Two different approaches of hysterectomy in benign conditions of uterus without uterovaginal prolapse

Abstract

Objectives: To compare between abdominal and vaginal hysterectomy in terms of operative time, length of hospital stay and post operative morbidity. Methods: A prospective observational study was done at R.G.KAR Medical College, Kolkata, West Bengal, India with 140 patients over a period of 18 months at department of Obstetrics and Gynaecology. Results: Results shows less operative time (mean 76.49% in TAH and 56.44% in NDVH), per-operative complications, blood loss, post-operative complications, post-operative ambulance and mean hospital stay are statistically significance (i.e. <0.005). Conclusion: Result shows NDVH is more advantageous than TAH in many aspects. But it needs more extensive studies before universal acceptance.

Keywords

• abdominal hysterectomy
• nondescent vaginal hysterectomy
• hospital stay
• operative time
• post-operative morbidity