Laparoscopic vs vaginal hysterectomy for benign pathology

the lesions of the urinary organs of a iatrogenic origin correlated to hysterectomy surgery almost exclusively concern the ureter and the bladder. Lesions of the urinary organs caused during abdominal and vaginal hysterectomy for benign pathology were studied at the 1st Clinic of Obstetrics and Gynaecology of the University of Catania between 1st January 1989 and 31st December 2000. During this period 3,138 hysterectomies were performed, of which 2,765 (88.11%) abdominally and 373 (11.89%) vaginally. Altogether there were 11 (0.35%) iatrogenic lesions of the urinary excretory organs and these included 5 (0.15%) ureteral lesions and 6 (0.19%) bladder lesions. There were no lesions of the urethra. In 2,765 abdominal hysterectomies 4 (0.14%) ureteral lesions and 4 (0.14%) bladder lesions occurred, and in 373 vaginal hysterectomies one (0.27%) ureteral lesion and 2 (0.54%) bladder lesions occurred. In all cases, after adequate treatment the urinary organs healed completely.

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A Comparative evaluation of Non-descent vaginal hysterectomy versus total Abdominal hysterectomy: A hospital based case control study

Journal of Nepalgunj Medical College ◽

10.3126/jngmc.v17i1.25310 ◽

2019 ◽

Vol 17 (1) ◽

pp. 20-22

Author(s):

Durga BC ◽

Aseem Sharma ◽

Binod Mahaseth ◽

Nirmala Sharma

Keyword(s):

Blood Loss ◽

Hospital Stay ◽

Vaginal Hysterectomy ◽

Operating Time ◽

Total Abdominal Hysterectomy ◽

Abdominal Hysterectomy ◽

Benign Pathology ◽

Operative Complications ◽

Control Study ◽

Post Operative Complications

Background: Hysterectomy is a common surgery performed by gynecologist worldwide. It can be done either by vaginal, abdominal or laparoscopic route. Non decent vaginal hysterectomy (NDVH) is less invasive, less time consuming and scar less surgery. The blood loss during surgery, intra-operative and post-operative complications are less in NDVH compare to TAH (total abdominal hysterectomy). Aim and objective: to compare the clinical outcome between NDVH and TAH. Method: A hospital based prospective study was done at Nepalgunj medical collage Kolhapur between March 2018–March 2019, 60 cases fulfilling selection criteria were selected, 30 cases underwent NDVH next 30 cases underwent TAH. Outcome is measured on the basis of operating time, blood loss during surgery, hospital stay and post-operative complications. Result: The most common indication for hysterectomy was fibroid uterus in both the groups (NDVH and TAH). The operating time, blood loss, hospital stay and post-operative complications were less in NDVH as compare to TAH. Conclusion: NDVH is a choice of surgery over TAH for freely mobile uterus with benign pathology and uterus size less than twelve weeks and without adenexal pathology.

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Laparoscopic versus vaginal hysterectomy for benign pathology: Candiani et al

American Journal of Obstetrics and Gynecology ◽

10.1016/j.ajog.2009.01.024 ◽

2009 ◽

Vol 200 (4) ◽

pp. 465-466 ◽

Cited By ~ 2

Author(s):

Kristen A. Matteson ◽

Maureen G. Phipps ◽

Christina Raker ◽

Laura J. Sacco ◽

Amanda L. Jackson

Keyword(s):

Vaginal Hysterectomy ◽

Benign Pathology

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Discussion: ‘Laparoscopic versus vaginal hysterectomy for benign pathology' by Candiani et al

American Journal of Obstetrics and Gynecology ◽

10.1016/j.ajog.2009.01.023 ◽

2009 ◽

Vol 200 (4) ◽

pp. e1-e6

Author(s):

Kristen A. Matteson ◽

Maureen G. Phipps ◽

Christina Raker ◽

Laura J. Sacco ◽

Amanda L. Jackson

Keyword(s):

Vaginal Hysterectomy ◽

Benign Pathology

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Comparative study of abdominal hysterectomy and vaginal hysterectomy in non-descent cases a prospective study

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20170952 ◽

2017 ◽

Vol 6 (4) ◽

pp. 1265 ◽

Cited By ~ 1

Author(s):

