scholarly journals The eVALuate study: two parallel randomised trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomy

BMJ ◽  
2004 ◽  
Vol 328 (7438) ◽  
pp. 494.2 ◽  
Keyword(s):  
Vaginal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
The Other ◽  
Randomised Trials

scholarly journals Postoperative vault hematoma following vaginal hysterectomy: case reports

2018 ◽  
Vol 7 (9) ◽  
pp. 3884
Author(s):  
Amit Gupta ◽  
Tanu Verma ◽  
Bharti Gupta ◽  
Anju Vij ◽  
Rajinder Kumar
Keyword(s):  
Vaginal Hysterectomy ◽  
Vaginal Bleeding ◽  
Case Reports ◽  
Surgical Techniques ◽  
Abdominal Hysterectomy ◽  
Early Postoperative Period ◽  
The Other ◽  
Persistent Fever ◽  
Post Operative Period ◽  
Gynaecologic Surgery

Postoperative vault hematoma is almost a universal consequence of gynaecologic surgery. It usually occurs after vaginal or abdominal hysterectomy. At one end there can be are minimal collection of peritoneal fluid or blood which is clinically insignificant whereas at the other end is the hematoma and abscess requiring active intervention for the patient to recover. We here present two cases of vault hematoma following vaginal hysterectomy which were reported to our institution in recent times. In both cases hematomas were infected. Ultrasonography was used to accurately identify and define the extent of hematomas. The patients underwent vault exploration and drainage. Post-operative period remained uneventful. Postoperative vault hematoma can be diagnosed in the early postoperative period of gynaecologic surgery. It is important to consider the possibility of vault haematoma in patients with persistent fever and vaginal bleeding after hysterectomy. The hematoma cavity can be easily entered to drain hematoma or abscess completely, expediting the recovery of the patient. Refining surgical techniques will significantly reduce the risk of vault hematoma. 

scholarly journals Pelviscopic Compared to Laparotomic and Vaginal Intrafascial Hysterectomy

1997 ◽  
Vol 3 (4) ◽  
pp. 231-239
Author(s):  
L. Mettler ◽  
N. Lutzewitsch
Keyword(s):  
Vaginal Hysterectomy ◽  
Operating Time ◽  
Surgical Techniques ◽  
Abdominal Hysterectomy ◽  
Supracervical Hysterectomy ◽  
Laparoscopic Assisted Vaginal Hysterectomy ◽  
Indications For Operation ◽  
Laparoscopic Assisted ◽  
Benign Disorders ◽  
The University

Between 1993 and 1994, 368 women underwent hysterectomies for benign disorders at the University of Kiel. Of these, 58.7% were performed either by pelviscopic or by laparotomy Classic Intrafascial Supracervical Hysterectomy (CISH). Of the remaining, 14.8% were performed by abdominal hysterectomy, 13.6% by Intrafascial Vaginal Hysterectomy (IVH), 12.2% by Vaginal Hysterectomy (VH), and only 0.05% by Laparoscopic Assisted Vaginal Hysterectomy (LAVH). Comparative data of these six surgical techniques concerning patients characteristics, indications for operation, histological features, blood loss, operating time, hospital stay, uterine weights and postoperatively used analgesics are described.

Comparison of Post-Operative Quality of Life between Vaginal Hysterectomy and Abdominal Hysterectomy

2021 ◽  
Vol 15 (7) ◽  
pp. 1801-1803
Author(s):  
Nazia Sajjad ◽  
Sara Qadir ◽  
Rukhsana Kasi ◽  
Tayyaba Rasheed ◽  
Fozia Unar ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Vaginal Hysterectomy ◽  
Controlled Trial ◽  
Abdominal Hysterectomy ◽  
Study Group ◽  
Randomized Controlled ◽  
Group A ◽  
Group B ◽  
Satisfactory Quality

Objectives: To compare the frequency of satisfactory quality of life between vaginal hysterectomy and abdominal hysterectomy. Study Design: Randomized controlled trial. Place and Duration of Study: Department of Obstetrics and Gynecology, Niazi Medical & Dental College, Sargodha from 1st April 2020 to 31st December 2020. Methodology: Ninety patients were comprised and they were divided in two groups; group A (vaginal hysterectomy) and Group B (abdominal hysterectomy) were performed. Hysterectomies (vaginal or abdominal) were performed by consultant gynecologist having experience at having least 5 years). Results: Mean age of the patients was 49.82±3.207 years, mean age of the patients of group A was 49.82±3.193 years and mean age of the patients of group B was 49.82±3.256 years. Satisfactory quality of life was noted in 38 (84.44%) patients of study group A and 29 (64.44%) patients of study group B. Statistically significant (P = 0.051) difference between the frequency of satisfactory quality of life between the both groups was noted. Conclusion: Results of this study reveals that post hysterectomy quality of life found more satisfactory in vaginal hysterectomy group as compared to abdominal hysterectomy group. Insignificant association of post hysterectomy quality of life with age group, marital status, parity and socio-economical status was found. Findings of this study also revealed that post hysterectomy satisfactory quality of life is not associated with education of the patients. Key words: Hysterectomy, Quality of life, abdomen, vagina, WHO, Uterus

scholarly journals ABDOMINAL VERSUS VAGINAL HYSTERECTOMY;

2008 ◽  
Vol 15 (04) ◽  
pp. 486-491
Author(s):  
MUHAMMAD IKRAM ◽  
ZOONA SAEED ◽  
ROOHI SAEED ◽  
Uhammad Saeed
Keyword(s):  
Vaginal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Cross Sectional Study ◽  
Age Group ◽  
Sectional Study ◽  
Audit Report ◽  
Single Centre ◽  
Cross Sectional ◽  
Main Indication ◽  
Operative Complication

Objective: To evaluate abdominal versus vaginal hysterectomy in relation to operative and post operative complications.Design: Single centre cross sectional study. Place and duration: The Department of Obstetric and Gynaecology, Shaikh Zayed post graduateMedical institute and Hospital, Lahore from 1 November 2005 to 31 October 2006. Subject and methods: All the patients with benign st stindications for hysterectomy (abdominal and vaginal) were included except patients with serious / complicated medical disease. Relativeinformations were filled in a Performa and informations were taken from case records. Results: This audit report included 200 women. 23.3%patients of vaginal hysterectomy were in the age group of 40-45 years while 35.7%patients of abdominal hysterectomy were in the age of 51-55years. Main indication for abdominal hysterectomy (85.5%) was fibroid uterus while for vaginal hysterectomy (66.6%) was Uterovaginal prolapse.Most common immediate post operative complication in abdominal and vaginal hysterectomy was fever in 42.8% and 20.0% respectively.Intraoperative visceral injuries were done in 4 patients in abdominal hysterectomy while no injury was done in vaginal hysterectomy. 44(80%)patients of vaginal hysterectomy were discharged with in 7 days of hospitalization while 64 (44%) patients of abdominal hysterectomy weredischarged with in 7 days of hospitalization. Conclusion: Hysterectomy either abdominal or vaginal is very safe and there were no lethalcomplication except few minor complications and also there was no mortality.

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