OUTCOMES OF VAGINAL HYSTERECTOMY WITH DESCHAMPS NEEDLE TECHNIQUE VERSUS CONVENTIONAL TECHNIQUE IN WOMEN WITH NON-DESCENT UTERUS
Main Article Content
Abstract
Background: vaginal hysterectomy (VH) in patients with non-descent uterus for benign gynecological diseases is challenging. Various techniques were used to ease and improve the intervention to obtain the best outcomes for the patients. One of those techniques was deschamps (aneurysm) needle technique.
The aim and objective: to compare the feasibility, safety and efficacy of using Deschamps needle technique versus conventional technique in cases with Non-descent vaginal hysterectomy (NDVH).
Subjects and Methods: A Pilot prospective randomized clinical trial was conducted
at gynecology department Ain shams university maternity hospital during the period from 2021 to 2023.
Results: Regarding demographic and uterine data, there were non statistically significant difference between the groups under the study. Both total operative and pedicle securing times were statistically less significant in the deschamps group compared to the conventional one. The mean intraoperative blood loss showed a statistically insignificant difference between the groups as well as the pre, postoperative Hb & HCT values, blood transfusion, hospital stay and mortality also. The post operative pain was lower in deschamps group where patient developed less pain and need to postoperative analgesia. Complications such as bladder injury, urine retention, UTI, postoperative pyrexia showed a statistically insignificant difference between the study groups.
In Conclusion: compared to conventional clamping technique, VH using deschamps ligature needle technique represented a safe, less time consuming, and minimally-invasive technique in women with benign non-descent uteri.