Hysterectomy for Large Sized Uteri with Benign Pathology: Total Laparoscopic or Vaginal Hysterectomy Using Blood Vessel Sealing Systems? Analysis of 514 Patients

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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Randomized trial of suture versus electrosurgical bipolar vessel sealing in vaginal hysterectomy

Obstetrics and Gynecology ◽

10.1016/s0029-7844(03)00405-8 ◽

2003 ◽

Vol 102 (1) ◽

pp. 147-151 ◽

Cited By ~ 40

Author(s):

B Levy

Keyword(s):

Randomized Trial ◽

Vaginal Hysterectomy ◽

Vessel Sealing ◽

Bipolar Vessel Sealing ◽

Bipolar Vessel

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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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