Clampless vaginal hysterectomy in women with nonprolapse: evaluation of a new technique | ||||
| The Egyptian Journal of Fertility of Sterility | ||||
| Article 3, Volume 16, Issue 2 - Serial Number 11106352, June 2012, Page 18-20 PDF (947.66 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/egyfs.2012.257688 | ||||
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| Author | ||||
| Osama M. Warda | ||||
| Obstetrics and Gynecology Department- Mansoura University-Egypt | ||||
| Abstract | ||||
| Background: Vaginal hysterectomy is the least invasive method of removal of uterus. Most of hysterectomies can be performed vaginally. The lower rate of vaginal hysterectomy is not only due to the relative contraindications to the vaginal route of hysterectomy but also due to the technical barriers in the mind of most surgeons to deal with inadequate accessibility, poor visibility and effective hemostasis even after considerable experiences. I aim to evaluate a clampless technique for vaginal hysterectomy in comparison to the standard technique in patients without genital prolapsed. Methods:$IWHUHWKLFDODSSURYDOZRPHQDGPLWWHGWR*\QHFRORJ\'HSDUWPHQW0DQVXUD8QLYHUVLW\+RVSLWDOIRUK\VWHUHFWRP\IRUEHQLJQOHVLRQVGXULQJWKHSHULRGIURP0D\ WR1RYHPEHUKDGEHHQGLYLGHGWRJURXSV JURXS $ FRPSULVHGZRPHQ in whom a clampless technique used, and group (B) comprised 25 women in whom the standard technique using clamps has been used. Results: The study comprised 46 women assigned for vaginal hysterectomy for benign indication mostly abnormal uterine bleeding. They were divided randomly into 2 groups; group- A (21 women), for whom a clampless vaginal hysterectomy was performed, while the other group- B (25 women) used as a control (standard) group for whom the standard technique for vaginal hysterectomy was performed. 7KHUHZHUHQRVWDWLVWLFDOO\VLJQL¿FDQWGLIIHUHQFHEHWZHHQERWKJURXSVUHJDUGLQJWKHGHmographic data (p- value > 0. 05) in all. The mean age for both groups was 51.7 and 52.0 years respectively. The mean gravidity was 4.14 and 4.92 respectively. Mean parity for group A was 3.47 and that for group B was 3.16. T he BMI was 29.28 kg/m2 for group A while 29.16 kg/m2 for group B. 1RVWDWLVWLFDOO\VLJQL¿FDQWGLIIHUHQFHVZHUHIRXQGEHWZHHQERWKJURXSVDVUHJDUGVWKH preoperative uterine volumes 232.8 mL vs. 213.0 mL respectively. The mean operative time (in minutes) for vaginal hysterectomy in group A was 92.3±7.45 while it was 94.0± ZLWKQRVLJQL¿FDQWGLIIHUHQFHEHWZHHQERWKJURXSV7KHPHDQYDOXHVRISUHDQG SRVWRSHUDWLYHKHPRJORELQFRQFHQWUDWLRQVZHUHQRWVLJQL¿FDQWO\GLIIHUHQWLQWKHWZRVWXG\ groups (Figure 1). Conclusion: Finally we can conclude that clampless vaginal hysterectomy is a technique that can be practiced as alternative to traditional technique using clamps. Keywords: clampless, vaginal, hysterectomy | ||||
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