Associate professor, Department of OBGY, Dr. S C Govt Medical College, Vishnupuri, Nanded, Maharashtra, India.

Associate professor, Department of OBGY, Govt Medical College, Akola, Maharashtra, India.
hysterectomy ,benign uterine conditions ,NDVH ,

The study was a randomized prospective comparative study of abdominal hysterectomy, vaginal hysterectomy and laparoscopic hysterectomy with benign uterine conditions. A total of 200 cases were admitted to Gynecology ward requiring hysterectomy for enlarged uterus due to benign diseases were enrolled in this study. These 200 cases were randomly allocated into three groups using randomization procedure according to the type of surgery. Out of these 200 cases, 100 cases were subjected for total abdominal hysterectomy, 76 for vaginal hysterectomy and 24 laparoscopic hysterectomy. The feasibility of vaginal hysterectomy in moderately enlarged uterus was studied along with intra-operative complications, post-operative morbidity, post-operative hospital stay and recovery. Blood loss ,operating time, hospital stay, returning to work , post operative morbidity, fever, UTI, wound gape, wound infection were more in abdominal hysterectomy. There was no significant difference in peri-operative complications between Non Descended Vaginal Hysterectomy and laparoscopic hysterectomy group. It is concluded that patient requiring hysterectomy for non prolapsed cases, the option of vaginal route is less invasive with minimal or no complication and more economic and effective.

7 , 3 , 2017