DOI: 10.36347/sjams.2020.v08i11.045

Pages: 2655-2658

Objective: In this study our main goal is to evaluate the efficiency and safety between Non-Descent Vaginal Hysterectomy (NDVH) and Total Abdominal Hysterectomy (TAH). Method: This randomized prospective comparative study was carried out Kumudini Women’s Medical College from Jan2019 to Jan 2020. A total of 100 patients requiring hysterectomy were selected from the Outpatient Department and detailed history elicited and general and systemic examinations performed and confounding variables strictly controlled by following inclusion and exclusion criteria were enrolled for this study. Where in group A (n = 50) underwent vaginal hysterectomy (non-descent vaginal hysterectomy, NDVH) which was compared with group B (n = 50) who had abdominal hysterectomy. Results: During the study, in both group most of them were multiparas, followed by in NDVH group 8% had previous pelvic surgeries and 42% had medical illness where as in TAH group, 4% had previous pelvic surgeries and 40.5% had medical illness. In the vaginal group, 25% had undergone concurrent salpingo-ophorectomy whereas 30% in the abdominal group. The mean duration of surgery was 37.05 minutes in the vaginal group, whereas, it was 56.1 minutes in the abdominal group, implying a significant difference (p< 0.05). Similarly, a significantly higher blood loss (248 ml) was noted in the abdominal hysterectomy group, compared to 101.5 ml in the vaginal group (p< 0.05). Conclusion: From our study we can conclude that, patients requiring hysterectomy for benign non prolapse cases may be offered the option of vaginal hysterectomy which has quicker recovery, shorter hospitalization, lesser operative and postoperative morbidity compared to abdominal route.