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VOLUME 2 , ISSUE 1 ( January-June, 2024 ) > List of Articles

Original Article

Diagnosis Based Technique of Hysterectomy: Comparison among Laparoscopic and Nondescent Vaginal Hysterectomy

Deepti D Kadam, Bhakti Gurjar

Keywords : Cesarean section, Hysterectomy, Nondescent vaginal hysterectomy, Obstetrics, Total laparoscopic hysterectomy

Citation Information : Kadam DD, Gurjar B. Diagnosis Based Technique of Hysterectomy: Comparison among Laparoscopic and Nondescent Vaginal Hysterectomy. J Obstet Gynaecol 2024; 2 (1):8-11.

DOI: 10.5005/jogyp-11012-0025

License: CC BY-NC 4.0

Published Online: 29-05-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Objectives and background: The objectives of this investigation encompass the indications prompting uterine removal for various medical reasons. The current inquiry systematically examines the factors influencing the decision for hysterectomies and subsequently reports the corresponding clinical outcomes. The primary aim is to conduct a comparative analysis of clinical results between two methods of hysterectomy, namely total laparoscopic hysterectomy (TLH) and nondescent vaginal hysterectomy (NDVH). Materials and methods: This comparative study, conducted in a Tertiary Care Center, meticulously considers crucial intraoperative parameters, such as operating time, blood loss attributable to the procedure, and bladder/bowel injury, as well as pain scores assessed by the visual analogue scale (VAS), in conjunction with the duration of hospital stay. Statistical analyses include the application of the Chi-square test and other fundamental statistical procedures. Results: With an average age of 46 years, it was observed that the time required for performing TLH was significantly shorter than NDVH. Similar trends were identified in parameters such as blood loss, and postoperative pain scores at the 3rd hour, 1st day, and 2nd day. The total hospital stay (in days) for NDVH was notably longer compared to TLH. Discussion: The findings of the present study suggest that under optimal conditions, including suitable facilities, surgical expertise, and proper indications, TLH could be considered the preferred route for hysterectomy. Conversely, in a developing nation like India, NDVH offers a distinct advantage, especially when considering the specific indications for surgery, making it the preferred route for benign uterine conditions. Conclusion: The study concludes that the choice of the hysterectomy route may be contingent upon the specific circumstances of the procedural location. Clinical significance: The decision regarding the appropriate route for the operation can be made with careful consideration of the factors elucidated in this study.


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