Abstract
ObjectiveThe purpose of this study was to compare the surgical outcomes between two sets of women undergoing vaginal hysterectomy (VH) for benign gynecological conditions: those with moderately enlarged ( ≥12 weeks') uteruses and those with normal-sized uteruses.Materials and MethodsThe medical records of 84 women who underwent vaginal hysterectomies for benign gynecological conditions at Şişli Hamidiye Etfal Training and Research Hospital, Istanbul, Turkey between 2013 and 2015 were reviewed. Age, uterine sizes, indications, duration of hospitalization, operation time, hematocrit (HCT) levels, and complications were analyzed.ResultsThe most common indications for VH were uterine descensus. However, most women had presented with more than one indication. The mean age of the patients who underwent VH was 56.12. The maximum volume of the uterus was found to be 1244.74 ml, and the smallest volume was found to be 18.83 ml. The mean volume of the uterus was found as 122.6629 ml. The mean duration of operation was 159.70 minutes, whereas the mean duration of hospital stay was 3.79 days. The mean preoperative HCT and hemoglobin (Hgb) values were 37.098 (±3.64) gr/dl and 12.365 (±1.35) gr/dl respectively. Postoperative HCT and Hgb values were 31.363 (±3.94) gr/dl and 10.52 (±1.38) respectively.ConclusionVH is usually a simple procedure with low morbidity. It is important to choose the appropriate patient when deciding on the operation. In addition, having experienced surgeons in the field of VH increases the success of surgery.
Highlights
Hysterectomy, performed for various indications, is the most frequent among major gynecological surgeries [1]
Vaginal hysterectomy (VH) has advantages in aesthetics and recovery time compared to the abdominal approach [2]
VH feasibility is limited by uterine size and concomitant lesions within the abdominal cavity
Summary
Hysterectomy, performed for various indications, is the most frequent among major gynecological surgeries [1]. There are three types of hysterectomy procedures: abdominal, vaginal, and laparoscopic. Vaginal hysterectomy (VH) has advantages in aesthetics and recovery time compared to the abdominal approach [2]. VH feasibility is limited by uterine size and concomitant lesions within the abdominal cavity. The range of indications for VH may vary greatly depending on the level of experience of the surgeon [3]. When VH is not indicated, abdominal hysterectomy is preferred; yet physicians may have different approaches to the same clinical circumstances, depending on training and background [4,5,6]. The purpose of this study is to analyze the characteristics of patients who have undergone VH
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