Comparative Study of Non-descent Vaginal Hysterectomy versus Total Abdominal Hysterectomy: Outcomes and Clinical Considerations

Background: Hysterectomy is one of the most common gynaecological surgeries performed worldwide. It can be performed by the abdominal, vaginal, and laparoscopic route. The present study was aimed to compare non-descent vaginal hysterectomy and abdominal hysterectomy and their outcome.   Aim This study was aimed to compare non descent Vaginal hysterectomy and Abdominal hysterectomy and their outcome Objectives To compare the indications and diagnosis for both the type of surgeries. To compare Vaginal and  abdominal hysterectomy in terms of morbidity and blood l To compare the intraoperative and postoperative complications following vaginal and abdominal hysterectomy. To compare vaginal and total abdominal hysterectomy in term of post operative hospital stay   Method A total 100 cases of uterine size ≤12 weeks admitted to the Gynaecology unit requiring hysterectomy for benign diseases were randomly selected out of which 50 cases underwent vaginal hysterectomy for non-descent uterus and 50 cases underwent abdominal hysterectomy for the same indications during the study period between January 2023 to October 2023.   Results Majority of the patients came to the hospital with complain of excessive bleeding and majority belonged to 41-50 years of age. The most common indication in both the group was AUB (54%), followed by fibroid uterus (24%). Maximum (87%) patients were delivered vaginally.  Mean duration of surgery in vaginal group was lower (57.6 min) than the abdominal group (75.2 min). Patients of vaginal group ambulated earlier than the abdominal group. Total 18% of cases were given blood transfusion pre, intra, or post operatively. Rate of intra and post operative complication was higher in abdominal group as compared to vaginal group. Mean postoperative stay in the vaginal group was 5.1 day and abdominal group was 6.1 days. There was no case of mortality in this study.   Conclusion  Vaginal hysterectomy is the least invasive, fast, and least complicated surgery, which can result in early ambulation and the briefest hospital stay at the lowest possible expense when compared to abdominal hysterectomy.