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Abdominal Hysterectomy: A New Approach for Conventional Procedure
OC15-OC18
Correspondence
Dr. Dilip Kumar Dutta,
A-9/7, Kalyani, Nadia-741235, West Bengal, India.
Phone: 033-25829709, Mobile-09433032986, E-mail:drdilipdutta@yahoo.com
Objective: The present comparative study helps in developing a new approach to conventional hysterectomy procedure so as to prevent intra-operative and Post-operative complications during the procedure.
Materials and Methods: Ligation of uterine and ovarian arteries was performed, prior to abdominal hysterectomy procedures, in Group A (n-1000) and conventional method of abdominal hysterectomy in Group B (n-450) from January 2000 to December 2009. It was a prospective study.
Results: In Group A it was noted that traumatic injury to (L) uterine vessel was present in 4 (0.4%) cases and (R) uterine vessel in 3 (0.3%) cases without any noticeable injury to the ovarian vessels, ureters or bladder as compared to in Group B where injury to (L) uterine was noted in 11 (2.4%) cases, ureters in 1 (0.1%) case, bladder in 6(1.3%) cases, hematoma in 10 (2.2%). Post-operative complications were found to be uneventful in Group A.
Conclusion: The Present study concludes that ligation of uterine and ovarian arteries, prior to conventional abdominal hysterectomy procedures is found to be extremely safe procedure thereby reducing the risk of intra-operative and post- operative complications.