Summary:
Aims and Objectives: This study was undertaken to compare
with the traditional Heaney‘s method of vaginal
hysterectomy and the newer Ten-Step Vaginal Hysterectomy
and to emphasize that this is a safe procedure with lesser
blood loss, shorter operation time and shorter requirements
of analgesia.
Study Design: 110 Patients with non descent, first, second
and third degree prolapsed uterus from 45 to 72 years of
age were subjected to this study in Khalishpur Clinic. Those
women were randomly selected. Among them 54 women
had the traditional Heany‘s Methods of Vaginal
Hysterectomy and 56 women had the Ten-Step Vaginal
Hysterectomy (TSVH). The blood loss was measured by
hemoglobin assessment before and 3 days after operation.
Material and Methods: In Ten-Step Vaginal Hysterectomy
the vaginal wall was incised by drop-like incision starting
under the urethra, continuing laterally and down, encircling
the cervix from behind and returning back to the starting
point from the other side, then separation was done laterally
to the side to the uterus. Bladder is detached from the uterus,
and the posterior peritoneum is opened. The sacro-uterine