title: Abdominal hysterectomy: a new approach for conventional procedure.
abstract: OBJECTIVE
  The present comparative study helps in developing a new approach to conventional hysterectomy procedure so as prevent intra-operative and Post-operative complications during the procedure.
  
  
  METHODS
  Ligation of uterine and ovarian arteries was performed, prior to abdominal hysterectomy procedures, in Group A (n-1000) and conventional method of abdominal hysterectomy in Group B (n-450) from January 2000 to December 2009. It was a prospective study.
  
  
  RESULTS
  In Group A it was noted that traumatic injury to (L) uterine vessel was present in 4 (0.4%) cases and (R) uterine vessel in 3 (0.3%) cases without any noticeable injury to the ovarian vessels, ureters or bladder as compared to in Group B where injury to (L) uterine was noted in 11 (2.4%) cases, ureters in 1 (0.1%) case, bladder in 6(1.5%) cases, hematoma in 10 (2.2%). Post-operative complications were found to be uneventful in Group A.
  
  
  CONCLUSIONS
  The Present study concludes that ligation of uterine and ovarian arteries, prior to conventional abdominal hysterectomy procedures is found to be extremely safe procedure thereby reducing the risk of intra-operative and post- operative complications.
authors: Consulting Gynaecologist, Department of Obstetrics and Gynaecology, Director, GICE Clinic , Kalyani, Nadia, West Bengal, India .
authors: Dilip Kumar
authors: DK
authors: Dutta
authors: Assistant Professor, Department of Obstetrics and Gynaecology, IQ City Medical College , Durgapur, West Bengal, India .
authors: Indranil
authors: I
authors: Dutta
keywords: Abdominal hysterectomy; ligation; uterine artery