Abstract

Hysterectomy is the most common gynecological procedure performed after caesarean section. Our study was designed to evaluate laparoscopic and vaginal hysterectomies in non-descent uterus. Material & methods: This is a prospective hospital based comparative study done at Amaltas Institute of Medical Sciences Dewas (MP). Comparative analysis of 100 hysterectomies was done for a period of 12 months form July 2021 to June 2022, with 50 cases in each group i.e, Non descent vaginal hysterectomy (NDVH) and laparoscopic hysterectomy (LH) group Comparisons were made between the two groups on the basis of surgical indications, operating time, intra-operative blood loss, intraoperative complications, post-operative analgesic needs and post-operative hospital stay Results: The most common age in both groups was 41-50 years. Fibroid was the most common indication for surgery in both groups. The mean operative time in NDVH group was 40 minutes while it was 75 minutes in LH group. Intra operative complications were there in LH group but not found in NDVH group Intra operative blood loss and Post-operative analgesia requirement was more in NDVH group. Post-operative hospital stay was similar in both the groups. Conclusion: Which route to approach the uterus will depend on the surgeon's expertise, the size and pathology of the uterus, availability of laparoscopic setup and the preferences of surgeons and patients.

Description