NDVH Full Form in Medical is Non-Descent Vaginal Hysterectomy. It is a surgical procedure for the removal of the uterus through the vaginal route without the need for abdominal incisions, even in cases where the uterus has not descended (prolapsed).

Procedure

NDVH is performed under general or regional anesthesia. The surgeon accesses the uterus through the vaginal canal, carefully detaching it from surrounding tissues, including the cervix, fallopian tubes, and sometimes the ovaries. The procedure avoids external scars and typically results in quicker recovery.

Indications

NDVH is recommended for various gynecological conditions, including:

• Uterine Fibroids: Benign tumors causing excessive bleeding or pain.
• Abnormal Uterine Bleeding: Persistent or heavy menstrual bleeding unresponsive to medical treatment.
• Endometriosis: A condition where tissue similar to the uterine lining grows outside the uterus.
• Adenomyosis: Thickening of the uterine walls causing pain and heavy periods.
• Early-Stage Uterine Cancer: In select cases where vaginal removal is feasible.

Advantages of NDVH

• Minimally Invasive: No abdominal incision is required, reducing surgical trauma.
• Faster Recovery: Patients typically experience a shorter hospital stay and quicker return to normal activities.
• Less Postoperative Pain: Compared to abdominal hysterectomy, NDVH involves less discomfort.
• Lower Risk of Complications: Reduced risk of infections and blood loss.

Limitations

• Not suitable for very large uteruses or cases with extensive adhesions.
• Requires a skilled surgeon with expertise in vaginal surgery.