Publication: Vaginal hysterectomy for pelvic organ prolapse in Nepal
Date
2010
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
Abstract
Background: UVP is a significant Public Health Problem in Nepal. This problem is mainly prevalent in rural areas
where the women are socio – economically less privileged and cannot afford the costs of treatment.
Objective: An analysis of peri operative and post operative complications of vaginal hysterectomies for pelvic organ
prolapse.
Materials and methods: A hospital based prospective study was carried out in the department of obstetrics and
gynaecology, NGMC followed up from the time of operation to time of discharge.
Results: 632 cases underwent vaginal hysterectomy with financial support from UNFPA. There were no operative
complications. The most common post operative complications as noted were retention of urine, pelvic infection &
pelvic abscess. In two cases laparotomy was done for haemoperitoneum. Pelvic abscess was drained vaginally. Mortality
was nil.
Conclusion: Proper screening before operation is the key to reduce operative as well as peri operative complications.
Key words: vaginal hysterectomy, pelvic organ prolapse, peri operative complications of vaginal hysterectomy
Description
Sah DK 1, Doshi NR 2, Das CR 3
1Lecturer, 2Assistant Professor, 3Professor, Department of Obstetrics and Gynaecology, Nepalgunj Medical College, Kohalpur, Nepal.