Abdominal versus vaginal hysterectomy; an audit

ABSTRACT

To evaluate abdominal versus vaginal hysterectomy in relation to operative and postoperative complications. Single centre cross sectional study. Place and duration The Department of Obstetric and Gynaecology, Shaikh Zayed post graduate Medical institute and Hospital, Lahore from 1[st] November 2005 to 31[st] October 2006. All the patients with benign indications for hysterectomy [abdominal and vaginal] were included except patients with serious / complicated medical disease. Relative informations were filled in a Performa and informations were taken from case records. This audit report included 200 women. 23.3% patients of vaginal hysterectomy were in the age group of 40-45 years while 35.7%patients of abdominal hysterectomy were in the age of 51 -55 years. Main indication for abdominal hysterectomy [85.5%] was fibroid uterus while for vaginal hysterectomy [66.6%] was uterovaginal prolapse. Most common immediate post operative complication in abdominal and vaginal hysterectomy was fever in 42.8% and 20.0% respectively. Intraoperative visceral injuries were done in 4 patients in abdominal hysterectomy while no injury was done in vaginal hysterectomy. 44[80%] patients of vaginal hysterectomy were discharged within 7 days of hospitalization while 64 [44%] patients of abdominal hysterectomy were discharged within 7 days of hospitalization. Hysterectomy either abdominal or vaginal is very safe and there were no lethal complication except few minor complications and also there was no mortality