A Comparative Study of Abdominal Versus Non Descent Vaginal Hysterectomy

Introduction: Both Abdominal and Vaginal are not competitive procedures but each has its own place in the operative armamentarium of the gynecologist. Guidelines incorporating uterine size, mobility accessibility, and the pathology confined to the uterus (no adnexal pathology or known or suspected adhesions) have been proposed as selection criteria for vaginal hysterectomy. This study was performed to evaluate the appropriate route of hysterectomy (abdominal or vaginal) in our hospital population for women with benign disease by comparing peri-operative and post-operative complications. Material and Methods: As per the Inclusion and Exclusion criteria,100 cases admitted to the gynecology unit requiring hysterectomy for benign diseases were randomly selected out of which 50 cases underwent NDVH and 50 cases underwent TAH. Operating time, Blood loss, Post-Operative pain and other Postoperative complications were the parameters noted. Results: The results were indicative towards Vaginal Hysterectomies being a better Surgical modality with lesser Operating time, Blood loss, Postoperative pain and other Postoperative complications like Febrile Morbidity, Wound Infection, Burst Abdomen, Wound Gape, Paralytic Ileus. Conclusion: With adequate vaginal access, good uterine mobility and technical skill, vaginal hysterectomy can safely be performed on a Non-Prolapsed uterus, with an additional advantage of shorter duration of surgery, intraoperative complications, post-operative morbidity and shorter hospital stay. Hence, allowing us to concluded it to be a better surgical option amongst Hysterectomies.