Iffana Azam1, Shahana Ferdous Choudhury2, Nahid Elora3,Shahina Akther4
Lubna Yeasmin5, Fahim Ara Khanom6
1. Assistant Professor, Department of Gynecology and Obstetrics, Sylhet Women’s Medical College, Sylhet.
2. Professor, Department of Gynecology and Obstetrics, Sylhet Women’s Medical College, Sylhet.
3. Professor, Department of Gynecology and Obstetrics, North East Medical College , Sylhet.
4. Assistant Professor, Department of Gynecology and Obstetrics, Jalalabad Ragib-Rabeya Medical College, Sylhet.
5. Assistant Professor, Department of Gynecology and Obstetrics, Sylhet Women’s Medical College, Sylhet.
6. Assistant Professor, Department of Gynecology and Obstetrics, Sylhet Women’s Medical College, Sylhet.
Abstract
In this study our main goal is to compare outcomes of patients who underwent vaginal hysterectomy and abdominal hysterectomy. This retrospective study wax carried out indifferent private hospital of Sylhet, Bangladesh where 60 patients who underwent total vaginal hysterectomy (VH), n-30 and abdominal hysterectomy (AH) n-30 for benign gynaecological diseases were included in this study. During the study, majority patients had DUB (Disfunctional uterine bleeding) in both groups, which was 15(30.0%) in vaginal hysterectomy group and 17(56.7%) in abdominal hysterectomy group followed by 11(36.7%) had fibroid uterus in vaginal hysterectomy group and 09(30.0%) in abdominal hysterectomy group. The difference was not statistically significant (p0.05). Where mean duration of surgery was found 87.2±14.6 minutes in vaginal hysterectomy group and 97.6±17.3 minutes in abdominal hysterectomy group. Mean blood loss was found 245±80.3 ml in vaginal hysterectomy group and 315+135.1 ml in abdominal hysterectomy group. Mean duration of surgery and blood loss were significantly lower in vaginal hysterectomy group. Postoperative complications were significantly higher in abdominal hysterectomy group than vaginal hysterectomy group (20.0% vs 66.7%). Fever (6.7% vs 16.7%), UTI (10.0% vs 13.3%) and bladder injury (3.3% vs 6.7%) occurred in both vaginal hysterectomy group and abdominal hysterectomy group. From our study we can say that, non-descent vaginal hysterectomy is a better treatment option for patients with benign gynaecological diseases. With adequate vaginal access, good uterine mobility and technical skill, vaginal hysterectomy can safely be performed on a non-prolapsed uterus, with an additional advantage of lexs operative blood loss, less post-operative complications, and shorter hospital stay.
Key Words: Vaginal hysterectomy (VH), abdominal hysterectomy (AH), benign tumor