Vaginal hysterectomy. A five year prospective descriptive study
Objective: To review patients who had vaginal hysterectomy and observe any complications related to the procedure. Design: A prospective descriptive study. Setting: Sunshine Hospital, Actonville , Benoni, Gauteng Province, South Africa. Subjects : 124 consecutive women who had vaginal hysterectomy. Interventions : Vaginal hysterectomy. Main Outcome Measures: Duration of operation, hospital stay, intra and post operative complications; need for blood transfusion; histological result of uterus and uterus weight. Results: The mean age was 44.7years (range 16 to 74 years). Mean parity was 2.7 (range 0 to 9). Common indications were menorrhagia (34.7%) and myomatous uterus (25.8%). The common risk factors were previous Caesarean delivery (12.9%), medical conditions (9.7%) and previous tubal ligation (10.5%). The mean operation time was 86.6 minutes (range 52 to 140 minutes). Only two (1.6%) patients required blood transfusion. Complications occurred in 5.6% of the patients. Myomatous uterus (40.3%) and adenomyosis (19.4%) were the commonest histological diagnosis. The mean hospital stay was 2.5 days (range 2 to 21 days). The average weight of the uterus was 142.2 gms (range 25 to 599gms). Conclusions: Vaginal hysterectomy can be performed and achieve very low complication rates.
Full Text LinksShava, J., Nene, N.L., & Mpande, L. (2004) Vaginal hysterectomy. A five year prospective descriptive study, CAJM vol. 50, no. 7& 8. (pp. 61-5) UZ, Avondale, Harare: Faculty of Medicine.
Faculty of Medicine. Central African Journal of Medicine (CAJM), University of Zimbabwe (UZ).
University of Zimbabwe (UZ).