Abstract

Hysterectomy is the second common surgery performed by gynecologists. The present study was conducted to compare Non-descent Vaginal Hysterectomy and Total Laparoscopic Hysterectomy. Material & methods : The present prospective observational study (single cohort) study was carried out in patients undergoing Non-descent Vaginal Hysterectomy and Total Laparoscopic Hysterectomy. Intraoperative data including duration of surgery, blood loss, and any complications during the surgery, Hospital stay were noted from documents. The data was collected & the results were analyzed with epi info 7 software using appropriate statistical methods. Results : In 50% Total Laparoscopic Hysterectomy was done and in 50% Non-descent Vaginal Hysterectomy was performed. The mean blood loss in total laparoscopic hysterectomy was 187.60ml and non descent vaginal hysterectomy was 87.50ml which was significantly less in NDVH. There was significant difference in the duration of surgery between the two groups where the mean time to perform TLH was 65.40 minutes and NDVH in 55.20 minutes. Complications like bowel injuries, Bladder injuries, vaginal bleeding more in TLH as compared to NDVH. Febrile episodes and post operative infection was present comparatively less in NDVH as compared to TLH.The difference in the duration of hospital stay was significantly less with NDVH than TLH where the mean hospital stay was 7.44 days for TLH and 6.55 days for NDVH. Conclusion :The present study concluded that the mean blood loss, mean time to perform, duration of hospital stay was less in NDVH. Febrile episodes and post operative infection was less in NDVH. Therefore, NDVH is safe and practical as compared to TLH

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