<?xml version="1.0" encoding="utf-8"?><article>
	<front>
		<journal-meta>
			<journal-id journal-id-type="publisher">PIJR</journal-id>
			<journal-title>Paripex - Indian Journal Of Research</journal-title>
			<issn pub-type="ppub">2250 - 1991</issn>
			<publisher>
				<publisher-name>Indian Society for Health and Advanced Research</publisher-name>
			</publisher>
		</journal-meta>
		<article-meta>
			<article-id pub-id-type="other">pijr-8-7-11924</article-id>
			<article-categories>
				<subj-group>
					<subject>Original Research Paper</subject>
				</subj-group>
			</article-categories>
			<title-group>
				<article-title>THE ART OF SCARLESS AND SUTURELESS HYSTERECTOMY</article-title>
			</title-group>
			<contrib-group><contrib contrib-type="author">
						<name>
							<surname></surname>
							<given-names></given-names>
							<prefix>Dr.</prefix>
						</name>
						<xref ref-type="aff" rid="aff000">
							<sup></sup>
						</xref>
						</contrib><contrib contrib-type="author">
						<name>
							<surname>Dr.PRATHIBHA</surname>
							<given-names></given-names>
							<prefix>Dr.</prefix>
						</name>
						<xref ref-type="aff" rid="aff002">
							<sup></sup>
						</xref>
						</contrib></contrib-group><pub-date pub-type="ppub">
				<month>July</month>
				<year>2019</year>
			</pub-date>
			<volume>8</volume>
			<issue>7</issue>
			<fpage>01</fpage>
			<lpage>02</lpage>
			<abstract>
				<title>ABSTRACT</title>
				<p>INTRODUCTION â The emphasis on minimally invasive surgery in present times has led to a resurgence of  interest and importance of vaginal hysterectomy for  non&ndash;prolapsed indications  also, ie, Non&ndash;descent vaginal  hysterectomy  (NDVH). Sutureless technique has been performed in our study.
OBJECTIVE &ndash; The objective of the current study is to report the personal experience and feasibility in performing NDVH vaginally.
MATERIALS AND METHODS &ndash; 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 &ndash; Of the 200 cases performed, NDVH was successfully performed in 187 cases and 13 were converted into  Abdominal  hysterectomy . Uterine size was  â¥ 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&ndash;3. Blood  transfusion was required in  8 cases  intra&ndash;operatively and 5 cases post&ndash;operatively.
CONCLUSION &ndash; 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 fibroid, and most importantly, surgical skill is  required.</p>
			</abstract>			
			<counts>
				<ref-count count="7"/>
				<page-count count="2"/>
			</counts>
		</article-meta>
	</front>
</article>