Ayesha Khan.
Why Not Vaginal Route for Hysterectomy.
Pak J Obstet Gynaecol Jan ;10(3):11-7.

This prospective study was conducted at Department of Obstetrics and Gynaecology, Unit 1, Civil Hospital Karachi and Dow Medical College. The aim was to evaluate the post operative recovery and morbidity associated with two routes for hysterectomy i.e. Abdomintal and Vaginal. A total of 238 patients were included in the study admitted for hysterectomv for various gynaecological complaints from 1st January 1993 to 31st December, 1996. 186 (78.2%) hysterectomies were performed abdominally and 52 (21.8%) were performed vaginally. Patients in abdominal group needed per operative blood transfusion more often i.e. 94 (50.53%) patients as compared to 23 (44.2%) patients who underwent vaginal hysterectomy. Analgesia was needed for an average number of 3.7 days in abdominal hysterectomy group and for 2.5 days in vaginal hysterectomy group. Morepatients in abdominal hysterectomy group needed laxative help for bowel opening. Febrile morbidity occurred in 9.67% of cases after abdominal and 9.61% of cases after vaginal hysterectomy. Overall morbidity was noted in 41.39% of patients after abdominal hysterectomv and it included one patient developing iatrogenic urinary fistula and one mortality. Post operative morbidity was seen. Less often in vaginal hysterectomy group i.e. 32.6% with no serious morbidity or mortality. Mean hospital stay was 9.6 days in abdominal hysterectomy group and 7.5 days in vaginal hysterectomy group. Rehospitalisation was needed in 13.97% of patients after abdominal hysterectomy and 9.6% of patients with vaginal hysterectomy. In properly selected patients, vaginal hysterectomy appears to be the hysterectomv of choice and vaginal route should be considered unless it is contraindicated.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com