Vaginal Hysterectomy: A Comprehensive Review of Surgical Techniques, Indications, Nursing Interventions, And Patient Outcomes

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Ahmed Saleh Alraddadi, Khalid Abdulrahman Ali Almughays, Fatimah Ahmad Mohammad Oraibi, Fatimah Ahmad Mohammad Oraibi, Nada Hussain Taher Qaissi, Turki Ali Mohammed Alhuzaim, Malak Laila Rashed Alhazimi, Jawad Abdulla Mohammad Almazidi, Aljoharha Fahad Mohammad Alshammary, Shoroq Basheer Albelal, Majed Mirzaq Matar Almutairi, Omar Fahid Salem Al-Aseefir, Rahmah Motlaq Alblawi, Abdulaziz Mohsen Alshuhail, Rami Ibrahim Alalawiy.

Abstract

Background: Vaginal hysterectomy is a minimally invasive surgical approach used for the removal of the uterus, particularly in patients with benign gynecological conditions. It is known for offering several advantages over alternative methods such as abdominal and laparoscopic hysterectomy, including reduced pain, faster recovery, and lower complication rates. This review aims to evaluate the surgical techniques, indications, patient outcomes, nursing interventions, and complications associated with vaginal hysterectomy.


Aim: The primary aim of this review is to provide a comprehensive overview of vaginal hysterectomy, highlighting its techniques, indications, nursing interventions, and clinical outcomes. It also examines complications and the critical role of healthcare teams in optimizing patient recovery.


Methods: A thorough review of literature was conducted, analyzing various surgical approaches to hysterectomy, with a focus on vaginal hysterectomy. This included reviewing clinical guidelines, case studies, and existing research on patient outcomes, complications, and post-operative care.


Results: Vaginal hysterectomy is effective for managing benign gynecological conditions like uterine fibroids, pelvic pain, and abnormal bleeding. The procedure has fewer complications compared to abdominal hysterectomy, with advantages including reduced postoperative discomfort, lower costs, and quicker recovery. However, potential complications include urinary and bowel injuries, bleeding, and nerve damage, particularly in patients with complex pelvic anatomy. Healthcare providers play a significant role in ensuring the success of the procedure through preoperative counseling, skillful surgery, and postoperative care.


Conclusion: Vaginal hysterectomy is a preferred surgical approach for many benign gynecological conditions, providing significant benefits in terms of recovery and patient outcomes. Proper patient selection, surgical technique, and interprofessional collaboration are key to minimizing complications and ensuring optimal recovery.


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