Property | Value |
Name | Ultrasound Evaluation of Vault Hematoma after Vaginal Hysterectomy and its correlation with Postoperative Morbidity |
Description | Research article:- Obstetrics and Gynaecology. Mangal Puri1*, Anita Singh2, Meenal Patvekar1, Stuty Tyagi1, Pratima Sharma1 & Smita S. Singhania1. *1Professor, Department of Obstetrics and Gynaecology. Pad. Dr.D.Y. Patil Medical College, hospital and research centre.Dr.D. Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India. 2Professor and Head, Department of Obstetrics and Gynaecology. Gian Sagar Medical College, Ramnagar , Banur.Patiala, Punjab, India.
Abstract: Background: Vaginal route of hysterectomy is preferred than abdominal, which has increased the chances of vault collection leading to postoperative morbidity. Present study is done to evaluate the prevalence of ultrasonologically detectable vault hematoma after vaginal hysterectomy (VH) and its correlation with postoperative morbidity and to study whether routine postoperative ultrasound following VH can help to reduce it. Materials and Methods: A group of 100 women who underwent vaginal hysterectomy at tertiary care centre and teaching hospital, for benign causes and utero-vaginal prolapse were selected. Transabdominal and transperineal or transvaginal ultrasound examinations were carried out on 3rd, 7th and 9th postoperative days to assess the presence of vault hematomas. Ultrasound findings were correlated with clinical data regarding postoperative morbidity. Results: The incidence of vault hematoma was found to be 8% in present study, 37% had febrile morbidity and 50% patients had postoperative drop in haemoglobin. Association with intra and post operative haemorrhage was noted. Large sized hematomas were drained vaginally under anaesthesia, while all small and medium sized hematomas were managed by anti-fibrinolytics and antibiotics successfully. Conclusion: Postoperative ultrasound need not be a routine procedure but that helps to reduce morbidity in selected patients.
Key Words: Vault hematoma, vaginal hysterectomy, ultrasound evaluation. |
Filename | Puri Mangal et al.(212-217).pdf |
Filesize | 417.29 kB |
Filetype | pdf (Mime Type: application/pdf) |
Creator | admin |
Created On: | 12/03/2012 00:00 |
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Last updated on | 12/18/2012 14:10 |
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