Kalpana Mehta ◽

Om Prakash ◽

Dharmendra Singh Fatehpuriya ◽

Leena Verma

Keyword(s):

Blood Loss ◽

Vaginal Hysterectomy ◽

Operative Time ◽

Abdominal Hysterectomy ◽

Operative Blood Loss ◽

Operative Morbidity ◽

Benign Pathology ◽

Duration Of Surgery ◽

Analgesia Requirement ◽

A Prospective Study

Background: In the present times, the emphasis on minimally invasive surgery has lead to a resurgence of interest and importance of VH for non-prolapsed indications i.e. non-decent vaginal hysterectomy (NDVH) as the scar less hysterectomy. It has several benefits over abdominal hysterectomy in terms of cosmetic advantages, lesser post-operative morbidity and faster recovery. The objectives of the study was to compare and assess various factors like operative duration of surgery, intra operative blood loss, intra operative and post-operative complications, post-operative analgesia requirement, post-operative ambulation and duration of post-operative hospital stay and to put forward best route of hysterectomy.Methods: Hundred cases fulfilling, the selection criteria were included in the study. Patients were randomly divided in two groups-NDVH (non-decent vaginal hysterectomy) and abdominal hysterectomy.Results: Operative time, intra operative blood loss and post-operative morbidity was less in NDVH groups.Conclusions: Non-decent vaginal hysterectomy is a better alternative to abdominal hysterectomy in cases with benign pathology of the uterus, uterine size <14 weeks, uterus with good mobility and adequate vaginal access.

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Prophylactic adnexectomy along with vaginal hysterectomy for benign pathology

Archives of Gynecology and Obstetrics ◽

10.1007/s00404-012-2451-y ◽

2012 ◽

Vol 286 (5) ◽

pp. 1221-1225 ◽

Cited By ~ 14

Author(s):

Hye-yon Cho ◽

Sung-won Kang ◽

Hong-bae Kim ◽

Sung-ho Park ◽

Sung Taek Park

Keyword(s):

Vaginal Hysterectomy ◽

Benign Pathology

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A Review on Choosing the Preferable Route of Hysterectomy

Journal of Dhaka Medical College ◽

10.3329/jdmc.v25i1.33960 ◽

2017 ◽

Vol 25 (1) ◽

pp. 72-73

Author(s):

Mukti Rani Saha ◽

Nahid Yasmin ◽

Shammi Nasrin ◽

Shahrin Ahmed ◽

Fatema Mahbooba Akter

Keyword(s):

Minimally Invasive Surgery ◽

Vaginal Hysterectomy ◽

Abdominal Hysterectomy ◽

Operative Blood Loss ◽

Medical College ◽

Operative Duration ◽

Benign Pathology ◽

Duration Of Surgery ◽

Operative Complications ◽

Analgesia Requirement

Introduction: In the present times, the emphasis on minimally invasive surgery has lead to a resurgence of interest and importance of vaginal Hysterectomy for non-prolapsed indications i.e. non decent vaginal Hysterectomy (NDVH) as the scar less Hysterectomy. It has several benefits over abdominal Hysterectomy in terms of cosmetic advantages, lesser post operatives morbidity and faster recovery.Objectives: The study was to compare and assess various factors like operative duration of surgery intra operative blood loss, intra operative and post operative complications, post operative analgesia requirement, post operative ambulation and duration of post operative hospital stay and to put forward best route of hysterectomy.Conclusions: Non-decent vaginal hysterectomy is a better alternative to abdominal hysterectomy in cases with benign pathology of the uterus, uterine size<14 weeks, uterus with good mobility and adequate vaginal access.J Dhaka Medical College, Vol. 25, No.1, April, 2016, Page 72-73

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

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20210296 ◽

2021 ◽

Vol 10 (2) ◽

pp. 532

Author(s):

Surendra Nath Soren ◽

Ghanashyam Chattar ◽

Jitendra Kumar Dash

Keyword(s):

Vaginal Hysterectomy ◽

Operating Time ◽

Study Groups ◽

Gravid Uterus ◽

P Value ◽

Laparoscopic Assisted Vaginal Hysterectomy ◽

Benign Pathology ◽

Post Menopausal ◽

Laparoscopic Assisted ◽

Chronic Cervicitis

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.

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