Observational evaluation of preoperative, intraoperative, and postoperative characteristics in 117 Brazilian women without uterine prolapse undergoing vaginal hysterectomy

Figures & data

Figure 1 Points and landmarks for Pelvic Organ Prolapse Quantification system examination.

Abbreviations: Aa, point A anterior; Ap, point A posterior; Ba, point B anterior; Bp, point B posterior; C, cervix or vaginal cuff; D, posterior fornix (if cervix is present); gh, genital hiatus; pb, perineal body; TVL, total vaginal length.

Table 1 General preoperative characteristics in the study population (n = 117)

Variable	Value	Median
Age	45.21 ± 5.57	46
Uterine volume	327.33 ± 216.01	240
Parity	2.4 ± 0.87	2
Route of delivery
Vaginal route	31 (26.9%)
Cesarean section	86 (73.50%)
Surgical indication
Uterine myoma	76 (64.95%)
Abnormal uterine bleeding	28 (23.93%)
Endometrial hyperplasia	7 (5.98%)
Pelvic pain	4 (3.41%)
Associated surgical conditons
Ovarian cyst	31 (26.49%)
Urinary incontinence	18 (15.38%)
Rectocele	43 (36.75%)
Prior surgery
Tubal ligation	52 (44.44%)
Oophoroplasty/oophorectomy	6 (5.12%)
Myomectomy	4 (3.41%)
Appendectomy	6 (5.12%)
More than one surgery	35 (29.91%)

Table 2 General intra-operative characteristics in the studied population (n = 117)

Variable	Value	Median
Surgery time	43.15 ± 18.06	38.00
Surgical technique
Without uterine reduction	76 (64.95%)
With uterine reduction	41 (35.04%)
Morcellation	3 (7.31%)
Uterine cervix amputation	3 (7.31%)
Uterine wall wedge resection	2 (4.87%)
Myomectomy	7 (17.07%)
Uterine bipartition	4 (9.75%)
Myometrium section (Lash’s technique)	22 (53.65%)
Associate surgery
Salpingectomy*	95 (81.19%)
Ovarian surgery	31 (26.49%)
Transobturator sling	18 (15.38%)
Posterior colpoplasty	43 (36.75%)
Anesthesia
Spinal anesthesia	80 (68.37%)
General anesthesia	10 (8.54%)
Spinal + general anesthesia	27 (23.07%)
Conversion to abdominal route	1 (1.28%)
Bladder lesion	10 (8.54%)
Hemorrhage	1 (1.28%)

Note:

* Salpingectomy was routinely performed jointly to other complementary surgical procedures.

Table 3 General postoperative characteristics in the studied population (n = 117)

Variable	Value	Median
Hospitalization time	28.31 (±9.25)	24
Urinary infection	15 (12.82%)
Vaginal cupola hematoma	3 (2.56%)
Vaginal cupola granuloma	38 (32.47%)

Table 4 Descriptive analysis for quantitative variables (n = 117)

Variable	Mean/SD	Median	Minimum	Maximum
Age (y)	45.21 ± 5.57	46	33	59
Parity	2.4 ± 0.87	2	1	6
Uterine volume (c^3)	327.33 ± 216.01	240	90	90
Surgery time (minutes)	43.15 ± 18.06	38	20	90
Hospitalization time (hours)	31.39 ± 11.08	24	24	48

Table 5 Correlation between surgery time and uterine volume (n = 117)

Surgery time (minutes)	Uterine volume (cc)
	Until 300	301 to 600	601 to 900
Until 30	53	12	4
31 to 60	21	8	9
>60	2	5	3

Notes: Chi-square = 17.367; P = 0.002.

Table 6 Correlation between surgery time with- or no-complementary surgery achievement (n = 117)

Surgery time (minutes)	With associate surgery	No associate surgery
Until 30	16	68
31 to 60	4	22
>60	2	5

Notes: Chi-square = 0.640; P = 0.726.

Table 7 Correlation between surgery time in presence, or not, of previous surgery (n = 117)

Surgery time (minutes)	Prior surgery	No prior surgery
Until 30	44	39
31 to 60	17	7
>60	7	3

Notes: Chi-square = 3.063; P = 0.216.