Inclusion Criteria:
Patients with non-descent uterus with
- Chronic PID
- DUB
- Adenomyosis.
- Fibroid- up to 20wks GA.
Material & Methods (contd.)
Exclusion Criteria:
- Malignancy of uterus & cx.
- Suspected dense adhesion in the pelvis.
- Complex adnexal mass including
endometriosis.
- Android pelvis.
Material & Methods (contd.)
Operative technique.
Instruments trolly
Material & Methods (contd.)
Operative technique.
ADNEXAL 5 5
MASS
CX. POLYP 2 2
TABLE III
UTERINE SIZE
SIZE OF UTERUS NUMBER PERCENTAGE
(WKS) (N=100)
6 GA 9 9
8 GA 31 31
10 GA 34 34
12 GA 12 12
14 GA 5 5
16 GA 5 5
18 GA 2 2
20 GA 2 2
TABLE IV
TYPES OF ANESTHESIA
G/A 17 17
SPINAL 83 83
TABLE IV
TYPES OF OPRATION
NAME OF OPRATION NUMBER PERCENTAGE
(N=100)
HYSTERECTOMY 84 84
HYSTERECTOMY 11 11
WITH UNIL. SO
HYSTERECTOMY 5 5
WITH BILAT. SO
TABLE IV
SURGICAL RESULT
PARAMETARS
EASY DISSECTION 91 %
DIFFICULT DISSECTION 8%
MEAN DURATION OF OPN (min) 35.5 +/- 15.3
CONVERSION IN TO LAPROTOMY 0
DIGNOSTIC & OPERATIVE LAP. 6%
TABLE IV
SURGICAL COMPLICATION
COMPLICATION NUMBER PERCENTAGE
(N=100)
INT.OP.HAEMORRHAGE 1 1
BLADDER INJURY 2 2
URETER INJURY 0 0
BOWEL INJURY 0 0
POST.OP.HAEMORRHAGE 1 1
VAULT HEAMOTOMA 4 4
UNEXPLINE FEVER 6 6
VAULT ABSSES 1 1
VAGINAL DISCHARGE 7 7
TABLE V
CONCOMITANT SURGICAL OPERATION
ANT.-POST.COLPO. 6 6
POST.COLPO. 5 5
TVT 5 5
Discussion
Main problems in NDVH :
Inadequate vaginal access .
Enlarged uterus.
Inadequate access to overies.
Discussion (contd.)