Korean J Obstet Gynecol.  2004 Jan;47(1):126-131.

Comparision of Vaginal Hysterectomy and Abdominal Hysterectomy for a Nonprolapsed, Benign Uterine Disease in Women Without Vaginal Delivery

• Lee JY
• Yun YM
• Jun HA
• Kim HB
• Lee KY
• Kang SW

Abstract

OBJECTIVE
This study was designed to compare the vaginal hysterectomy and abdominal hysterectomy for a non-prolapsed, benign uterus in women without vaginal delivery.
METHODS
A retrospective study in Hallym-university hospital analysed 182 total hysterectomies in women without vaginal delivery performed from January 2000 to December 2001. Vaginal route was used for 98 (53.8%) patients and 84 (46.2%) had laparotomies.
RESULTS
The mean uterine weight was 217 g in vaginal route, 270 g in abdominal route. Mean operation time was 70 minutes in vaginal route, 125 minutes in abdominal route. There was one serious re-operation due to hemorrhge in each group and other complication was not much different at each gruops. The hospital stay was 6.2 days in vaginal route and 8.4 days in abdominal route.
CONCLUSION
Vaginal hysterectomy for a non-prolapsed uterus is indicated for women without vaginal delivery and is feasible to performance. Vaginal hyterectomy is less morbidity, shorter hospitalization and faster convalescence. So training in vaginal surgury should allow safe performance of the procedure at most center.

Keyword

Vaginal hysterectomy; Non-prolapsed uteri; Nullipara

MeSH Terms

Convalescence
Female
Hospitalization
Humans
Hysterectomy*
Hysterectomy, Vaginal*
Laparotomy
Length of Stay
Retrospective Studies
Uterine Diseases*
Uterus