By Shirish S Sheth
Advances in laparoscopic know-how have resulted in new curiosity within the vaginal method of hysterectomy, which has many confirmed advantages for sufferers. The authors the following warning that this expertise is helping in just a percent of instances. specialists clarify the indicators and contra-indications for the vaginal process, speak about preoperative overview methods and provide an evidence-based elucidation of vaginal hysterectomy. With a whole profile of the aptitude problems, morbidity and mortality linked to the vaginal method, Vaginal Hysterectomy offers a well-balanced appraisal. it truly is an important textual content for training gynecologists, surgeons, specialists and postgraduates.
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Additional info for Vaginal Hysterectomy
In today’s world, vigorous attempts are being made to reduce the number of abdominal hysterectomies and replace them with VH itself or laparoscopic assistance as the next choice . The surgeon, therefore, has to exercise a choice. Currently, after studying hysterectomies performed by generations of gynaecological surgeons, the following aspects have become crystal clear in relation to this procedure: Page 16 1. When hysterectomy is possible by either route, it is undoubtedly the vaginal approach with or without laparoscopic assistance that is superior.
7% where this potential existed. There have been no occurrences of enteroceles in these patients. Vaginal hysterectomy has almost entirely replaced the Manchester repair operation for genital prolapse, although there is still a place for this repair in young women with symptomatic prolapse who still want to have children. There is little place for the Le Forte procedure in these patients either, vaginal hysterectomy being quicker and easier. General anaesthesia is not necessary because the operation can be performed under regional analgesia.
2 illustrate the results of morcellation. What counts in such cases is the absence of malignancy and a uterine size that does not contraindicate vaginal hysterectomy. Uterine weight may be a poor indicator of the possible difficulties that may be encountered. Uterine weight, size, position, and mobility often correlate poorly. 1. Mechanical morcellation. 2. Morcellation of 950-g fibroid uterus. The upper pedicles and uterine arteries if required can readily be ligated from above, making the operation from below easier and safer.