Abstract :
Objective: To analyze the intra operative complications, postoperative morbidities and complications
between abdominal and non descent vaginal hysterectomy.
Materials and Methods: This prospective study was conducted over a period of one year in the
Department of Obstetrics and Gynaecology. Out of 162 hysterectomies, 102 underwent Total abdominal
hysterectomy and 60 underwent Non descent vaginal hysterectomy. Baseline characteristics, duration of
surgery, intraoperative blood loss, duration of hospital stay, intra and post operative complications were
recorded and compared between the two groups.
Result: Patients who underwent TAH had a mean operating time of 63.44 /- 11.94 minutes while those
who underwent NDVH had mean operating time of 54.21 mins (p NDVH group was 86.41 /-17.54 ml while in TAH was185.70 /-60.73ml (p hospital stay in the TAH arm was 7.19 /-1.17 days, whereas in the NDVH arm was 4.06 /-1.10days
(p but there were no significant major complications encountered in both the groups.
Conclusion: NDVH is safe and practical as compared to TAH with decreased cost, per operative blood loss
and hence no need for blood transfusion, very less per operative complications, less post operative pain and
morbidity and of course no scar. The duration of hospital stay is also reduced hence economical for the
patient as well.
Keyword :
Total abdominal hysterectomy, Non descent vaginal hysterectomy.