Publication:

Comparative study of abdominal, vaginal and laparoscopic assisted vaginal hysterectomies with special reference to immediate sequel, late sequel and complications

Background Hysterectomy can be performed by abdominal, vaginal or laparoscopic assisted procedure. Each procedure has its own indications, contraindications, complications, advantages and disadvantages. The objective was to compare abdominal, vaginal and laparoscopic assisted vaginal hysterectomies, with special reference to immediate and late sequel and complications.

Methods Hospital based cross sectional study was carried out for a period of two years among selected 60 women who underwent hysterectomy. Detailed history, complete clinical, obstetric examination, and all necessary investigations were carried out. Comparison in relation to complications, duration of surgery etc for the three types of hysterectomy was done.

Results The vaginal hysterectomy was found to be more advantageous in cases with uterus less than 12 weeks size and without gross adnexal pathology and laparoscopic hysterectomy is advantageous for the cases with large fibroid, ovarian pathology, endometriosis, adenomyosis or adhesions.

Conclusions Preference for laparoscopic assisted vaginal hysterectomy or vaginal hysterectomy depends on expertise of doctor and selections of patients.