Results of total vaginal hysterectomy in patients with cervical intraepithelial neoplasia

Abstract

Abstract Introduction: Cervical intraepithelial neoplasia (CIN) is considered a precancerous lesion and is usually treated aggressively. Total hysterectomy is indicated in some cases and can be performed through the abdomen, vaginally, through laparoscopic surgery and robotic surgery combined with laparoscopic surgery. It is necessary to study to evaluate the effectiveness of total vaginal hysterectomy. Patients and methods: Clinical non-controlled interventional study in 32 patients with high - grade squamous intraepithelial lesions who underwent a total vaginal hysterectomy at Department of Oncology and Palliative Care at Hanoi Medical University Hospital from August 2018 to May 2021. Results: The average age in the study was 48,9 years old,mainly in the age group < 44 years old, accounting for 37,5%. The majority of patients came to the clinic because of vaginal discharge. All patients had a detailed clinical examination, gynecological ultrasound, PAP test, cervical biopsy to confirm the diagnosis before surgery. The average surgery time was 55,9±14,9 minutes, and the average volume of blood loss was 76,8 ± 23,5ml. Post-operative patients recover movement soon, the level of pain is reduced. There was none of case with intra- and postoperative complications were recorded. During the follow-up process, no vaginal intraepithelial neoplasia and abdominal lymphadenopathy recurrence was detected. Conclusion: Total vaginal hysterectomy in patients with high grade squamous intraepithelial lesion is considered as safe and feasible. Key words: Cervical intraepithelial neoplasia, total vaginal hysterectomy. Human papiloma virus.