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Updated: May 18, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
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Hysterectomy…..Which route?

Somajita Chakraborty1, Sebanti Goswami, Partha Mukherjee

  • 1Department of OBGYN, Medical College & Hospitals, 317, New Raipur (Dabur Park), Flat No. 1B, Kolkata, 700084 India.

Journal of Obstetrics and Gynaecology of India
|October 2, 2012
PubMed
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This study compared abdominal versus vaginal hysterectomy for benign uterine conditions. Vaginal hysterectomy showed significantly shorter operation times and hospital stays, with comparable blood loss.

Area of Science:

  • Gynecology
  • Surgical Outcomes
  • Minimally Invasive Surgery

Background:

  • Hysterectomy is a common surgical procedure for benign uterine conditions.
  • The choice between abdominal and vaginal routes can impact patient outcomes.
  • This study focuses on non-descent vaginal hysterectomy (NDVH) versus abdominal hysterectomy.

Purpose of the Study:

  • To compare surgical outcomes between abdominal and vaginal hysterectomy routes.
  • To evaluate intraoperative and postoperative complications, blood transfusion requirements, and hospital stay duration.
  • To identify factors influencing the choice of hysterectomy route.

Main Methods:

  • A randomized prospective comparative study of 200 patients undergoing hysterectomy for benign uterine conditions.
Keywords:
HysterectomyNon descent vaginal hysterectomy

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Last Updated: May 18, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
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  • Group A (n=100) underwent non-descent vaginal hysterectomy (NDVH).
  • Group B (n=100) underwent abdominal hysterectomy.

    • Main Results:

    • Significant differences were observed in operation duration, IV drip duration, postoperative mobilization, and hospital stay duration.
    • No significant difference in blood loss was found between the two groups.
    • P-values indicated statistical significance for several outcome measures.

    Conclusions:

    • The choice of hysterectomy route is influenced by factors such as uterine accessibility, disease confinement, and surgeon experience.
    • Vaginal hysterectomy may offer advantages in terms of shorter recovery times.
    • Further research can explore patient selection criteria for optimal surgical route selection.