STUDY ON BLOOD LOSS IN VAGINAL SURGERY FOR PELVIC ORGAN PROLAPSED BETWEEN HYDRO DISSECTION& CONVENTIONAL DISSECTION

Abstract

Aim: The aim of the present investigation is Study on Blood Loss in Vaginal Surgery for Pelvic Organ Prolapsed between Hydro dissection & Conventional Dissection.

Material & Methods: In this record based, case series study, 92 women who underwent vaginal hysterectomy during the period 1 year 9 months at our hospital was included. Of 92 cases, NDVH was done in 35 cases, and 57 patients underwent vaginal hysterectomy with PFR. Of 92 cases, 40 cases had hydro dissection. The women who fulfilled the inclusion criteria were recruited. Written informed consent was given by all the participants included in the study. Demographic details like age, residence, socioeconomic status were collected. Medical comorbidities were noted. The preoperative prolapse staging {POP-Q} was recorded as per proforma.

Results: The blood loss was analyzed under three headings of clinically estimated, actual and average blood loss based on the formulae explained in the material section. The blood loss did not follow a normal distribution, so the difference was analyzed using the Mann-Whitney U test. We observed that the average blood loss was significantly lower in the saline compared with the no infiltration group. Conclusion- Hydro dissection with diluted adrenaline should be practice by all vaginal surgeons to reduce the duration of surgery and intraoperative blood loss.

Keywords: Blood Loss, Vaginal Surgery, Pelvic Organ Prolapsed, Hydro dissection, Conventional Dissection