CLINICAL STUDY ON TRANSVAGINAL HYSTERECTOMY FOR NON-PROLAPSE AND LARGE UTERUS / 解放军医学杂志

ABSTRACT

Ninety eight transvaginal hysterectomies were performed for non prolapse and enlarged myomatous uteri or adenomyosis , with the size equivalent to 6～18 gestational weeks or 138～741g . Bisection , enucleation, morcellation , coring and combination thereof were used to facilitate the operation by reducing the uterine volume. The results showed that, out of 98, 93 cases of vaginal hysterectomy were performed successfully . The average weight of the uterus for the 98 cases were 376g (ranging from 138 to 741g), the mean time for the operation was 99 minutes (ranging from 40 to 135 minutes), the average quantity of blood loss was 245 ml (range 50 to 600ml). The morbidity rate was as low as 3.1% and the average postoperative hospital stay was 5.4 days (range 4 to 9 days). These data suggest that non prolapse and enlarged uterus can be safely removed transvaginally through reduction of the uteriune volume . Not only the size , but also the shape and the mobility of the uterus should be considered when indication for transvaginal hysterectomy existed . The successful operation was closely related to the operator’s skill and experiences .