D K Sah1, N R Doshi, C R Das. 1. Department of Obstetrics and Gynaecology, Nepalgunj Medical College, Kohalpur, Nepal. dhirendraksah@ yahoo.com
Abstract
BACKGROUND: UVP is a significant Public Health Problem in Nepal. This problem is mainly prevalent in rural areas where the women are socio--economically less privileged and cannot afford the costs of treatment. OBJECTIVE: An analysis of peri operative and post operative complications of vaginal hysterectomies for pelvic organ prolapse. MATERIALS AND METHODS: A hospital based prospective study was carried out in the department of obstetrics and gynaecology, NGMC followed up from the time of operation to time of discharge. RESULTS: 632 cases underwent vaginal hysterectomy with financial support from UNFPA. There were no operative complications. The most common post operative complications as noted were retention of urine, pelvic infection & pelvic abscess. In two cases laparotomy was done for haemoperitoneum. Pelvic abscess was drained vaginally. Mortality was nil. CONCLUSION: Proper screening before operation is the key to reduce operative as well as peri operative complications.
BACKGROUND: UVP is a significant Public Health Problem in Nepal. This problem is mainly prevalent in rural areas where the women are socio--economically less privileged and cannot afford the costs of treatment. OBJECTIVE: An analysis of peri operative and post operative complications of vaginal hysterectomies for pelvic organ prolapse. MATERIALS AND METHODS: A hospital based prospective study was carried out in the department of obstetrics and gynaecology, NGMC followed up from the time of operation to time of discharge. RESULTS: 632 cases underwent vaginal hysterectomy with financial support from UNFPA. There were no operative complications. The most common post operative complications as noted were retention of urine, pelvic infection & pelvic abscess. In two cases laparotomy was done for haemoperitoneum. Pelvic abscess was drained vaginally. Mortality was nil. CONCLUSION: Proper screening before operation is the key to reduce operative as well as peri operative complications.