AN OBSERVATIONAL STUDY SHOWING MERITS AND DEMERITS OF HYSTERECTOMIES THROUGH VAGINALAND ABDOMINAL ROUTES FOR GYNAECOLOGICAL CONDITION WITHOUT UTERINE DESCENT

Abstract

BACKGROUND: Hysterectomy is the most common gynaecological Surgery performed on women next to caesarean section. Hysterectomy remains one of the most frequently performed gynaecological operations. The introduction of antisepsis, anaesthesia, antibiotics and blood transfusion has made hysterectomy a safe procedure. METHODS: This study was an observational and cross sectional study conducted in the Department of Obstetrics & Gynaecology of Burdwan Medical College & Hospital, Burdwan, West Bengal a tertiary teaching institute, from April 2019 – March 2020. 100 patients were included in the study after informed consent from the patient about being a part of this study. Of them 50 patients underwent vaginal and rest 50 patients underwent abdominal hysterectomy. Template was generated in MS excel sheet and analysis was done on SPSS software. RESULTS: Majority 50 (50%) patients belonged to age group 41-45 years. In group A(TAH) out of 50 patients 40 had no injury, 5 had bladder injury, 5 had bowel injury. In group B (VH) out 50 patients undergoing hysterectomy 48 patients had no injury 2 had bladder injury and none had bowel injury. In group A2 people had wound infection post operatively. In group B none had wound infection post operatively. CONCLUSIONS: It can be concluded that NDVH is safe, more comfortable to the patient, is associated with lesser blood loss, lesser intraoperative injury, lesser duration of surgery, lesser post operative morbidity and should be conducted wherever feasible.