Comparison of outcome between vaginal and abdominal hysterectomy

Aim: to evaluate the outcome between abdominal and vaginal hysterectomy in terms of mean operative time,hospital stay and complication rate. methods: a total of 76 patients who had required hysterectomy for benign pathology with uterus of less than 14 weeks size,utero-vaginal prolapse or those with failed medical treatment in dysfunctional uterine bleeding were included. patients were grouped in i and ii with 38 patients in each group. vaginal hysterectomy was done for group i and abdominal hysterectomy for group ii. mean operative time,hospital stay and post-operative complications were noted. follow up period was 1-4 weeks with mean follow up of 1.25 ± 0.70 weeks for group i and 1.79 ± 2.12 weeks for group ii. results: mean operative time was 72.27 ± 10.32 minutes for group i and 89.31 ± 12.45 minutes for group ii (p<0.0001). mean hospital stay was 2.12 ± 0.71 for group i and 3.78 ± 1.67 for group ii with p-value <0.0001. in group i,only 06 (15.7%) patients i.e. hemorrhage in 01 (2.63%),urinary tract infection in 02 (5.26%) and vaginal vault hematoma/infection in 03 (7.89%) patients,had complications while in group ii,15 (39.47%) patients developed complications i.e. bladder or ureteric injury in 01 (2.63%) patients,hemorrhage in 03 (7.89%),wound infection in 04 (10.53%) and urinary tract infection in 04 (10.53%) patients. conclusion: vaginal route is more effective and reliable method for hysterectomy in benign conditions because of its less mean operative time,hospital stay and complications rate compared to abdominal hysterectomy.