International Journal of Science and Research (IJSR)

International Journal of Science and Research (IJSR)
Call for Papers | Fully Refereed | Open Access | Double Blind Peer Reviewed

ISSN: 2319-7064


Downloads: 42

Research Paper | Gynaecology | India | Volume 8 Issue 11, November 2019


Vaginal Extraction Score - To Predict Successful Vaginal Extraction of an Intact Uterine Specimen Following Laparoscopic Hysterectomy - Indian Scoring System

Dr Balika | Dr Prema D'cunha | Dr Chethana B


Abstract: BACKGROUND: Tissue removal per vaginally in laproscopic hysterectomy can be challenging with large uterine size, nulliparous status, associated ovarian mass/pelvic adhesions/endometriosis; causing increase in operation time, increased blood loss and opting for alternate methods to remove the specimen such as mini-laparotomy, manual morcellation or using a power morcellator, bisection or distortion of the uterine specimen. A careful pre-operative analysis of certain parameters that would influence the easy vaginal extraction of the uterine specimen in TLH is required in order to reduce the rates of conversion and risk of morcellation. OBJECTIVE: To analyze different parameters and create a scoring system to predict the removal of an intact uterine specimen in laparoscopic hysterectomy. METHOD: A prospective observational cohort study was conducted on patients undergoing laparoscopic hysterectomy in Father Muller Medical College, Kankanady in department of OBG over 1 year (Jan-Dec, 2018) irrespective of the indication the extraction of specimen was attempted vaginally, intact/ bisection or coring of uterus was soughted. Various parameters were evaluated based on preoperative history, clinical examination, ultrasound and intraoperative findings and outcome. The final outcome of the uterine specimen during the surgery was assessed and determined as intact or distorted. Potential predictors for an intact specimen was selected. Their cutoff points were derived and based on that a score was derived. RESULT: 100 patients underwent laparoscopic hysterectomy during the study period (Jan- Dec, 2018) ; out of which 73 specimens were extracted vaginally intact, whereas 27 were either bisected or distorted.1) Selection of potential predictors: Using chi square test and independent t test (for continuous variables), pathology (p


Keywords: vaginal extraction score, laproscopic hysterectomy


Edition: Volume 8 Issue 11, November 2019,


Pages: 1597 - 1601


How to Download this Article?

You Need to Register Your Email Address Before You Can Download the Article PDF


How to Cite this Article?

Dr Balika, Dr Prema D'cunha, Dr Chethana B, "Vaginal Extraction Score - To Predict Successful Vaginal Extraction of an Intact Uterine Specimen Following Laparoscopic Hysterectomy - Indian Scoring System", International Journal of Science and Research (IJSR), Volume 8 Issue 11, November 2019, pp. 1597-1601, https://www.ijsr.net/get_abstract.php?paper_id=ART20202689

Similar Articles with Keyword 'vaginal'

Downloads: 1 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1

Research Paper, Gynaecology, India, Volume 12 Issue 5, May 2023

Pages: 106 - 109

Obstetric Outcome in Present Pregnancy in Patient with History of Previous Spontaneous Abortion

Miloni Shah | Bhaskar K. Murthy

Share this Article

Downloads: 1 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1

Analysis Study Research Paper, Gynaecology, India, Volume 13 Issue 1, January 2024

Pages: 569 - 575

Relationship of Amniotic Fluid Index and Cervical Length with Delivery Latency in Patients with Preterm Premature Rupture of Membranes (PPROM): A Hospital Based Study

Dr. Mustafeez ur Rehman | Dr. Abjeet Kour [3] | Dr. Asif Iqbal | Dr. Showkat Ahmad Dar | Dr. Insha Fayaz

Share this Article
Top