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Harsukh Educational Charitable Society International Journal of Community Health and Medical Research

Volume 3 Issue 2 April-June 2017

Original Articles

Use Of Non Descent Vaginal Hysterectomy In Benign Uterine Pathology
Shikha Madan, Pardeep Kumar, Monika Dalal

Background: Traditional abdominal and vaginal hysterectomies represent the most and least invasive techniques respectively. The ease and convenience offered by a large abdominal incision have led to the preponderance of abdominal hysterectomy over the vaginal route. In older days, vaginal hysterectomy was limited to only prolapsed uterus. But with improved obstetric practices there is reduced incidence and severity of genital prolapse. Non descent vaginal hysterectomy is the removal of uterus through vagina where there is no descent of the cervix. Hence; we planned the present study to assess various factors associated with the use of non descent vaginal hysterectomy in benign uterine pathology Material and Methoed: The present study included assessment of 25 patients that required vaginal hysterectomy. The selected patients had uterine size of less than 14 weeks. Patients who had positive malignancy, endometriosis, cervix flushed to vaginal, those with large adnexal masses and the ones with uterus having severely restricted mobility were not included in the study. All cases were done under regional anesthesia, either spinal or epidural. Uterus was removed. Uterine bisection, morcellation, debulking and myomectomy were done as and when required. Vaginal hysterectomy was considered successful if it was not converted to abdominal hysterectomy. All the results were complied and assessed by SPSS software. Result: In the present study parity 3 was commonest in non descent uterus group. 25 patients underwent Non descent vaginal hysterectomy (NDVH), out of which 56% of uterus were removed intact due to normal size of the uterus. In some cases special operative techniques were required, in which bivalving was most commonly used technique. Cnclusion: NDVH was initially restricted to small size uterus, however with techniques like morcellation, bivalving and myomectomy, NDVH can be used for large size uterus and is a safe technique. Key Words: Hysterectomy, Pathology, Uterine

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