COMPARATIVE STUDY OF LAPAROSCOPIC HYSTERECTOMY WITH TOTAL ABDOMINAL HYSTERECTOMY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 1
Abstract
BACKGROUND Hysterectomy is the second most commonly performed major surgical procedure on women all over the world, next only to caesarean. The purpose of the present study was to compare the outcome between laparoscopic hysterectomy and total abdominal hysterectomy regarding duration of surgery (minutes), postoperative pain, drop in haemoglobin postoperatively, intraoperative and postoperative complications and hospital stay. MATERIALS AND METHODS This study was designed as a comparative observational study. Fifty-six patients who underwent laparoscopic hysterectomy were compared with 56 patients who underwent total abdominal hysterectomy for benign gynaecologic indications at Department of Obstetrics and Gynaecology, Acharya Vinoba Bhave Rural Hospital, Sawangi (Meghe), Wardha during September 2016 to August 2018. RESULTS Laparoscopic hysterectomy took longer time (157.32 ± 11.83 min) than abdominal hysterectomy (110.98 ± 14.44 min) which was statistically significant (p-value=0.0001). There was comparatively less drop in postoperative haemoglobin in laparoscopic hysterectomy (0.62 ± 0.77 versus 1.06 ± 0.74) than abdominal hysterectomy which was again statistically significant (pvalue=0.001). There was a significant difference in the pain scores using Visual Analogue Score (VAS) among the two study groups (p=0.0008). Mean duration of hospital stay was significantly shorter in laparoscopic hysterectomy 4.62 ± 0.61 days as compared to Total Abdominal Hysterectomy group in which it was 8.71 ± 1.64 days (p= 0.0001). CONCLUSION Laparoscopic hysterectomy has an advantage of less postoperative pain, shorter hospital stay, less drop in haemoglobin %age postoperatively as compared to the abdominal procedure.
Authors and Affiliations
Samiksha Jain, Swarnalata Samal, Mahima Tiwari
Keywords
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- EP ID EP606989
- DOI 10.18410/jebmh/2019/5
- Views 83
- Downloads 0
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