Sutureless Vaginal Hysterectomy in the Gynecology and Obstetrics Department of the Teaching Hospital of Point "G": Indications and Prognosis
Sima M,
Kanté I,
Traoré SO,
Traoré MS,
Bocoum A,
Maïga Y,
Coulibaly A,
Koné K,
Théra T,
Téguété I,
Traoré Y
Introduction: Hysterectomy is the most commonly performed major surgical procedure worldwide.
Vaginal hysterectomy provides several benefits, including its non-invasive nature, improved postoperative
outcomes, and fewer complications.
Objective: To study the indications and prognosis of sutureless vaginal hysterectomy in our department.
Materials and Methods: This was a retrospective cross-sectional study collecting data on all cases of
vaginal hysterectomy (with or without sutures) performed for benign conditions between December 1,
2016, and June 30, 2022 (five years and six months) at the Teaching Hospital of Point "G".
Results: The frequency of sutureless vaginal hysterectomy was 0.38% of surgical procedures and 9.13%
of hysterectomies. The median age of the study population was 57.5 years. The most common type of
anesthesia was spinal anesthesia (85% for the sutureless group and 97.5% for the sutured group). The
median duration of the procedure was 65.2 minutes for the sutureless group and 70 minutes for the
sutured group. Intra- and postoperative complications were noted in the sutured group (hemorrhage in
2.5% and small bowel obstruction in 2.5%). The majority of patients in both groups had a hospital stay
of 1 to 3 days (95% and 77.5%, respectively).
Conclusion: Sutureless vaginal hysterectomy appears to be well-suited to our indications for
hysterectomy and has a good prognosis in our practice.
