Comparative study of vaginal hysterectomy and abdominal hysterectomy for enlarged uterus

Authors

  • Chandrika S. Department of Obstetrics and gynaecology, ESIC Gulbarga, Karnataka, India
  • Kasinath Kosti Department of Obstetrics and gynaecology, Sub District Hospital Aurangabad, Maharashtra, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20162997

Keywords:

Vaginal hysterectomy, Abdominal hysterectomy

Abstract

Background: Hysterectomy is the second most common gynecological surgeries performed. Maximum (70% to 80%) hysterectomies are done by abdominal route. Abdominal route provides good visibility and easy access to pelvic organs.

Methods: Randomized prospective comparative study was carried out to know the feasibility of vaginal hysterectomy in moderately enlarged uterus due to benign conditions and to compare operative complications and morbidity of vaginal and abdominal hysterectomy in moderately enlarged uterus due to benign conditions at Department of Obstetrics and Gynecology, at tertiary health care hospital during the period from October 2009 to September 2011.

Results: Out of 50 cases, 25 cases were subjected for abdominal hysterectomy and 25 for vaginal hysterectomy. Cases with moderately enlarged uterus up to 16 weeks due to benign condition were included in the study. Cases with uterus more than 16 weeks, previous pelvic surgeries, adnexal mass, prolapse and restricted mobility were excluded from our study

Conclusions: Bulk reducing techniques were used to remove the moderately enlarged uterus through vaginal route. Vaginal hysterectomy is invasive route, safe and feasible in cases with enlarged uteri up to 14 weeks due to benign causes.

References

Robert S. Kovac: Guidelines to determine the route of hysterectomy. Obstet and Gynecology. 1995;85(1):18-22.

Richardson RE, Bournas N, Magos AL. Is laparoscopic hysterectomy a waste of time? Lancet. 1995;345:36-41.

Te Linde’s Operative Gynaecology, Tenth Edition. Abdominal Hysterectomy. 733-739.

Te Linde’s Operative Gynaecology, Tenth Edition -Vaginal Hysterectomy. 745-755.

Bernstein SJ, McGlyn EA, Siu AL. The appropriateness of hysterectomy. A comparison of care in seven health plans. Health maintenance organization quality of care consortium. JAMA. 1993:269-2398.

Hoffman MS, DeCesare S, Kalter C. Abdominal hysterectomy versus transvaginalmorcellation for the removal of enlarged uteri. Am J Obstet Gynecol. 1994;171:309-13.

Benassi L, Rossi T, Kaihura CT, Ricci L, Bedocchi L, Galanti B. Abdominal or vaginal hysterectomy for enlarged uteri: a randomized clinical trial. Am J Obstet Gynecol. 2002;187:1561-65.

Sushil K, Antony ZK. Vaginal hysterectomy for benign nonprolapsed uterus. Initial Experience. J Obstet Gynaecol Ind. 2004;54(1):60-3.

Bharatnur S. A comparative study of abdominal versus vaginal hysterectomy in non-descent cases, Internet journal of gynecology and obstetrics. 2011;15(2).

Downloads

Published

2017-02-03

Issue

Section

Original Research Articles