Abstract

Background & Methods: The aim of the study is to determine the operative feasibility of NDVH for various indications of hysterectomy in women with non-descent uterus. Results: Mean duration of operative time in study group was 25-50 min and in control group 40-95 min. 31 cases needed BT in study group while as high as 72 cases needed BT in control group. Intraoperative blood loss was also significantly less in study group (100-350ml) than control group (150-500ml). Conclusion: In short, Non-descent vaginal hysterectomy should be the technique of choice in routine practice for management of patients with non-descent benign diseases of the uterus. Trans-abdominal approach should be only left for those cases where vaginal hysterectomy is either contraindicated or intraoperative conversion to abdominal route becomes mandatory due to complications. 72 cases of control group needed blood transfusion as compare to only 31 cases in study group. These facts were also affected by degree of anaemia on admission and blood loss during surgery.

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