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Non-decent Vaginal Hysterectomy in Rural Setup of MP: A Poor Acceptance

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Abstract

Objective

NDVH is a minimally invasive, safe, effective, and economical surgery. Still AH is preferred for benign gynaecological indications. Our study aims to promote NDVH in all technically possible cases by adequate counselling of the patient.

Methods

This prospective observational study enrolled 100 women seeking hysterectomy for benign gynaecological conditions (excluding prolapse) in a teaching hospital. Women were counselled on the basis of ‘PREPARED’ questionnaire to assess their awareness about NDVH and were offered NDVH as the proposed surgery and result is analysed.

Results

We observed that there was a little awareness about NDVH and its outcome among the subjects. Ten out of 100 patients refused to perform NDVH after counselling and underwent TAH. Rest of the 90 patients opted for NDVH. Forty out of 90 patients were aware about NDVH, but they were sceptical about the outcome, and 50 were totally unaware. After applying ‘PREPARED’ questionnaire and counselling, we could motivate them to accept NDVH. It was successful in all cases except one where laparotomy was done for ovarian artery retraction. With no significant post-operative complications, early return to routine activity and low cost of surgery, all patients were satisfied with surgical outcome and improved quality of life.

Conclusion

We conclude that patients accept the surgery with open mind after proper counselling and detailing of the procedure. Most of the abdominal hysterectomy can be converted successfully to NDVH in technically feasible cases by experienced hands so adequate training to gynaecology residents is the need of the time. NDVH is economical to the patient as well as for the healthcare system.

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Authors and Affiliations

  1. Department of OBG, L.N. Medical College and J.K. Hospital, Kolar Road, Bhopal, 462042, M.P, India

    Sapna B. Jain & Kshma D. Chandrakar

Authors
  1. Sapna B. Jain
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  2. Kshma D. Chandrakar
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Correspondence to Sapna B. Jain.

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Conflict of interest

The authors of the article Sapna B. Jain and Kshma D. Chandrakar declare that they have no conflict of interest.

Human Rights and Ethical Statements

All procedures followed were in compliance with the ethical requirements of this journal.

Informed Consent

Written informed consent was taken from the subjects.

Additional information

Sapna B. Jain, M.D. (OBG) is an Assistant Professor in Department of OBG at L.N. Medical College and J.K. Hospital; Kshma D. Chandrakar, D.N.B. (OBG), Senior Resident in Department of OBG at L.N. Medical College and J.K. Hospital.

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Jain, S.B., Chandrakar, K.D. Non-decent Vaginal Hysterectomy in Rural Setup of MP: A Poor Acceptance. J Obstet Gynecol India 66 (Suppl 1), 499–504 (2016). https://doi.org/10.1007/s13224-016-0858-2

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  • DOI: https://doi.org/10.1007/s13224-016-0858-2

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