Vaginal hysterectomy for pelvic organ prolapse in Nepal

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.

Key words: vaginal hysterectomy; pelvic organ prolapse; peri operative complications of vaginal hysterectomy

DOI: 10.3126/kumj.v8i2.3576  

Kathmandu University Medical Journal (2010), Vol. 8, No. 2, Issue 30, 281-284