Comparison of total laparoscopic Hysterectomy versus vaginal hysterectomy for benign non prolapsed uterus
Journal Title: International Journal of Biomedical and Advance Research - Year 2018, Vol 9, Issue 1
Abstract
Background: Vaginal hysterectomy is a well established and time tested procedure which is being done since the last 150 years and thus has been refined to a great degree, but it has been less successful due to lack of experience and enthusiasm among Gynaecologists, due to a misconception that the abdominal route is safer and easier. Objective: The present study was undertaken to compare outcomes of conventional vaginal hysterectomy and total laparoscopic hysterectomy in women with benign non prolapsed uterus.Methods: Total 50 cases of non prolapsed uterus requiring hysterectomy were systematically allocated into two groups of 25 patients in each group, (Vaginal and total laparoscopic hysterectomy group). All patients underwent pelvic ultrasound (USG). Surgical techniques, operating time, estimated blood loss and/or episodes of accidental bleeding requiring intervention intra-or post-operatively were compared. Other factors such as post operative pain, post-operative complications, conversion to laparotomy, and length of hospital stay were also recorded for each case.Results: We found that blood loss in vaginal hysterectomy was more than in total laparoscopic hysterectomy. Post-operative pain and post complications were also more in the vaginal hysterectomy group. Operation time was however more in the total laparoscopic hysterectomy group but recovery time was less.Conclusion: In the present study, we found advantages of laparoscopic hysterectomy over vaginal hysterectomy in terms of lesser blood loss, postoperative pain and postoperative complications, a larger study with emphasis on long term effects may be essential to establish superiority of total laparoscopic hysterectomy over vaginal hysterectomy.
Authors and Affiliations
Prajakta Mehendale, Aruna Menon, Anupam Kapur, S Srinivas
Keywords
Related Articles
- EP ID EP428082
- DOI 10.7439/ijbar.v9i1.4605
- Views 73
- Downloads 0
Lipid parameters in a hypofunctioning thyroid gland
Background: Hypofunctioning of the thyroid gland is associated with lipid abnormalities. There is an inverse relation between the lipid parameters and the thyroid hormones. Management of such abnormalities becomes essent...
Octopus around heart: A Case Report
Left main coronary aneurysm is extremely rare entity under umbrella of atherosclerotic coronary artery disease. Epidemiological and clinical data are lacking to guide management strategy. The case described here is of 72...
Comparative Study of Serum Lipid Profile Of Obese And Non-Obese Students (Male) Of Aljouf University
Background: The prevalence of obesity has risen dramatically in past several decades. Hormonal and genetic factor are rarely the cause of childhood obesity. Because obese adult may suffer life long physical and emotional...
Histopathological Vs. cytological findings in cervical lesions (Bethesda System 2001) A comparative study
Background: Cervical malignancy is the major health burden in India. For detection in early stage, the screening test is PAP smear. To check the sensitivity and specificity of Bethesda system, the cytological findings ha...
A Comparative Study of Posterior Approach versus Lateral Approach in Surgical Management of Intra-capsular Neck Femur Fractures
Aims and Objective: The present study was undertaken to evaluate and compared relevant early surgical complications rates after posterior and lateral approach. Methods: A total 80 patients of either sex, age between 50-...