Resurgence of vaginal route of hysterectomy: Comparison based outcomes of abdominal and vaginal hysterectomy.

Authors

  • Mubashra Naz University Medical & Dental College, Madina Teaching Hospital, Faisalabad.
  • Humaira Zafar University Medical & Dental College, Madina Teaching Hospital, Faisalabad.
  • Umber Fatima Abu Umara Medical & Dental College, Lahore.
  • Anees Fatima University Medical & Dental College, Madina Teaching Hospital, Faisalabad.
  • Attiya Yasmeen University Medical & Dental College, Madina Teaching Hospital, Faisalabad.
  • Faiza Irshad University Medical & Dental College, Madina Teaching Hospital, Faisalabad.

DOI:

https://doi.org/10.29309/TPMJ/2024.31.11.8235

Keywords:

Abdominal Hysterectomy, Intra Operative and Post operative Complications, Non Descent Vaginal Hysterectomy

Abstract

Objective: To determine the preferable route of hysterectomy by comparing the intra-operative and post-operative complications of non descent vaginal hysterectomy with abdominal hysterectomy. Study Design: Randomized Control Trial. Setting: Madina Teaching Hospital, Faisalabad, Pakistan. Period: January 2022 to December 2022. Methods: Forty cases of each vaginal and abdominal hysterectomy were enrolled for study. Outcome was measured by recording intra-operative and post-operative complications in both groups. Results: Time of surgery, postoperative pain, postoperative blood transfusion, wound infection, febrile morbidity and duration of hospital stay were significantly less (p value 0.0001) in the non descent vaginal hysterectomy compared to abdominal hysterectomy. Conclusion: Non descent vaginal hysterectomy is a safe and cost effective approach when compared to abdominal rout due to less intra and post operative morbidity particularly in settings where facilities and expertise for laparoscopic surgery are lacking.

Author Biographies

Mubashra Naz, University Medical & Dental College, Madina Teaching Hospital, Faisalabad.

MBBS, MCPS, FCPS, Professor & HOD Gynae Unit 1, 

Humaira Zafar, University Medical & Dental College, Madina Teaching Hospital, Faisalabad.

MBBS, FCPS, Professor Gynae Unit 2, 

Umber Fatima, Abu Umara Medical & Dental College, Lahore.

MBBS, MCPS, FCPS, Associate Professor Gynae Unit 2, 

Anees Fatima, University Medical & Dental College, Madina Teaching Hospital, Faisalabad.

MBBS FCPS, Associate Professor Gynae Unit 1, 

Attiya Yasmeen, University Medical & Dental College, Madina Teaching Hospital, Faisalabad.

MBBS, FCPS, Assistant Professor Gynae Unit 1, 

Faiza Irshad, University Medical & Dental College, Madina Teaching Hospital, Faisalabad.

MBBS, FCPS, Senior Registrar Gynae Unit 2, 

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Published

2024-11-03