Retrospective study on laparoscopic hysterectomy by vaginal vault closure method in a tertiary care centre

Pradeep Ganiga; Divyashree B.

doi:10.18203/2320-1770.ijrcog20182482

Authors

Pradeep Ganiga Department of Obstetrics and Gynecology, A. J. Institute of Medical Sciences and Research Centre, Mangalore, India
Divyashree B. Department of Obstetrics and Gynecology, A. J. Institute of Medical Sciences and Research Centre, Mangalore, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20182482

Keywords:

Electro-surgical unit, Laparoscopic hysterectomy, Parity index, Vaginal vault

Abstract

Background: Hysterectomy is the frequently performed operation for benign conditions of uterus, but the route of hysterectomy is always a matter of discussion. Laparoscopic hysterectomy is an expensive and time-consuming procedure and could be associated with increased risk of thermal damage related injuries to the surrounding structures. Presently, laparoscopic hysterectomy is considered to be a day care surgery because of technological improvement in electro-surgical unit and expertise of doing surgery. The objective of this study was as a retrospective observational study conducted in teaching hospital to study the factors like age, parity, indication and procedure related complications in detail.

Methods: A total number of 40 patients who have undergone laparoscopic hysterectomy for various indications with vault closure by vaginal method with no. 1 PDS. A detailed analysis of cases was done according to age, parity, indication, intra-operative and post-operative outcomes.

Results: Fibroid uterus was the most common indication for laparoscopic hysterectomy. Overall postoperative complication rate was 22.5% with no major morbidity reported.

Conclusions: Laparoscopic hysterectomy has to be done with proper selection of patient and good peri-operative care. Vault closure by vaginal method has significantly reduced operating time, without increasing the morbidity.

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References

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