A COMPARATIVE STUDY OF NON DESCENT VAGINAL HYSTERECTOMY WITH VASOPRESSIN INJECTION AND WITHOUT VASOPRESSIN INJECTION

DR. ARGHYA MAITRA; DR. PRIYADARSHI KUNDU; DR MATIUR HOQUE; DR. ATISH DIPANKAR METYA

Volume : VIII, Issue : X, October - 2019

A COMPARATIVE STUDY OF NON DESCENT VAGINAL HYSTERECTOMY WITH VASOPRESSIN INJECTION AND WITHOUT VASOPRESSIN INJECTION

Dr. Arghya Maitra, Dr. Priyadarshi Kundu, Dr Matiur Hoque, Dr. Atish Dipankar Metya

Abstract :

AIMS :– Whether use of Intracervical vasopressin infiltration during Non descent vaginal hysterectomy is better alternative to without medication during Non descent vaginal hysterectomy. METHOD :– A prospective case control study conducted in the Department of Obstetrics and Gynaecology, Calcutta National Medical College, Kolkata, over women attending Gynae OPD after screening for eligibility and given consent were randomly assigned to receive preoperative intracervical Vasopressin or no intracervical injection. Both the categories were observed carefully throughout postoperative period. The outcome measure under differrent parameters and tried to establish any corelation between use of intracervical Vasopressin infiltration is at all effective or not. RESULT:– Total 40 Patients (20 Patients in Vasopressin group and 20 Patients in Non–Vasopressin group) were randomised. Overall Intraoperative blood loss and Intraoperative time duration was less and thereby Hemoglobin decrease was less postoperatively with Intracervical Vasopressin infiltration group. The difference reached statistical signifiance. CONCLUSION :– Intracervical Vasopressin infiltration with sensible case selection during Vaginal Hysterectomy results in significant decrease in blood loss and drop in hemoglobin Gm% thereby decreasing patient’s morbidity and improving prognosis.