A comparative study between total abdominal hysterectomy and non-descent vaginal hysterectomy

Abstract

To analyze the intra operative complications, postoperative morbidities and complications between abdominal and non descent vaginal hysterectomy.This prospective study was conducted over a period of one year in the Department of Obstetrics and Gynaecology. Out of 162 hysterectomies, 102 underwent Total abdominal hysterectomy and 60 underwent Non descent vaginal hysterectomy. Baseline characteristics, duration of surgery, intraoperative blood loss, duration of hospital stay, intra and post operative complications were recorded and compared between the two groups.Patients who underwent TAH had a mean operating time of 63.44 +/- 11.94 minutes while those who underwent NDVH had mean operating time of 54.21 mins (p<0.001). The mean blood loss in the NDVH group was 86.41+/-17.54 ml while in TAH was185.70+/-60.73ml (p<0.001). The duration of hospital stay in the TAH arm was 7.19+/-1.17 days, whereas in the NDVH arm was 4.06+/-1.10days (p<0.001). The overall complications encountered with TAH was significantly more than NDVH (p=0.01), but there were no significant major complications encountered in both the groups.NDVH is safe and practical as compared to TAH with decreased cost, per operative blood loss and hence no need for blood transfusion, very less per operative complications, less post operative pain and morbidity and of course no scar. The duration of hospital stay is also reduced hence economical for the patient as well.