Comparison of the efficacy of vaginal or abdominal hysterectomy in the treatment of non-prolapsed uterus

Objective To compare the efficacy of vaginal or abdominal hysterectomy in the treatment of non-prolapsed uterus.Methods 66 cases of patients with non-prolapsed uterus lesions were used vaginal hysterectomy(vaginal group,32 patients) or abdominal hysterectomy(abdominal group,34 patients) treatment.Results Both groups of patients were operated successfully,The time,blood loss,postoperative analgesic rate,postoperative anal exhaust time,postoperative hospital stay of vaginal surgery group were significantly less than those of the abdominal group(P 0.05 or P 0.01).Postoperative vaginal pelvic hematoma occurred in 1 case in vaginal group,and there was 1 case with intraoperative ureteral injury in abdominal group and 2 cases with postoperative wound infection and fat liquefaction.Intraoperative and postoperative complications in both groups showed no significant difference(P 0.05).During the follow up for 3 months to 22 months with the average(13.1 ± 2.7) months,the vaginal stump healed well and found no granulation tissue and vaginal stump prolapse.Conclusion Vaginal hysterectomy has the advantages of shorter operative time,less blood loss,lower postoperative analgesic rate,earlier postoperative flatus,shorter hospital stay,without postoperative abdominal scar and fewer complications.It is the first choice for the treatment non-prolapsed uterus.