Vaginal hysterectomy and oophorectomy in women with 12–20 weeks’ size uterus

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Abstract
Background. To compare the surgical outcomes of vaginal hysterectomy and prophylactic oophorectomy in women with a uterine size280 g (n = 83, 280–1150 g) and a uterine weight n = 158). The 2 groups were compared for success rates of hysterectomy and bilateral oophorectomy vaginally, operative time, change in haemoglobin, haemorrhage, length of hospital stay, operative complications, and febrile morbidity. Results. All 241 hysterectomies were completed successfully vaginally, and no patients required laparotomy or additional procedures in both groups. No significant intra‐ and post‐operative complications requiring admission to the hospital were encountered in either group. Mean operating time was significantly longer in the uteri ≥280‐g group than in the pppConclusions. Our findings demonstrate that despite the prolonged operating time and increased intraoperative blood loss, vaginal hysterectomy can be safely performed on a large uterus. Routine bilateral prophylactic oophorectomy can be performed in all patients who have sufficiently long infundibulopelvic ligaments to permit removal of the entire ovary.