A Comparative Study of Patient Outcome in Women Undergoing Abdominal Vs Non-Descent Vaginal Hysterectomy

Dr. Surabhi Gupta

Abstract: Background: Hysterectomy is one of the most common gynaecological surgery performed by gynaecologists all over the world. Various approaches have been tried by gynaecologist globally including abdominal, vaginal, laparoscopic and robotic hysterectomy. Aim: To compare outcome of NDVH with outcome of TAH in terms of intraoperative complications, post-operative morbidity and duration of hospital stay. Methods: A total of 50 cases were selected with enlarged uterus (<12 weeks) of which 25 underwent NDVH and rest 25 underwent TAH. All patients were evaluated for intra-operative and post-operative complications and duration of hospital stay. Data was recorded and processed using standard statistical software. Results: All cases of NDVH were ambulated after 24 hours post ? operatively. Mean duration of hospital stay was 4.96 days for NDVH group and 7.1 days for TAH group. Thus NDVH is associated with lesser duration of hospital stay and early ambulation. Conclusions: NDVH is associated with decreased intra-operative complications, post-operative morbidity, early ambulation and early discharge from hospital as compared to TAH.

Keywords: Hysterectomy, NDVH, TAH