Feasibility of non-descent vaginal hysterectomy in patients with previous cesarean scar: A comparative study

It is a retrospective, comparative, observational study conducted in the Department of obstetrics and gynecology, Bombay hospital from 1st August 2010 to 31st July 2011, where comparison was done between 22 patients undergoing non decent vaginal hysterectomy (NDVH) and 29 patients undergoing abdominal or laparoscopic hysterectomy.Parameters analyzed were operating time, estimated blood loss, post operative pain, hospital stay, cost effectiveness and complications.Results: The demographic profile was similar for all three groups. The vaginal group included a large number of patients with high risk factors and co-morbidities. The operating time, average hospital stay, pain score, blood loss and post-operative complications were more in the abdominal and laparoscopic groups. No patient in the vaginal group required conversion to abdominal or laparoscopic hysterectomy.Conclusion: Benign uteri of upto 16 weeks sizes and fibroids upto 10.5 cm. could be removed vaginally with no increased risk of surgical or post-surgical complications.