Hello,

Thank you for requesting me.

In Upper Vaginectomy, only the upper 1/3 rd of the vagina is removed. The patient needs to be admitted the day before the operation for pre-operative preparation. Once the operation is over, a vaginal pack (made of gauze) is inserted and kept in place for 24 hours. It is removed the next day and the patient is allowed to go home only after ensuring that there is no bleeding from the vagina.

In simple vaginectomy, the entire vagina is removed. Here, we normally admit the patient the day before the operation, but I guess she can be called in the day of the operation also. Once the entire vagina is removed, the open area is closed off by stitches, ensuring no bleeding. The difference in upper vaginectomy lies at this point. Since a part of the vagina is left in place in upper vaginectomy, a pack needs to be inserted to prevent bleeding. Since in simple vaginectomy, the entire vagina is removed, no pack needs to be inserted. Normally we keep the patient admitted in the hospital for at least the first 24 hours to keep her under observation. Perhaps it is different at your hospital.

Out here, we do not do simple vaginectomy as an out patient procedure. The patient needs to stay in the hospital for 3-4 days, since we admit her the day before the operation and keep her for at least another 24 hours after the operation.

I hope this helps.

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