Comparative study of non-descent vaginal hysterectomy and laparoscopy assisted vaginal hysterectomy

Authors

  • Surendra Nath Soren Department of Obstetrics and Gynecology, MKCG Medical College and Hospital, Brahmapur, Odisha, India
  • Ghanashyam Chattar Department of Obstetrics and Gynecology, MKCG Medical College and Hospital, Brahmapur, Odisha, India
  • Jitendra Kumar Dash Department of Obstetrics and Gynecology, MKCG Medical College and Hospital, Brahmapur, Odisha, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20210296

Keywords:

Fibroid uterus, Laparoscopic hysterectomy, Non-descent vaginal hysterectomy

Abstract

Background: We aimed to assess and compare intra operative and post-operative parameters and complications associated with non-descent vaginal hysterectomy group (NDVH) and laparoscopic assisted vaginal hysterectomy group (LAVH).

Methods: In this observational study 100 patients with uterine size not exceeding 12 weeks of gravid uterus, adequate uterine mobility, fibroid uterus, dysfunctional uterine bleeding, chronic cervicitis, adenomyosis and post-menopausal bleeding were divided into two groups to undergo either NDVH and LAVH. Their intra-operative and post-operative parameters were compared.

Results: The mean operating time was significantly less in NDVH group as compared to LAVH group cases (65.44 vs 83.12 mins; p<0.01). Blood loss (210.22 vs 261.58 ml; p-0.03) during the procedure and drop in haemoglobin (1.22 vs 1.62 gm%; p-0.08) was also lower with NDVH group as compared to LAVH group respectively. Requirement of blood transfusion, adnexotomy and incidence of anaesthesia related complications were similar between the two study groups. Median VAS score was significantly less in NDVH group as compared to LAVH group at immediate post-op period and at day 1 respectively (p<0.01). We observed a comparable mean hospital stay for the patients in the two study groups (5.52±1.33 vs 6.01±1.39 days, p value=0.71).

Conclusions: Based on the results of the present study, we conclude that NDVH is safe and should be offered as the first surgical choice in women with uterine enlargement due to benign pathology and non-prolapsed uterus.

References

Balakrishnan D, Dibyajyoti G. A comparison between non descent vaginal hysterectomy and total abdominal hysterectomy. J Clin Diagn Res. 2016;10(1):11-4

Garry R. The future of hysterectomy. BJOG. 2005;112:133-9.

Fuzayel AB, Bhadra B, Choudhury N, Shyam DJ, Total laparoscopic hysterectomy versus non -descent vaginal hysterectomy: An observational study. International Journal of Recent Trends in Science and Technology. 2017;24(2):40-3.

Gayathri KB, Sajana G, Manjusha P. Non descent vaginal hysterectomy for benign gynaecological disease: an institutional study on safety and feasibility from South India. J Dent Med Sci. 2017;16(11):59-63

Nambiar MJ, Dawson S, Muralidhar V. A comparative study between laparoscopic assisted vaginal hysterectomy (LAVH) vs. non descent vaginal hysterectomy (NDVH) in patients with benign gynecological pathology. Int J Clinic Obstet Gynaecol. 2017;1(2):65-8.

Shiragur SS, Rajammal B. Comparative clinical study of laparoscopic assisted vaginal hysterectomy and non-descent vaginal hysterectomy.

Murali MS, Khan A. A Comparative Study of Non-descent Vaginal Hysterectomy and Laparoscopic Hysterectomy. J Obstet Gynecol Ind. 2019;69(4):369-73.

Kansara V, Chaudhari J, Desai A. A comparative study of non-descent vaginal hysterectomy and total laparoscopic hysterectomy. Int J Reprod Contracept Obstet Gynecol. 2020;9:777-81.

Uikey P, Wankhede TM, Tajne MP. The route of hysterectomy: a comparative study between abdominal hysterectomy (AH), non-descent vaginal hysterectomy (NDVH), and laparoscopic assisted vaginal hysterectomy (LAVH). Int J Reprod Contracept Obstet Gynecol. 2018;7(10):4022-8.

Downloads

Published

2021-01-28

Issue

Section

Original Research Articles