A COMPARATIVE STUDY OF TOTAL ABDOMINAL HYSTERECTOMY WITH NON-DESCENT VAGINAL HYSTERECTOMY FOR TREATMENT OF BENIGN DISEASES
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Keywords
Non-descent vaginal hysterectomy, total abdominal hysterectomy, benign uterine disease.
Abstract
Hysterectomy is one of the most frequently performed gynecological surgeries for benign uterine disorders. Total Abdominal Hysterectomy (TAH) has long been the standard approach, whereas Non-Descent Vaginal Hysterectomy (NDVH) offers a minimally invasive alternative. Objective: To compare intraoperative and postoperative outcomes of TAH and NDVH in women with benign uterine diseases.
Methods: This prospective study was conducted over 18 months at Government Doon Medical College and Hospital, Dehradun, involving 122 women equally divided into TAH and NDVH groups. Parameters including operative time, blood loss, postoperative pain, ambulation, bowel activity, oral intake, and hospital stay were analyzed.
Results: NDVH showed significantly shorter operative time (63.4 vs. 89.3 min), lesser blood loss (79.5 vs. 151.8 mL), lower postoperative pain, faster ambulation, earlier bowel recovery, and shorter hospital stay (4.2 vs. 7.8 days) compared to TAH (p < 0.001).
Conclusion: NDVH is a safe, less invasive, and more efficient alternative to TAH for benign uterine conditions, offering faster recovery and reduced hospitalization.
References
2. Pickett CM et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev. 2023; Issue 8: CD003677.
3. Falcone T, Walters MD. Hysterectomy for benign disease. Obstet Gynecol. 2008;111(3):753–67.
4. Chavvan RP, Arora G, Pajai S. Comparative study between vaginal and abdominal hysterectomy in non-descent cases. Int J Sci Rep. 2016; 2(3):48–52.
5. Balakrishnan D, Dibyajyoti G. A Comparison Between Non-Descent Vaginal Hysterectomy and Total Abdominal Hysterectomy. J Clin Diagn Res. 2016; 10(1):QC11–4.
6. Mittal P et al. Enlarged uterus through a natural orifice: worth an effort? Int J Reprod Contracept Obstet Gynecol. 2017; 3(4):1076–81.
7. Mythily S, Shanthi S. A retrospective comparative study of non-descent vaginal hysterectomy and total abdominal hysterectomy for benign uterine conditions. Int J Sci Res. 2019; 8(7):1–4.
8. Murali SM, Khan A. A comparative study of non-descent vaginal hysterectomy and laparoscopic hysterectomy. J Obstet Gynecol India. 2019; 69:369–73.
9. Nimbannavar PS, Nimbannavar SM. A comparative study of non-descent vaginal hysterectomy and total laparoscopic hysterectomy in benign gynaecological conditions. MedPulse Int J Gynaecol. 2021; 20(3):105–10.
10. Kanti V, Verma V, Singh M, Vishwakarma S, Mittal N, Singh NP. A comparative analysis of nondescent vaginal hysterectomy, laparoscopy-assisted vaginal hysterectomy, and total laparoscopic hysterectomy for benign uterine diseases at a rural tertiary care center. Gynecology and Minimally Invasive Therapy. 2022 Jul 1;11(3):164-70.
11. Kumari S, Singh AK, Raj R. A comparative study of vaginal and abdominal hysterectomy for benign uterine disorders. Int J Reprod Contracept Obstet Gynecol. 2023; 12(2):483–7.
12. Priyadarshini P, Singh R, Sharma S. Comparative analysis of non-descent vaginal hysterectomy and total abdominal hysterectomy: a prospective study. Int J Sci Res. 2023; 12(6):1304–7.
13. Reja F, Barman SD, Maiti AK, Naskar P. Non-descent vaginal hysterectomy: efficacy, safety, and clinical outcomes in benign uterine disorders. Int J Sci Res. 2022; 11(5):94–8.
14. Aarts JW et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev. 2015; (8):CD003677.
15. Murali SM, Khan A. (duplicate ref context for laparoscopic comparison, reaffirmed). J Obstet Gynecol India. 2019; 69:369–73.
16. Dedden SJ, Geomini PMAJ, Huirne JAF, Bongers MY. Vaginal and laparoscopic hysterectomy as an outpatient procedure: a systematic review. Eur J Obstet Gynecol Reprod Biol. 2017; 216:212–223.
17. Nagar O, Verma U, Singh P, Arora R. A comparative study of total laparoscopic hysterectomy and non-descent vaginal hysterectomy in benign uterine diseases. Int J Reprod Contracept Obstet Gynecol. 2018; 7(2):561–6.
18. Albhrawi M, Elsayed M, Elshamy M. Comparative study of total laparoscopic hysterectomy versus non-descent vaginal hysterectomy for benign uterine conditions. Al-Azhar Med J. 2024; 53(1):210–5.
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Dr Chandrika Sharma
Post graduate Resident, Government Doon medical College Dehradun Uttarakhand, India.
Dr Juhi chandna
Assistant Professor, Government Doon Medical College Dehradun Uttarakhand, India.
Dr Neetu Kochhar
Associate Professor, Government Doon medical College Dehradun Uttarakhand, India.
Dr Vandana Bisht
Professor and Head of Department, Government Doon Medical College Dehradun Uttarakhand, India.