Comparative study of non-descent vaginal hysterectomy and total laparoscopic hysterectomy performed for benign gynaecological conditions

Abstract

Background: Hysterectomy is a common surgical procedure frequently performed in the day-to-day practice of gynaecology. Non-descent vaginal hysterectomy (NDVH), which is an art of gynaecological surgeons, has established its place in the realm of gynaecological surgeries. Total laparoscopic hysterectomy (TLH) has a steep learning curve, requires modernized OT set-up including special endoscopic instruments and may not be available in all centres. Non-decent vaginal hysterectomy is a viable alternative in such a scenario. Hence these two surgeries have been compared in this study.Methods: A total 40 patients undergoing hysterectomy for various benign indications, were included for the study. They were divided into two groups of 20 each. One group underwent TLH and the other NDVH. Demographic profile and other perioperative events were compared and statistically analysed. Results: NDVH group experienced more pain and required a greater number of analgesic doses. The intraoperative blood loss was more in NDVH group and duration of surgery was significantly higher in NDVH group. Rest of the parameters were by and large comparable. The incidence of bladder injury was more in the TLH group as compared to NDVH group.Conclusions: Both NDVH and TLH have their pros and cons. In a given case the final decision will depend on a number of variables like human, financial and medical.

Non-Descent Vaginal Hysterectomy Using Bipolar Vessel Sealing System Versus Total Laparoscopic Hysterectomy for Benign Diseases of Uterus: A Prospective Interventional Study

“…Chi-square test was applied, Chi-value=1.5644 for 24 h and 0.3636 for 48 h, p value=>0.05 (0.457401 for 24 h 0.833753 for 48 h), Result-statistical not significant both the groups (NDVH with BIPVSS as 44% and TLH with 48%), which is comparable to Nimbannavar et al study[8] butNagar et al study …”