinics between May 2010 and April 2013. Total 126 patients requiring hysterectomy recruited for the study. Indications of Non-descent vaginal hysterectomy (NDVH) were dysfunctional uterine bleeding ( DUB), fibroid uterus, adenomyosis, chronic cervicitis, CIN- II and III, endomertrial hyperplasia, PID and invasive mole. NDVH were performed in cases with mobile uterus, size not exceding 14 weeks of gestation, and with adequate vaginal access. Morcellation techniques like bisection, myomectomy, wedge debulking or combination of these were employed in bigger and firmer uteri.Results: Age ranged from 35 -60 years with majority (68.25%) between 45 and 50 years and 8.70% above 50 years. Seventy nine (62.698%) women were of 3 or more parity, 38 cases (30.15%) had two and 9 cases (7.14%) had one. Preoperative uterine size varied from eight weeks size 98 (77.77%), 12 weeks size 21 cases (16.66%) and more than 12 weeks size7 cases (5.55%). Table 1 depicts the indications for NDVH. One hundred nineteen patients had hysterectomy and remaining 7 had hysterectomy with salpingo-oophorectomy. Eighty four (66.66%) operations were complete within 90 minutes and remainder needed 90 minutes to 3 hours. Average blood loss was up to 200 ml in 91 (72.20%) cases and in other cases it was more than 200 ml. Average hospital stay was 2 days in the majority (76.20%) while 3-5 days in others. Bladder injury occurred in 6 cases (4.76%) and rectum injury in 1case (0.79%) during operation. Postoperatively 12 (9.52%) patient were suffering from secondary haemorrhage and 15 (11.11%) patient from vault granuloma. Analgesic requirement was at minimum during post operative period. Cost was reduced with the compared to the other route of hysterectomy.Conclusion: NDVH is a less invasive technique with benefits,which includes shorter hospital stay and faster convalescence and avoid abdominal wound complications. It should be a primary methods for removal of large uterus provided one is familiar with morcellation technique.DOI: http://dx.doi.org/10.3329/cmoshmcj.v13i1.19411
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Materials and methods

This is a cross sectional descriptive study of patients admitted in Chittagong medical college Hospital and different private clinics between May 2010 and April 2013. Total 126 patients requiring hysterectomy recruited for the study. Indications of Non-descent vaginal hysterectomy (NDVH) were dysfunctional uterine bleeding ( DUB), fibroid uterus, adenomyosis, chronic cervicitis, CIN- II and III, endomertrial hyperplasia, PID and invasive mole. NDVH were performed in cases with mobile uterus, size not exceding 14 weeks of gestation, and with adequate vaginal access. Morcellation techniques like bisection, myomectomy, wedge debulking or combination of these were employed in bigger and firmer uteri.

Results

Age ranged from 35 -60 years with majority (68.25%) between 45 and 50 years and 8.70% above 50 years. Seventy nine (62.698%) women were of 3 or more parity, 38 cases (30.15%) had two and 9 cases (7.14%) had one. Preoperative uterine size varied from eight weeks size 98 (77.77%), 12 weeks size 21 cases (16.66%) and more than 12 weeks size7 cases (5.55%). Table 1 depicts the indications for NDVH. One hundred nineteen patients had hysterectomy and remaining 7 had hysterectomy with salpingo-oophorectomy. Eighty four (66.66%) operations were complete within 90 minutes and remainder needed 90 minutes to 3 hours. Average blood loss was up to 200 ml in 91 (72.20%) cases and in other cases it was more than 200 ml. Average hospital stay was 2 days in the majority (76.20%) while 3-5 days in others. Bladder injury occurred in 6 cases (4.76%) and rectum injury in 1case (0.79%) during operation. Postoperatively 12 (9.52%) patient were suffering from secondary haemorrhage and 15 (11.11%) patient from vault granuloma. Analgesic requirement was at minimum during post operative period. Cost was reduced with the compared to the other route of hysterectomy.

Conclusion

NDVH is a less invasive technique with benefits,which includes shorter hospital stay and faster convalescence and avoid abdominal wound complications. It should be a primary methods for removal of large uterus provided one is familiar with morcellation technique. Downloads 269 558 Downloads Published How to Cite Issue Section License Authors of articles published in CMOSHMC Journal retain the copyright of their articles and are free to reproduce and disseminate their work. A Copyright and License Agreement -signed and dated by the corresponding author on behalf of all authors -must be submitted with each manuscript submission.

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