STUDY OF SAFETY & FEASIBILITY OF NON DESCENT VAGINAL HYSTERECTOMY IN BENIGN GYNAECOLOGICAL CONDITIONS BOTH IN SIMPLE AND DIFFICULT SCENARIOS

DR.B.TAMILSELVI; DR.E.VIJAYALAKSHMI

Volume : VII, Issue : I, January - 2017

STUDY OF SAFETY & FEASIBILITY OF NON DESCENT VAGINAL HYSTERECTOMY IN BENIGN GYNAECOLOGICAL CONDITIONS BOTH IN SIMPLE AND DIFFICULT SCENARIOS

Dr. B. Tamilselvi, Dr. E. Vijayalakshmi

Abstract :

Objective: This study was undertaken to check the feasibility of vaginal route as the primary route for hysterectomy for benign conditions with non descent of uterus. Methods: During 2013–2016 nondescent vaginal hysterectomies with or without bilateral salpingoophorectomy were performed in 166 women with benign conditions .Severe endometriosis, immobility of the uterus, uterine size more than 18 weeks and malignancy were excluded. Patients were classified into two groups – Group I – uterine size up to 12 weeks, with no risk factors and Group II – uterine size 12–18 weeks or with confounding factors like, mild to moderate endometriosis, nulliparity or LSCS in the past. The outcome was analysed Results: Age, parity, indications, operative technique,hospital stay,post operative complicatons were studied and analysed statistically.Conclusion: vaginal hysterectomy is feasible and more safe for benign conditions with non descent of uterus even in difficult scenarios.