Evaluation of Closure versus Non-closure of Vaginal Vault after Non-descent Vaginal Hysterectomy

Introduction: Non-descent vaginal hysterectomy has been considered a valid alternative to the abdominal approach and is also preferred for benign uterine diseases without descent of uterus because it associated with fewer complications. Vaginal vault enlargement internal end vagina which usually closed during hysterectomy. This study was done see outcome closure versus non-closure in non-descent non-prolapsed uterus.
 Methods: prospective Obstetrics Gynae Department, Sir Salimullah Medical College Mitford Hospital period July 2011 December 2011. A total number 50 patients gynecological disorders who admitted were enrolled this study. Among them, 25 had close (group I) whereas an open vault(group11). Indication hysterectomy, complications, blood transfusion, hospital stay (day) histopathological findings assessed both groups. Statistical analyses results obtained by using window based computer software devised Packages Social Sciences (SPSS-20).
 Results: Majority found age group 41-45 years groups, 12(48.0%) Group I 18(72.0%) II. Blood transfusion needed 5(20.0%) 6(24.0%) II respectively. Post operative complications after 15 days follow-up, pelvic abscess 4.0% & not UTI but II.
 Conclusion: Outcomes almost similar procedure. Ultimately did show any significant difference between either group.
 J Shaheed Suhrawardy Med Coll, 2020, Vol.12(1); 45-49