Objectives: 1) To study the feasibility of performing and outcome of vaginal hysterectomy in uteri without any descent and associated with benign ovarian tumour. 2) To compare the outcome of vaginal hysterectomy over hysterectomy performed through abdominal route and laparoscopically. Methodology: Three hundred (300) patients requiring pan hysterectomy for benign ovarian tumours were studied wi...

Vaginal evisceration of small bowel through vaginal cuff dehiscence after total abdominal hysterectomy is a rare complication in case of pre-menopausal women, which is sporadically mentioned in the literature. We have reported a case of small bowel evisceration through vaginal cuff dehiscence within two hours of first vaginal intercourse following 48 days of Radical hysterectomy which was indic...

IMPLICATIONS OF HYSTEROCTOMY ON VAGINAL ROUTE IN GYNECOLOGIC PATHOLOGY (Abstract): Vaginal hysterectomy was mentioned before our era by Soranus of Ephesus, and it is one of the most frequent surgical interventions in gynecologic practice; performed for the first time by Sauter of Constance, in 1822, who practiced a vaginal hysterectomy without ligation of vessels, carrying out the hemostasis wi...

Pelvic organ prolapse (POP) is a very common condition in elderly women. In women with POP, a sacrocolpopexy or a vaginal hysterectomy with anterior and posterior colporrhaphy has long been considered as the gold standard of treatment. However, in recent decades, the tendency to use a vaginal approach with mesh for POP surgery has been increasing. A vaginal approach using mesh has many advantag...

Vaginal leiomyoma is a rare solid tumour with a variable presentation that can lead to pre-operative misdiagnosis. Local recurrence and transformation into sarcoma are also rare and surgical excision is recommended. Here, we present the case of a 23-year-old woman with a painless vaginal mass associated with severe dyspareunia since marriage (2 months ago) and dysmenorrhoea. She underwent surge...

OBJECTIVE To compare progesterone concentrations in serum and endometrial tissue from hysterectomy specimens after vaginal or intramuscular (IM) administration of progesterone gel. METHODS This was a randomized open study of 14 post-menopausal women undergoing transabdominal hysterectomies. Participants received either vaginal progesterone gel, 90 mg, or IM progesterone, 50 mg, at 8:00 AM and...

Introduction: Cost estimation is a important tool which assist the managers to plan and to control the economic functions of the organization. The present study aims to identify the cost of a cesarean surgery in one of the first class public hospitals in Iran. Methodology: Reviewing all expenses of the hospital documents in the financial unit, the cost of a cesarean surgery was determined thr...

The objective of this video is to identify at-risk postures in vaginal surgery that may lead work-related musculoskeletal disorders (WMSD) and demonstrate corrective exercises prevent future pain. Vaginal surgeons report high rates WMSDs, yet little education exists on WMSD prevention specific population. In video, we five key problematic WMSDs. These include forward head posture, increased tho...

Study Objective. Prospectively compare outcomes of robotically assisted and laparoscopic hysterectomy in the process of implementing a new robotic program. Design. Prospectively comparative observational nonrandomized study. Design Classification. II-1. Setting. Tertiary caregiver university hospital. Patients. Data collected consecutively 24 months, 34 patients underwent laparoscopic hysterect...

BACKGROUND: Fallopian tube prolapse as a complication of abdominal hysterectomy is a rare occurrence. A case with fallopian tube prolapse was managed by a combined vaginal and laparoscopic approach and description of the operative technique is presented. CASE PRESENTATION: A 39-year-old woman with vaginal prolapse of the fallopian tube after total abdominal hysterectomy presented with an incorr...