Non descent vaginal hysterectomy (NDVH)
NonDescent vaginal hysterectomy (NDVH) is a kind of vaginal hysterectomy that can be done when the uterus is not prolapsed. Since the uterus is removed via the body’s natural orifice or opening (vagina), there are no obvious scars.
The procedure is referred to as a “complete hysterectomy” if the uterus, fallopian tubes, cervix, etc. are all removed, and as a “partial hysterectomy” if they are not.
The physician continued by explaining that there are three alternative ways to perform a hysterectomy: abdominally, vaginally, and laparoscopically. Cuts are made on the midregion during an open stomach hysterectomy, after which the conceptive organs are removed.
A laparoscopic hysterectomy is performed when small access sites are used to remove the uterus using laparoscopic tools. The most common reason for a vaginal hysterectomy is uterine prolapse, which is when the uterus slides into the vagina.
A type of vaginal hysterectomy known as a nondescent vaginal hysterectomy (NDVH) can be performed when the uterus is not prolapsed.
Having a Non-Descent Vaginal Hysterectomy is an option if you have
- Abdominal Prolapse
- Fibroid
- unexpected vaginal bleeding
- Endometriosis
- Obstetrical cancer (cancer in the neck of the womb, or the womb)
- persistent pelvic discomfort
- Cells or tissue on the cervix that are malignant or precancerous.
Please Note: Depending on the patient’s overall health, medical history, and current medical conditions, different medical treatments have different eligibility requirements.
Before Non Descent Vaginal Hysterectomy
A vaginal hysterectomy normally requires the following measures for preparation:
- a physical exam to assess general health
- Pelvic exam
- urine and blood tests
- conversation with your surgeon about your full medical history
- If you smoke, you will be encouraged to stop at least six weeks before the surgery because it can interfere with recovery and cause issues during the procedure.
- You will be instructed to abstain from food and drink for at least 12 hours before the operation.
- Before the procedure, your doctor can advise an enema or a laxative to completely empty your system.
- You will be instructed to abstain from food and drink for at least 12 hours before the operation.
Prior to the procedure, the doctor could recommend various medications that can lower the chance of significant bleeding during the procedure.
During Non-Descent vaginal hysterectomy
The vaginal hysterectomy surgery entails the following steps:
- An anaesthetist will first provide general anaesthesia to keep you pain-free throughout the procedure.
- Right above the vagina, the surgeon makes an incision once the anaesthetic has taken effect.
- With two thin instruments, he cuts and ties off the ligaments, blood vessels, and fallopian tubes that are attached to the uterus through the incision.
- The surgeon removes the uterus through the vagina once it is released.
Note: The surgeon may cut the uterus into smaller parts and remove it in portions if it is big. The incision was then stitched.
After Non-Descent Vaginal Hysterectomy
The following are the post-operative instructions for vaginal hysterectomy:
- Immediately following the hysterectomy procedure, an overnight stay in the hospital is necessary. In reality, depending on your condition, a hospital stay of 2 to 5 days is usually necessary following a vaginal hysterectomy treatment.
- You’ll be checked frequently for discomfort and given painkillers and antibiotics as needed.
- You should wait at least six weeks after surgery before engaging in any vigorous physical activity, including lifting heavy objects.
- After surgery, you must wait at least six weeks before taking a tub bath.
- You might need to briefly follow a liquid diet.
- The doctor will advise you to do things or not do things based on your health.
- The doctor may advise you to avoid sexual activity for 6 to 8 weeks following surgery, depending on your health.
- Since vaginal bleeding could happen after a hysterectomy surgery and linger for a few weeks, you’ll need to use sanitary napkins.
- Depending on how quickly you recover, the doctor may recommend that you resume work, do light housework, and drive locally after six weeks.
- Constipation is a typical issue following any operation because of the quantity of medications and inactivity.
- Consuming fiber rich fruits and vegetables and drinking a lot of water can help you avoid constipation.
- A stool softener or laxative may also be prescribed by the doctor if that is ineffective or if constipation gets worse.
Non Descent Vaginal hysterectomy has hazards that include:
- lungs or leg blood clots
- Infection
- a lot of blood
- negative impact of anaesthesia
- Risk of harm to your rectum, ureter, bowels, or urinary tract during surgery, which could necessitate additional surgery to repair
- Menopause to start sooner even if the ovaries aren’t removed
A hernia could form right over your vagina. - After the procedure, you might have trouble emptying your bladder.If the patient has already had a caesarean section or pelvic surgery, the risk of issues in the bladder, colon, and ureter increases.
- These operations leave behind scar tissue, which could make the procedure more challenging.
Results
Youmight experience relief following a hysterectomy as you no longer have painful pelvic cramps or excessive bleeding.
After a hysterectomy, most women’s sexual function remains unchanged.
However, some women report increased sexual satisfaction following hysterectomy; thiscould be because they no longer experience pain during sex.
After a hysterectomy, you could experience grief and a sense of loss, which is natural.
If you were young and planned to become pregnant in the future, you may also be experiencing depression connected to the loss of your fertility.
Speak with your doctor if depression or other unpleasant emotions prevent you from enjoying life on a daily basis.