Comparison of conventional heaney technique and ten step vaginal hysterectomy technique

Abstract

Aim: This study aimed to compare the conventional Heaney technique and the ten-step vaginal hysterectomy technique. Materials and Methods: This retrospective study included 65 women who were operated vaginal hysterectomies at Kanuni Sultan Suleyman Training and Research Hospital between 1 October 2020 and 31 December 2021. Female patients aged between 40 and 85 who underwent vaginal hysterectomy for benign indications were enclosed in the study. They were divided into two groups, Conventional Heaney’s technique(CHVH Group 1) and the ten-step vaginal hysterectomy technique (TSVH Group 2). İn the CHVH group, 39 were potentially eligible and 35 were included in the study. On the other hand, in the TSVH group, 33 were potentially eligible and 30 were included in the study. Results: There were 8(22.85%) complications in the CHVH group and 4(13.33%) in the TSVH group. With the CHVH method, there were 2(5.71%) bladder perforations, 1(2.85%) converted to laparotomy, and 1(2.85%) laparotomy problem. In the TSVH approach, there was no bladder perforation, and no one converted to laparotomy. The group patients' operating times were longer in the CHVH method than in the TSVH technique, 56.6018.44 and 42.2018.63, respectively. Prolapsus uteri were the most common indication for surgery in both groups. Conclusion: TSVH is superior to CHVH in terms of complication, and operating time, The ten-step vaginal hysterectomy technique can be used because of its low complication rates.