Journal of AdvancedMedical and Dental Sciences Research

Background: A substantial number of women undergo hysterectomy annually, and 70 % of hysterectomies are performed for benign indications. The present study was conducted to determine outcome of 68 vaginal hysterectomy performed in tertiary care centre. Materials & Methods: 68 female patients were selected for vaginal hysterectomy. Factors such as operation details, duration of surgery, blood loss during surgery, intra operative & post- operative period blood transfusion, intra operative complications like bladder, uterus and bowel injury, the vertical and horizontal lengths of the vagina upon retraction of the vaginal orifice, and uterine descent were recorded. Results: Age group 20-40 years had 16 (23.5%) cases, 40-60 years had 20 (29.4%) and group >60 years had 32 (47.1%) cases. The mean weight was 57.2 kgs, height was 160.4 cm, depth was 1.2 cm, previous vaginal operation was present in 46, weight of uterus was 254.2 grams, operative time was 34.2 min and vertical length was 5.8 cm. Common complication of procedure was ureter injury in 2, paralytic ileus in 1, wound infection in 1 and bladder injury in 1 case. The difference as significant (P< 0.05). Conclusion: Vaginal hysterectomy is common surgical procedure after cesarean section.