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Updated: Aug 18, 2026
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Vaginal hysterectomy. A five year prospective descriptive study
Objective:
To review patients who had vaginal hysterectomy and observe any complications related to the procedure.
Design:
A prospective descriptive study.
Setting:
Sunshine Hospital, Actonville, Benoni, Gauteng Province, South Africa.
Subjects:
124 consecutive women who had vaginal hysterectomy.
Interventions:
Vaginal hysterectomy.
Main Outcome Measures:
Duration of operation, hospital stay, intra and post operative complications; need for blood transfusion; histological result of uterus and uterus weight.
Results:
The mean age was 44.7years (range 16 to 74 years). Mean parity was 2.7 (range 0 to 9). Common indications were menorrhagia (34.7%) and myomatous uterus (25.8%). The common risk factors were previous Caesarean delivery (12.9%), medical conditions (9.7%) and previous tubal ligation (10.5%). The mean operation time was 86.6 minutes (range 52 to 140 minutes). Only two (1.6%) patients required blood transfusion. Complications occurred in 5.6% of the patients. Myomatous uterus (40.3%) and adenomyosis (19.4%) were the commonest histological diagnosis. The mean hospital stay was 2.5 days (range 2 to 21 days). The average weight of the uterus was 142.2 gms (range 25 to 599gms).
Conclusions:
Vaginal hysterectomy can be performed and achieve very low complication rates.
