Resurgence of vaginal route of hysterectomy: Comparison based outcomes of abdominal and non-descent vaginal hysterectomy.

Objective: To determine the preferable route of hysterectomy by comparing the intra-operative and postoperative complications of non-descent vaginal hysterectomy with abdominal hysterectomy. Study Design: Randomized Control Trial. Setting: Madina Teaching Hospital, Faisalabad, Pakistan. Period: January 2022 to December 2022. Methods: Forty cases of each vaginal and abdominal hysterectomy were enrolled for study. Outcomes were measured by recording intra-operative and post-operative complications in both groups. Results: Time of surgery, postoperative pain, postoperative blood transfusion, wound infection, febrile morbidity and duration of hospital stay were significantly less (p value 0.0001) in the non-descent vaginal hysterectomy compared to abdominal hysterectomy. Conclusion: Non-descent vaginal hysterectomy is a safe and cost effective approach when compared to abdominal rout due to less intra and post operative morbidity particularly in settings where facilities and expertise for laparoscopic surgery are lacking. [ABSTRACT FROM AUTHOR]