Scarless hysterectomy for benign diseases of uterus without prolapsed

Abstract

Introduction: To show that scarless hysterectomy is the alternative way of hysterectomy in the selectedbenign pathology of uterus without prolapse. It has advantages of lower morbidity, faster recovery and no scarseen on abdomen.

Method: A prospective descriptive study was carried out in Nopparat Rajathani Hospital between April 2009and April 2012 among 90 women without uterine prolapse who requested hysterectomy for differentbenign diseases of the uterus. Scarless hysterectomies were done by the technique adapted fromPurohit Ram Krishna and Masaaki Andou. Successful operation, intra and post operative morbidity,activity, and re-admission were observed.

Results: Scarless hysterectomy was succeeded in 89/90 cases (98.9%), bilateral salpingo-oophorectomy in 26/89cases (29.2%). One case was converted to abdominal hysterectomy due to broad ligament leiomyoma.No intra and post operative morbidity, no re-admission, and good postoperative activity were observed.

Discussion and Conclusion: Scarless hysterectomy is the alternative way for hysterectomy in the selected cases of benign diseases of the uterus if a surgeon has adequate experience for this surgery. It gives lessmorbidity, faster recovery and no scar on abdomen.

Key words: Scarless hysterectomy (SH), Vaginal hysterectomy (VH), Non-prolapsed uterus, Benign disease of uterus