A comparative study of Total Laproscopic hysterectomy and non-descent vaginal hysterectomy for benign uterine pathology.

Dr. Amrita Jain; Dr. Suvarna Kale

Volume : VIII, Issue : VII, July - 2019

A comparative study of Total Laproscopic hysterectomy and non-descent vaginal hysterectomy for benign uterine pathology.

Dr. Amrita Jain, Dr. Suvarna Kale

Abstract :

Introduction: Background: Hysterectomy is the most common gynaecological procedure, it can be performed by various methods such as Total abdominal hysterectomy, Vaginal hysterectomy and total laparoscopic hysterectomy. Laparoscopic surgeries requires high tech operation theatre set up, sophisticated instruments and surgical skills. Vaginal hysterectomy –descent or non descent is simple, effective and economical. Objectives: This study compares indication of hysterectomy, duration of operation, blood loss, intra–op complications, duration of post–op mobilisation, post–operative complications between total laparoscopic hysterectomy (TLH) and non descent vaginal hysterectomy ( NDVH). Methods: A prospective study was conducted over 40 patients undergoing above operation (20 cases of TLH and NDVH each) over duration of 6 months from July 2018 to December 2018 at Saint George’s Hospital, Mumbai. All patients were examined and investigated in terms of blood investigations, ultrasound, chest Radiograph , Urine examination, and malignancies were ruled out by Pap smear and /or D&C. All patients who underwent the surgery were observed during pre–operative, intra operative and post–operative period. Results: NDVH procedure takes lesser operative time, has lesser complications, is less expensive than TLH but intra operative blood loss and ambulation time is slightly more in NDVH cases. Conclusion : NDVH is preferred over TLH as it takes lesser time to operate , has an easier approach i.e. through genital orifice. It is economically a better choice in government hospitals due to limited resources whereas TLH requires greater surgical skills , takes longer operative time, and has more operative complications as compared to NDVH.