Background :
Vaginal hysterectomy is infrequently performed in the absence of uterovaginal prolapse. However, in recent years, indications for vaginal hysterectomy have expanded, and it is increasingly preferred over abdominal hysterectomy. Despite evidence supporting its advantages, vaginal hysterectomy is not widely practiced in some settings, possibly due to limited technical expertise in non-descent vaginal hysterectomy.
Methods :
This cross-sectional comparative study was conducted in the Department of Obstetrics & Gynaecology at the Institute of Child and Mother Health (ICMH), Dhaka. The study duration was 6 months, from May 2015 to October 2015.
Results :
Baseline characteristics were similar in both groups. No intraoperative complications were observed in either group. Operative time, intraoperative blood loss, time to early ambulation, mean maximum postoperative temperature, and duration of fever were significantly lower in the vaginal hysterectomy group compared to the abdominal hysterectomy group.
In addition, vaginal length in the vaginal hysterectomy group was significantly shorter than in the abdominal hysterectomy group.
Conclusion :
Despite strong evidence in favor of vaginal hysterectomy, it is not the preferred approach for non-descent hysterectomy in some settings. This may be due to lack of controlled evidence awareness and limited surgical expertise.