Dr Aqsa Akram, Dr Ayesha Sharif, Dr Kulsoom Riasat
Objective: Understanding the patient's vitality, acceptability and satisfaction with vaginal hysterectomy performed during 24-hour hospitalization. Place and Duration: In the Obstetrics and Gynecology department of Lady Willingdon Hospital, Lahore for one year duration from January 2019 to January 2020. Methodology: This is a descriptive observational study involving women with vaginal prolapse who are not obese but have adequate support at home and have access to a telephone. Patients with uncontrolled co-morbid conditions such as hypertension, diabetes, obstructive pulmonary disease, etc. Patients who had to be observed were excluded from the study in women with appendix pathology that had to be removed from the vagina. All parameters of postoperative recovery and patient satisfaction were noted, developed and presented. Results: Of the 57 candidates eligible for vaginal hysterectomy, only 20 agreed to participate in the study from 24-hour hospitalization, and one refused to go after surgery because of vomiting. None of the 19 patients returned before the first follow-up visit, which was the ninth day after surgery. Three of them (15%) complained of aggressive vaginal secretions, in 1 (0.2) the woman suffered bleeding after returning home, but this was checked by phone instructions. Four (20%) patients who initially agreed to stay for 24 hours did not discharge. Seventeen (85%) patients were dissatisfied with the great concern for postoperative home care and the financial burden associated with visiting the outpatient clinic before admission. Conclusion: Vaginal hysterectomy can be safely performed as a short hospitalization operation, but the lack of infrastructure and knowledge of the main provider and community makes it less acceptable, less satisfying and expensive. at the end of the buyer. Keywords: Short-term surgery, vaginal hysterectomy and uterine prolapse.