Clinical Outcome of Non-descent Vaginal Hysterectomy Versus Abdominal Hysterectomy

  • Kenusha Devi Tiwari Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal
  • Ganesh Dangal Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal
  • Aruna Karki Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal
  • Hema Kumari Pradhan Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal
  • Ranjana Shrestha Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal
  • Kabin Bhattachan Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal
  • Sonu Bharati Department of Obstetrics and Gynecology, Kathmandu Model Hospital, Kathmandu, Nepal
DOI: https://doi.org/10.33314/jnhrc.v20i02.3924

Abstract

Background: Hysterectomy is one of the most common operations performed by the gynecologists second to caesarean section. Hysterectomies are done vaginally, laparoscopically or abdominally. This study has been conducted to compare the complications of abdominal hysterectomy with non-descent vaginal hysterectomy with an aim to establish a safer, superior and lesser complication for the patients.
Methods: This is a cross sectional study conducted at Kathmandu Model Hospital over the period of one year among 70 women. Women according to inclusion criteria were randomly allocated into two groups; 35 women in group 1 underwent non-descent vaginal hysterectomy and 35 in group 2 underwent total abdominal hysterectomy. Demographic data, intraoperative blood loss, intraoperative complications, operation time, postoperative complications, pain, and hospital stay was recorded and analyzed using statistical tool.. 
Results: The average age of the women was 45.77±6.33 years. Median blood loss (p=0.033) and hospital stay (p=0.005) was significantly low in group 1 as compare to group 2. Mean pain score at discharge (p=0.0005) and follow-up (p=0.0005) was also significantly less in group 1 as compared to group 2. Overall rate of complication was rare and not statistically significant between groups (p=0.643). Rate of wound infection was 5.7% that was observed in group 2, Vault infection 5.7% in group 1, UTI in 2 cases (5.7%) and paralytic ileus was found in 1 case in group 2.
Conclusions: Non-descent vaginal hysterectomy is safe, effective and feasible procedure compared with abdominal hysterectomy. Less complications, faster operating time and easy recovery post operatively makes this a patient friendly mode of hysterectomy.
Keywords: Hysterectomy; non-descent vaginal hysterectomy; vault infection; wound infection

Published
2022-11-02
How to Cite
TiwariK. D., DangalG., KarkiA., PradhanH. K., ShresthaR., BhattachanK., & BharatiS. (2022). Clinical Outcome of Non-descent Vaginal Hysterectomy Versus Abdominal Hysterectomy. Journal of Nepal Health Research Council, 20(02), 326-330. https://doi.org/10.33314/jnhrc.v20i02.3924
Issue
Vol. 20 No. 02 (2022): Issue 55 April-June, 2022
Section
Original Article

Copyright (c) 2022 Kenusha Devi Tiwari, Ganesh Dangal, Aruna Karki, Hema Kumari Pradhan, Ranjana Shrestha, Kabin Bhattachan, Sonu Bharati

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Journal of Nepal Health Research Council JNHRC allows to read, download, copy, distribute, print, search, or link to the full texts of its articles and allow readers to use them for any other lawful purpose. Copyright is retained by author. The JNHRC work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0).