Total Laparoscopic Hysterectomy versus Total Abdominal Hysterectomy in Uterine Tumors
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 72, Issue 10
Abstract
<strong>Background:</strong> laparoscopic hysterectomy (LH) rates have increased but abdominal hysterectomy (AH) still high and often the first choice for many surgeons even with most of studies reported that the minimal access method offers significant patient benefit over open surgery. <strong>Aim of the Work:</strong> we aimed to compare the outcome of total laparoscopic hysterectomy as regard the result and safety compared to total open abdominal hysterectomy in cases of uterine tumors. <strong>Patients and Methods:</strong> this prospective randomized controlled study performed on 25 patients who underwent LH (group 1) compared to 25 patients who underwent AH (group 2). The mean age of the cases, body mass index (BMI), duration of operation, estimated blood loss (EBL), rate of complications, post-operative hospital stay and convalescence time were compared for two groups. <strong>Results:</strong> LH was associated with a significantly longer operating time (139.96±22.66 minutes vs. 106.54±21.8 minutes P 0.001). As regard intraoperative complications and estimated blood loss there was no difference in both groups. In LH group the pain score and analgesia requirements in post-operative period were significantly less with fewer requiring opioid analgesia. There was a highly significant difference between groups in postoperative wound infection which was higher in AH group. LH was also associated with a significantly shorter inpatient hospital stay (2.22 days vs. 5.52 days P= 0.022) and earlier returned to normal life (7.5 days vs. 20.6 days P<0.001). <strong>Conclusion:</strong> total laparoscopic hysterectomy is safe and feasible procedure in treatment of uterine tumors with accepted peri-operative morbidity and good improvement of quality of life post-operative.
Authors and Affiliations
Eman Helal
Keywords
Related Articles
- EP ID EP584346
- DOI 10.12816/ejhm.2018.11353
- Views 126
- Downloads 0
Soluble P-selectin Level in Patients with Deep Venous Thrombosis
<strong>Background: </strong>Venous thromboembolic disease (VTE) remains a significant source of morbidity and mortality. As non-specific subjective complaints and a lack of objective clinical examination findings compli...
Dermoscopic Features of Keloid versus Hypertrophic Scar
<strong>Background</strong>: Hypertrophic scars and keloids can be described as variations of typical wound healing. <strong>Aim of this study</strong> was to find out the dermoscopic differentiating features between kel...
Profile of Skin Biopsies and Skin Cancer Subtypes in Hail Region, A Three Years Retrospective Study
to analyze the spectrum of skin lesions at our institute, and study the age, sex and anatomic distribution pattern. We will also classify the lesions into major categories and determine the incidence of each subcategory.
Comparison between Cyanoacrylate, Sutureless and Polypropylene Sutures in Mesh Fixation on Lichtenstein Tension free in repair of Open Inguinal Hernia
<strong>Background:</strong> inguinal hernia repair is one of the most common operations in general surgery. The Lichtenstein tension-free operation has become gold standard in open inguinal hernia repair. Despite the lo...
Role of Multi-slice CT in Staging of Neuroblastoma
<strong>Background:</strong> The International Neuroblastoma Risk Group Staging System (INRGSS) is a recent pretreatment staging system for neuroblastoma (NB), based on imaging by CT before surgery. <strong>Purpose:</str...