Total laparoscopic versus hysterectomy
Journal Title: International Archives of Integrated Medicine - Year 2018, Vol 5, Issue 1
Abstract
Background: Total laparoscopic hysterectomy (TLH) is now emerging as a safe procedure even in patients suitable for vaginal hysterectomy (VH) due to its advantages like better visualisation, less post-operative pain and shorter hospital stay. This study was conducted to compare between laparoscopic hysterectomy and vaginal hysterectomy in females with benign disorders. Materials and methods: This was retrospective study conducted in Department of Obstetrics and Gynaecology, Laxmi Narasimha Hospital, Warangal. The patients who were indicated for vaginal hysterectomy or total laparoscopic hysterectomy were included. This study was conducted during the period of July 2015 to October 2016. Forty eight patients were included in the TLH group who underwent total laparoscopic hysterectomy and forty three patients were included in the VH group who underwent vaginal hysterectomy. Results: Operation time was higher in TLH group which was 112.56 hours when compared to VH group which was 101.42 hours (p<0.001). Hospital stay was more in VH group which was 5.77 days when compared to TLH group which was 4.05 days (p<0.001). Analgesia dosage was higher in VH group which was 1.64 when compared to that in TLH group which was 1.28 (p<0.001). The rate of complications in both the groups was found to be non-significant statistically. One woman who was undergoing VH had bladder injury which was recognised intraoperatively and treated and another one had vault hematoma in post-operative period which was also managed. In one case of VH, conversion to laparotomy was done due to difficulty but all cases were posted for TLH. Conclusion: Compared to Vaginal hysterectomy, total laparoscopic hysterectomy was more advantageous as it showed lesser hospital stay and lesser analgesia dose.
Authors and Affiliations
B Sandhya Rani
Keywords
Related Articles
- EP ID EP413537
- DOI -
- Views 111
- Downloads 0
Psychological impact and coping strategies among women with infertility - A hospital based cross sectional study
Background: Infertility rates were highest in women living in urban areas and increases proportionately with level of education. The social consequences due to infertility affect the women more often. It is necessary to...
Body mass index based anemic status among children who are attending the pediatrics ward of southern part of Chennai - A prospective study
Introduction: Anemia can increase the risk of maternal and child mortality, impair cognitive and physical development in children, and endanger physical performance in adults. Obesity is a growing global health problem;...
Carboplatin - based chemotherapy in advanced ovarian cancer
Eight patients of advanced ovarian cancer were treated with monthly cycles of Ifosfamide, Adriamycin and Carboplatin. Debulking surgery was done in 7 cases. None of the patients had complete response. All eight patients...
Management of osteoporosis in women - A prevalence and interventional study
Background: In modern era, Osteoporosis is become a major public health problem, associated with substantial morbidity and socio-economic burden. Osteoporosis is a disorder having the characteristic features of low bone...
Maternal and Perinatal Outcome in Twin Gestation in a Referral Hospital at Visakhapatnam
Background: Multiple births have been a subject of great interest to various Scientists such as endocrinologists and geneticists, a source of fascination to some people and a causes concern to obstetrician and pediatrici...