outcomes of vaginal hysterectomy with deschamps needle technique versus conventional technique in women with non-descent uterus

Background objective: vaginal hysterectomy (vh) in patients with non-descent uterus for benign gynecological diseases is challenging. several techniques are employed to optimize patient outcomes. the deschamps needle technique, originally designed for aneurysm control, has been adapted for use in non-descent vaginal hysterectomy (ndvh) to potentially enhance practicality, safety, and efficiency compared to conventional methods. to evaluate the practicality, safety, and effectiveness of the deschamps needle technique compared to the conventional clamping technique in ndvh patients.materials methods: a pilot prospective randomized clinical study was conducted between 2021 and 2023 at ain shams university maternity hospital. fifty patients aged 40 to 70 years with benign non-descent uteri were randomized into two groups: group 1 (deschamps needle technique) and group 2 (conventional technique). primary outcomes included operative time and pedicle securing time. secondary outcomes were intraoperative blood loss, blood transfusion, postoperative pain, duration of hospital stay, and complication rates.results: the deschamps needle technique significantly reduced total operative time (93.20±7.03 minutes) and pedicle securing time (27.80±5.87 minutes) compared to the conventional technique (102.28±9.8 minutes and 34.60±7.02 minutes, respectively). there was no significant difference between the groups regarding intraoperative blood loss, transfusion requirements, or postoperative hemoglobin and hematocrit levels. postoperative pain was significantly lower in the deschamps group. the incidence of complications, including bladder injury, urinary retention, urinary tract infection (uti), and postoperative pyrexia, showed no statistically significant differences between the groups.conclusion: the deschamps needle technique for vh in non-descent uteri offers a safe, efficient, and less time-consuming alternative to conventional clamping techniques. it reduces operative time and postoperative pain without increasing complication rates, making it a viable option for resource-limited settings.