Vaginal Hysterectomy: study of 75 cases

Abstract

Objectives: To evaluate the outcomes of vaginal hysterectomy in respect of operative, post operative complications. Study design: Lady Aitchison Hospital affliated with king Edward medical college Lahore, from January 2004 to December 2005. Patients and methods. Out of total 215 hysterectomies performed,75 were vaginal for different conditions. Results: The results showed, that at the age of 50 yrs prolapse [48%] was the main indication, while menorrhagia [36%] was the main indication at age of 40 - 50 yrs. Between 30 - 40 yrs Menorragia with prolapse [16%] and below 30 yrs complete prodencia was the indication. 8% intraoperative complications were, 4% operative haemorrage, 1.3% visceral injury, 2.7% return to theature. The post operative complications were maternal death 1.3%, fistula formation (1.3%), return to theature (6.7%), retention of urine (5.3%), pelvic heamatoma (4%), and granulation tissue (2.7%). In 80.1% of cases hospital stay was less than 72 hours Conclusion: Vaginal hysterectomy was the safest, low cost procedure in benign conditions with a few intra / post operative complications.