Vaginal hysterectomy

1. In this series 150 cases of vaginal hysterectomy performed with or without associated procedures are reviewed. They have been analyzed as to indications and complications.2. Vaginal hysterectomy and repair is the operation best suited to many women with pelvic relaxation and who have menstrual disturbances. Occasionally, when hysterectomy is needed it is safer to remove per vaginam than per abdomen.The chief indication for operation in our series was pelvic relaxation. Other indications were dysfunctional uterine bleeding, fibroid uterus and in situ carcinoma of cervix.The operative complications included excessive bleeding in 20 percent of cases. No bladder or ureteral injuries were encountered. Laparotomy was performed in three cases for uncontrollable bleeding (two percent).The most common postoperative complication was significant rise in temperature due to non-specific morbidity in 47 cases (31 percent) and recognizable urinary tract infection in 27 cases (18 percent).