Socio economic boon - Aqua Dissection Technique of vaginal hysterectomy

In this technique we infiltrate about 150 to 250 ml of saline, with or without adrenaline or vasopressin, the drugs which cause vasoconstriction. (I personally add 2-3 drops of adrenaline with a 20 gauge needle in 200 ml of saline, lest there is an absolute contraindication like severe hypertension or previous myocardial infarction). This saline is infiltrated under pressure with a no. 16 or 18 gauge needle, all around the cervix, just under the vaginal mucosa (skin of the vagina). Only about half a centimetre of the needle should go under the mucosa. This ground breaking technique had one more main advantage that was bequeathed to the populace of India by the very gracious Dr. Vyomesh Shah. The main advantage being reduction in costs of the expenses relating to the surgery as well as care procedures post the surgery also.