Non-Descent Vaginal Hysterectomy (NDVH)

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What is Non-Descent Vaginal Hysterectomy (NDVH)?

NDVH is a surgical procedure to remove the uterus through the vagina, even when the uterus is not prolapsed (i.e., it is in its normal position). Unlike traditional hysterectomies that require abdominal incisions, NDVH is performed entirely through the vaginal canal, making it a less invasive option with numerous benefits.

Why is NDVH Performed?

NDVH may be recommended to treat a variety of gynaecological conditions, including:

  • Uterine Fibroids: Non-cancerous growths that cause pain, heavy bleeding, or pressure.
  • Heavy Menstrual Bleeding: Excessive bleeding that does not respond to other treatments.
  • Adenomyosis: A condition where the uterine lining grows into the uterine wall, causing pain and heavy periods.
  • Chronic Pelvic Pain: Persistent pain that does not improve with other treatments.
  • Endometrial Hyperplasia: Thickening of the uterine lining that can lead to abnormal bleeding.
  • Early-Stage Uterine or Cervical Cancer: In some cases, NDVH may be an option for cancer treatment.

Benefits of NDVH

Compared to traditional abdominal hysterectomy, NDVH offers several advantages:

  • No Abdominal Incisions: The procedure is performed entirely through the vagina, leaving no visible scars.
  • Faster Recovery: Most patients return to normal activities within 2-3 weeks.
  • Less Pain: Reduced postoperative pain compared to abdominal surgery.
  • Shorter Hospital Stay: Patients typically go home within 1-2 days after surgery.
  • Lower Risk of Complications: Reduced risk of infection, bleeding, and other complications.

What to Expect During NDVH

Dr. Kanchi Khurana ensures a seamless and comfortable experience for her patients. Here’s what you can expect:

Before the Procedure

  • Consultation: Dr. Kanchi Khurana will evaluate your condition, discuss the procedure, and answer your questions.
  • Preoperative Instructions: You may be asked to stop certain medications, fast before surgery, and arrange for someone to drive you home.

During the Procedure

  • Anesthesia: You’ll be given general or spinal anesthesia to ensure you’re asleep and pain-free during the surgery.
  • Vaginal Access: The uterus is removed through the vaginal canal without any abdominal incisions.
  • Closing the Vaginal Cuff: The top of the vagina is stitched closed to create a “cuff.”

After the Procedure

  • Recovery Room: You’ll be monitored for a few hours before being moved to a hospital room.
  • Hospital Stay: Most patients go home within 1-2 days.
  • Postoperative Care: Dr. Kanchi Khurana will provide detailed instructions for recovery, including pain management and activity restrictions.

Why Choose Dr. Kanchi Khurana for NDVH?

  • Expertise: With extensive experience in minimally invasive surgery, Dr. Kanchi Khurana ensures safe and effective outcomes.
  • Compassionate Care: She provides emotional support and addresses all your concerns before, during, and after the procedure.
  • Advanced Techniques: Uses state-of-the-art equipment and methods for precise and efficient surgery.
  • Personalized Approach: Tailors the procedure and recovery plan to your unique needs.

Frequently Asked Questions (FAQs)

  • Is NDVH safe?
    Yes, NDVH is a safe and effective procedure when performed by an experienced surgeon like Dr. Kanchi Khurana.
  • Will I need hormone replacement therapy after NDVH?
    If your ovaries are removed, you may need hormone replacement therapy. Dr. Kanchi Khurana will discuss this with you.
  • How long does the procedure take?
    The surgery typically takes 1-2 hours, depending on the complexity.
  • What are the risks of NDVH?
    Risks include infection, bleeding, and damage to surrounding organs. Dr. Kanchi Khurana takes all precautions to minimize these risks.
  • Can I undergo NDVH if I’ve had previous pelvic surgery?
    In most cases, yes. Dr. Kanchi Khurana will evaluate your medical history and determine if you’re a candidate.

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