Five Years Audit On Vaginal Hysterectomy for Utero Vaginal Prolapse

Abstract

Introduction: Hysterectomy is one of the most common surgeries performed in gynecology. It can be performed by vaginal and abdominal route. Only 10.0% of hysterectomies are done by vaginal route. Vaginal hysterectomy is associated with less febrile morbidity, less bleeding necessitating transfusion, shorter hospitalization and faster convalescence than abdominal hysterectomy.This is a study on outcomes of vaginal hysterectomy for uterovaginal prolapse at Patan Hospital over five years.

Methods: This was a retrospective descriptive study on vaginal hysterectomies for uterovaginal prolapsed done in the Department of Obstetrics and Gynecology of Patan Academy of Health Sciences over a period of 5 years (January 2010 to December 2014). After ethical clearance from Institutional review committee details of 50 vaginal hysterectomy performed during this period was obtained from medical record section of the hospital. Data were recorded in Microsoft excel 2010, frequency distribution and mean of relevant data was then calculated.

Results: This study included 50 cases of vaginal hysterectomy, the mean age of patient was 57.4 ±9.3 (range 40-74) years. All except one case was multiparous. 80% had home delivery and 20 % had hospital delivery. The mean duration of prolapse was9.41 ±2.68yrs (range 0.5 -44 yrs). 26 (52 %) cases had third degree uterovaginal Prolapse. There was no intraoperative complications but postoperative complication was seen in 9 cases. In all cases, histopathology findings were suggestive of chroniccervicitis.

Conclusions: Vaginal hysterectomy for utero vaginal prolapse is a safe surgery with less postoperative morbidity.