Original scientific paper

Comparison of a re-analyzed vaginal hysterectomy to a classical one

Davor Zoričić ; Department of obstetrics and gynecology, General Hospital Pula
Dragan Belci ; Department of obstetrics and gynecology, General Hospital Pula
Dino Bečić ; Department of obstetrics and gynecology, General Hospital Pula
Tomislav Perkov ; Department of obstetrics and gynecology, General Hospital Pula

Abstract

Objective. To evaluate advantages of a re-analyzed vaginal hysterectomy (the ten-step vaginal hysterectomy – TSVH) as compared to a traditional technique of vaginal hysterectomy. Patients and methods. A prospective randomized study involving 66 patients with pelvic organ prolapse; 46 operations were performed using the classical technique of vaginal hysterectomy (modifi ed Heaney method) and 20 using the TSVH. Results. TSVH results in shorter operating time, shorter hospital stay, and signifi cantly less need for analgesia compared to the Heaney method. There is no difference in blood loss, pain intensity and degree of patient satisfaction 7 days after surgery. Conclusion. The ten-step vaginal hysterectomy which is a structured method based on the analysis of several possible surgical steps seems to be simple to perform, teach and learn. Because of its didactic presentation, this method can successfully promote vaginal hysterectomy when teaching new generations of gynecological surgeons, and should be adopted for routine clinical use.

Keywords

vaginal hysterectomy; ten-step vaginal hysterectomy; Heaney method; postoperative recovery

Hrčak ID:

251504

URI

https://hrcak.srce.hr/251504

Publication date:

1.12.2016.

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