[Clinical analysis of 50 cases of transvaginal hysterectomy].
OBJECTIVE
To assess the advantage, indications, surgical management and the clinical value of transvaginal hysterectomy in patients without uterine prolapse.


METHODS
From Oct. 1995 to Nov. 1998, 50 women undergone transvaginal hysterectomy for various benign gynecological lesions were consecutively included in this study. Their mean age was 45 years (range 36-50). There were 10 patients (20%) with normal uterine size, and 16 (32%) with uteri of > 12 gestational weeksize (range 14-16 weeks) and the remaining 24(48%) < or = 12 weeksize. 11 patients (22%) underwent salpingo-oophorectomy simultaneously, 6 patients (12%) had previous laparotomy.


RESULTS
The mean operating time was 63 min with a range 40-110 min. Post-operative hospital stay averaged 4 days (range 2-8 days). The amount of blood loss during operation ranged 50-100 ml. The only postoperative complication was small residue hematoma in 1 case and cured with conservative treatment.


CONCLUSIONS
Transvaginal hysterectomy was associated with remarkable advantages: shorter operating time and hospital stay, fewer complication, less discomfort, quicker recovery and less expenses. Enlarged uterus to a size of > 12 gestational weeks; benign adnexal mass or previous operation should no longer be considered as contraindication of transvaginal hysterectomy.
Luo
Y
Y
Centro Hospitalar Condede S. Januário, Macau.
Liu
Y
Y
D000328:Adult; D000075202:Contraindications; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal; D007889:Leiomyoma / Q000601:surgery*; D008875:Middle Aged; D014594:Uterine Neoplasms / Q000601:surgery*