The Effects Of A Modified Surgical Technique On The Incidence Of Vault Haematomas

Abstract

Objective: To evaluate the effects of a modified incision and closure technique on the
incidence of vault haematoma and post operative morbidity after vaginal hysterectomy..
Methods: 100 patients aged between 40 to 70 years having utero vaginal prolapse undergoing
vaginal hysterectomy were included in the study. Vaginal hysterectomy was performed with a
modified Incision. Patients were observed for fever, pain and vaginal bleeding.
Pelvic ultrasound was carried out for any pelvic collection or Haematomas. Patients were
followed for one month. Patients with complaints of lower abdominal pain, vaginal spotting,
bleeding or fever were re admitted and evaluated.
Results: Out of 100 patients, 2% patients developed vault haematomas,11% developed pain,
5% developed fever.7% patients stayed at hospital For 56 days due to complications
.Haematoma was confirmed by ultrasound in 2% cases and those were readmitted
.Conservative management was done .No patient required surgical evacuation.
Conclusion: Adoption of the modified technique resulted in a significant fall In postoperative
morbidity due to haematoma formation.