Outcome of Non Descent Vaginal Hysterectomy in Benign Gynecological Condition

Kiran Kumari, L Dwarakanath, Girish B. L, Roberto Marc eacute n
In: Indian Journal of Public Health Research & Development · 2021 · vol. 12(3) , pp. 96–101 · doi:10.37506/ijphrd.v12i3.16042 · W4212968151
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This prospective study evaluated non-descent vaginal hysterectomy outcomes in 100 women with benign conditions including adenomyosis, finding short operation times, minimal blood loss, and low complication rates.

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This prospective observational study evaluated the safety and efficacy of non-descent vaginal hysterectomy in 100 women with benign gynecological conditions between November 2018 and October 2020. The research recorded intraoperative metrics such as operating time, blood loss, and hospital stay, alongside postoperative complications like fever, urinary tract infections, and bleeding. Results indicated a mean operation time of approximately 58 minutes and an average hospital stay of 4.2 days, with the majority of patients experiencing no significant postoperative issues despite some minor adverse events. Relevance to endometriosis: adenomyosis is listed among the primary indications for hysterectomy in the background section, though the paper's main focus is on the surgical outcomes of non-descent vaginal hysterectomy for various benign conditions.

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Abstract

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
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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

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adenomyosis

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