Volume : VIII, Issue : VII, July - 2019

THE ART OF SCARLESS AND SUTURELESS HYSTERECTOMY

Dr. K. Ramalingam, Dr. V. Sravya, Dr. Prathibha

Abstract :

INTRODUCTION – The emphasis on minimally invasive surgery in present times has led to a resurgence of interest and importance of vaginal hysterectomy for non–prolapsed indications also, ie, Non–descent vaginal hysterectomy (NDVH). Sutureless technique has been performed in our study. OBJECTIVE – The objective of the current study is to report the personal experience and feasibility in performing NDVH vaginally. MATERIALS AND METHODS – A total of 200 cases performed in the department of Gynaecology at NRIGH from January 2015 to April 2019 were taken . Patients with benign indications with uterine size upto 20 weeks and a few with previous surgeries and other medical comorbidities were included. The operating time, blood loss ,different surgical techniques, intra operative, post operative complications and postoperative hospital stay were the parameters noted. RESULTS – Of the 200 cases performed, NDVH was successfully performed in 187 cases and 13 were converted into Abdominal hysterectomy . Uterine size was ≥ 12 weeks in 68 cases and < 12 weeks in 132 cases. The duration of the surgery ranged from 20 minutes to 2hrs 15mins . Bissection was the most common surgical technique used. Blood loss was < 50 ml in 53% of cases. Majority of the patients were discharged on POD–3. Blood transfusion was required in 8 cases intra–operatively and 5 cases post–operatively. CONCLUSION – NDVH is less invasive, more feasible, economical and the natural route of hysterectomy for greater efficacy and faster recovery in benign gynaecological conditions . For successful outcome, size and mobility of the uterus, location of the fioid, and most importantly, surgical skill is required.

Article: Download PDF    DOI : https://www.doi.org/10.36106/paripex  

Cite This Article:

THE ART OF SCARLESS AND SUTURELESS HYSTERECTOMY, Dr.K.RAMALINGAM, Dr.V.SRAVYA, Dr.PRATHIBHA PARIPEX‾INDIAN JOURNAL OF RESEARCH : Volume-8 | Issue-7 | July-2019

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