A Retrospective Review: Vaginal versus Abdominal Hysterectomy for Benign Gynecological Diseases in a Tertiary Canter

Lujain Bukhari,Walaa E Alahmadi,Ayman A Bukhari,Arwa F Alshamrani,Hassan S O Abduljabbar,Omar F Albakri

doi:10.4236/ojog.2016.612094

Lujain Bukhari, Walaa E Alahmadi + Show 4 more

Open Access

https://doi.org/10.4236/ojog.2016.612094

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Abstract

The aims are to review respectively 229 cases of hysterectomy and to find the factor affecting the decision of vaginal hysterectomy. Data collected from medical charts include age, nationality, parity, menopause, history of Dilation and curettage. The following data were obtained: the clinical presentation and the indication for hysterectomy. Postoperative complication includes the estimated blood loss, the number of days in hospital and ICU admission recorded. The route of hysterectomy found that 187 (82%) were abdominal and only 42 (18%) were vaginal. Factors significantly associated with the choice of vaginal approach: age, parity, smaller uterine size and prolapse. Factors affecting the decision of vaginal hysterectomy for treatment of benign diseases are identified as follows: if the age is more than 35 years or if the women already reach menopause, the presenting symptoms are not vaginal bleeding but prolapsed uterus and uterine size is less than 12 weeks.

Highlights

Hysterectomy is one of the commonest major procedures carried out on female patients
Factors affecting the decision of vaginal hysterectomy for treatment of benign diseases are identified as follows: if the age is more than 35 years or if the women already reach menopause, the presenting symptoms are not vaginal bleeding but prolapsed uterus and uterine size is less than 12 weeks
Factors affecting the decision of vaginal hysterectomy for treatment of benign diseases if the age is more than 35 years (OR = 0.306; 95% CI {0.147 - 0.834}; P < 0.001)

Summary

Introduction

Hysterectomy is one of the commonest major procedures carried out on female patients. Hysterectomy is the ultimate treatment for many gynecological diseases especially in older patients or patients who completed their family. L. Bukhari et al 762 of hysterectomies performed is 600,000 in US and 40,000 in England [1]. By the age of 64, about 40% of all women worldwide will have a hysterectomy, and it is mainly performed for improvement in symptomatology and quality of life. Vaginal hysterectomy (VH) should be used in preference to the laparoscopic or abdominal approaches for benign indications as recommended by the American College of Obstetricians and Gynecologists (ACOG) [2]

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