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Study Papers | Obstetrics and Gynecology | India | Volume 12 Issue 3, March 2023

Analysis of Complications of Vaginal Hysterectomy

Dr. Marneni Ananda Sindhuja | Dr. Chatti. Greeshma Pavani | Dr. Yalla Annapoorna ^[3]

Abstract: Vaginal hysterectomy is considered as one of the minimally invasive forms of hysterectomies with few complications and better outcomes. Previously 80% of hysterectomies were done abdominally but now more than 70% of hysterectomies are done by vaginal route because the complications are less compared to abdominal route. But it is associated with some complications both intraoperatively and in post operative period. Objective: To study the complications of vaginal hysterectomy in a tertiary care hospital. Methodology: A hospital based prospective study was conducted in the department of obstetrics and gynaecology in a tertiary care centre from1stJanuary 2022 to 1stJanuray2023. Results: 152 patients of different age groups and parities are studied with a mean age of 55 years. Most common indication being uterine prolapse seen in 89 % of cases and other indications like abnormal uterine bleeding in 6% and pelvic relaxation in 3.2% of cases. Intra operative complications like primary hemorrhage in 2.6%, bladder injury in 2.6%, bowel injury in 0.4%, and conversion to laprotomy in 0.6% of cases are seen. Post operative complications like secondary hemorrhage 1.4%, pyrexia in 14%, spinal headache in 9%, and pelvic hematoma in 2% of cases are seen. Conclusion: The overall complications for vaginal hysterectomy is low with most common being haemorrhage and visceral injury which require immediate assessment and intervention and post operatively is pelvic infections which significantly reduced with appropriate antibiotics.

Keywords: Vaginal hysterectomy, prolapse, abnormal uterine bleeding, haemorrhage, visceral injury

Edition: Volume 12 Issue 3, March 2023,

Pages: 833 - 836