Outcome of Non Descent Vaginal Hysterectomy in Benign Gynecological Condition

Background: The most common gynaecological surgery is hysterectomy which is indicated mostly in DUB, fibroids, adenomyosis to malignancies. The various procedures range from laparoscopic to vaginal hysterectomies in non- descent cases. Vaginal Hysterectomy appears to be, relatively advantageous or superior procedure in terms of patient safety, cost-effectiveness, faster recovery (short hospital stay), and dreaded complications. It is the only surgery which has a very good cosmetic benefit that is without any visible scar.Aim: To study the outcomes of Non-descent vaginal hysterectomy in benign gynaecological conditions.Objectives: 1. To assess the outcome of Non- descent vaginal hysterectomy for benign Gynaecological conditions in terms of intra operative characteristics.2. To assess the postoperative outcome in Non-descent vaginal Hysterectomy. Materials: This prospective observational study was conducted between November 2018 to October 2020. The study was done among 100 women who fulfilled the inclusion criteria. Details regarding indication, size of the uterus, operation time, mean blood loss ,hospital stay and intraop and post op complications were noted.Results: The mean age was 46.05±5.413. The mean operating time was 58.46±17.75 minutes, the mean blood loss was 91.79±27.18 ml and the mean hospital stay was 4.24 ± 0.63 days. Majority (57) of the patients indication of surgery was DUB. 47% of the patients had normal uterine size, 23% and 27% had less than 8 weeks and between 8-12 weeks uterine size respectively. Only 3% subjects had uterus size between 12-36 weeks.Majority subjects had no postoperative complications, whereas other complications like fever , UTI , vaginal bleeding and need for blood transfusion were foundin 06,04,03 ,04 subjects respectively, and none of them had any intra op injury