Volume : 6, Issue : 6, June - 2017

DECIDING THE ROUTE FOR HYSTERECTOMY A SCORING SYSTEM FOR BETTER FEASIBLITY OF NDVH - INDIAN TRIAGE SYSTEM

Dr. T. G. Revathy, Dr. Kokila

Abstract :

AIM:           The Aim of the study is to review the limitations, Major Complications and conversion rates associated with non descent vaginal hysterectomy (NDVH) and based on them to device of a scoring system for pre surgical assessment of women undergoing hysterectomy for benign gynaecological conditions. The scoring system would enable to grade women as having low, intermediate and high risk for complications and predict feasibility to perform successful NDVH.<o:p></o:p> Subjects & Methods:<o:p></o:p>           This is a prospective study conducted in Govt Kasturba Gandhi Hospital, MMC. A detailed risk analysis for each of these cases was done. Based on this and Kovac’s  guidelines on determining routes of hysterectomy parameters were selected for a scoring system to predict the chances of successful vaginal routes for hysterectomy.<o:p></o:p> Results:<o:p></o:p>           In our Study of 100 cases 98 cases within safe score 7-11, percentage  is 98% , 2 cases in upper limit of moderate risk of conversion of score 12-16, no cases is high risk of score >16.<o:p></o:p> Conclusion:<o:p></o:p>           The study concluded that patient requiring hysterectomy for benign lesions having moderate size uterus can be offered vaginal route of surgery. Vaginal approach is best approach for gynaecological surgeon than abdominal approach as VH done through a nature orifice<o:p></o:p>

Keywords :

NDVH (non- descent vaginal hysterectomy) Uterus Hysterectomy AH (Abdominal hysterectomy) VH (Vaginal Hysterectomy) LAVH (Laparoscopic assisted vaginal hysterectomy)

Article:

Download PDF Journal DOI : 10.15373/2249555X

Cite This Article:

DR.T.G.REVATHY, DR. KOKILA , DECIDING THE ROUTE FOR HYSTERECTOMY A SCORING SYSTEM FOR BETTER FEASIBLITY OF NDVH‾INDIAN TRIAGE SYSTEM, GLOBAL JOURNAL FOR RESEARCH ANALYSIS : VOLUME-6 | ISSUE‾6 | JUNE-2017