Abstract:

Objective To investigate the clinical features and applications of transvaginal hysterectomy for non-prolapsed uterus. Methods One hundred and fifty-two patients undergoing transvaginal hysterectomy for benign gynecological diseases were selected, and patients subjected to laparoscopic hysterectomy (n=122) and transabdominal hysterectomy (n=168) were served as controls. The clinical features and applications of these three surgical procedures were compared. Results There was no significant difference in age, times of delivery, menopause status and history of cesarean section among three groups (P>0.05), and there was also no significant difference in indications and size of uterus among three groups (P>0.05). Adnexectomy was performed in 62 patients （36.9%）undergoing transabdominal hysterectomy, 36 patients (29.5%) with laparoscopic hysterectomy and 18 patients （11.84%） subjected to transvaginal hysterectomy, and the percent of transabdominal hysterectomy group was significantly higher than that of transvaginal hysterectomy group (P<0.05). The time of operation and length of hospital stay of transvaginal hysterectomy group were the shortest, and the volume of intraoperative blood loss and cost of treatment of transvaginal hysterectomy group were the least among three groups. Conclusion Transvaginal hysterectomy for non-prolapsed uterus may yield favorable outcomes, with less complications, and may also be feasible in patients with larger uterus and history of pelvic surgery.

Key words: transvaginal, transabdominal, laparoscope, hysterectomy