Resurgence of vaginal route of hysterectomy: Comparison based outcomes of abdominal and vaginal hysterectomy.

Objective: To determine the preferable route of hysterectomy by comparing the intra-operative and post-operative complications of non descent vaginal hysterectomy with abdominal hysterectomy. Study Design: Randomized Control Trial. Setting: Madina Teaching Hospital, Faisalabad, Pakistan. Period: January 2022 to December 2022. Methods: Forty cases of each vaginal and abdominal hysterectomy were enrolled for study. Outcome was measured by recording intra-operative and post-operative complications in both groups. Results: Time of surgery, postoperative pain, postoperative blood transfusion, wound infection, febrile morbidity and duration of hospital stay were significantly less (p value 0.0001) in the non descent vaginal hysterectomy compared to abdominal hysterectomy. Conclusion: Non descent vaginal hysterectomy is a safe and cost effective approach when compared to abdominal rout due to less intra and post operative morbidity particularly in settings where facilities and expertise for laparoscopic surgery are lacking.