Vaginal hysterectomy by means of morcellation.

There were 1365 vaginal hysterectomies performed at the Department of Obstetrics and Gynaecology at Novi Sad. Morcellation was applied in 162 (11.9%) patients. It was most often applied in the group of patients from 40 to 49 years of age and in the sixth decade of life (27.2%; 44 cases). Uterine size was the basic indication for morcellation, but some other factors were of importance as well, such as: moveability, descensus, adhesions, fibroma location, depth and width of the vagina. The largest uterus in our study was 700 g in weight, while in most cases the uterus weighed approx. 250 g. There were no other complications during morcellation application. Postoperative morbidity was 24.7% and it followed the usual morbidity rate in V.H. Inflammations were the most frequent complications.