Amtullah Zarreen, Raana Shirin, Shahnaz Kouser.
Comparison of Management Outcome in Vaginal Versus Abdominal Hysterectomy in Women Without Uterovaginal Prolapse.
Surgimed Med Dent J Jan ;1(2):3-6.

Objective: To compare the management outcome of abdominal and vaginal hysterectomies for indications other than uterovaginal prolapse. Study design: It was cross sectional comparative study. Place of study: Department of Obstetrics and Gynecology, Unit- I, Jinnah Hospital, Lahore from July 2005 to March 2006. Patients and methods: Total 60 patients with different indications for hysterectomy were enrolled and divided into 2 groups. Group-A had total abdominal hysterectomy (TAH) and Group-B underwent vaginal hysterectomy (VH). Inclusion criterion was all patients with benign diseases of uterus in the absence of history suggestive of malignancy and endometriosis. The patients’ characteristics, peri-operative complications and recovery period were observed and compared. Results: The patients’ characteristics and the indications for surgery were not statistically significant between the two groups. The mean uterine weights (147.13 gms for TAH vs. 160.13 for VH gms) were not statistically significant. However, the mean operative time was significantly shorter for VH (62.0 min vs. 71.0 min). Among the post-operative complications, fever was more in patients who underwent TAH. The patients who underwent VH, recovered earlier in terms of mobilization and bowel movement. These patients had a shorter hospital stay (4.67 days for VH vs. 6.60 days for TAH). Conclusion: Vaginal hysterectomy should be the preferred route for hysterectomy in patients with non- prolapsed uterus unless there are specific indications for abdominal hysterectomy.

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