DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20180884

Comparative study of surgical results between total abdominal hysterectomy and total laparoscopic hysterectomy in a tertiary hospital: a 2 year retrospective study

Kanmani M., Mirudhubashini Govindarajan, Vishranthi Selvaraj

Abstract


Background: Since the introduction of Laparoscopic hysterectomy by Reich in 1989, it has become a widely accepted technique worldwide. The aim of the study was to compare the surgical results between Total Laparoscopic Hysterectomy (TLH) and Total Abdominal Hysterectomy (TAH).

Methods: We conducted a retrospective study at Women’s center and hospitals between June 2014 to May 2016, 32 patients who underwent TAH and 55 patients who underwent TLH, were included.

Results: We observed that there was no significant difference between the two groups in respect to patient's demographic characteristics, indication of surgery, uterine size, or with history of previous pelvic surgery. Duration of surgery was found to be longer in TLH than TAH (124±39.7 min vs. 104.7±39.8 min). The length of hospital stay was less in TLH than TLH (P-0.0001) and the amount of blood loss were also less in TLH than TAH (103±149 ml versus 243±210 ml). There was no significant difference in view of intra and post operative complications. Hemoglobin change was statistically significant and is more with TAH than TLH (1.57±0.7g% versus 1.12±0.7g%).

Conclusions: This study showed that TLH can be safely performed by the experienced surgeon in order to reduce the blood loss, duration of hospital stay and the quality of life.


Keywords


Fetal distress, Hypertension in pregnancy, Stillbirths

Full Text:

PDF

References


Kluivers KB, Johnson NP, Chien P, Vierhout ME, Bongers M, Mol BW. Comparison of laparoscopic and abdominal hysterectomy in terms of quality of life: a systematic review. Eur J Obstet Gynecol Reprod Biol. 2008;136(1):3-8.

Walsh CA, Walsh SR, Tang TY, Slack M. Total abdominal hysterectomy versus total laparoscopic hysterectomy for benign disease: a meta-analysis. Eur J Obstet Gynecol Reprod Biol. 2009;144(1):3-7.

Doganay M, Yildiz Y, Tonguc E, Var T, Karayalcin R, Eryilmaz OG et al. Abdominal, vaginal and total laparoscopic hysterectomy: perioperative morbidity. Arch Gynecol Obstet. 2011;284(2):385-9

Jahan S, Das TR, Mahmud N, Mondol SK, Habib SH, Saha S. A comparative study among laparoscopically assisted vaginal hysterectomy, vaginal hysterectomy and abdominal hysterectomy: experience in a tertiary care hospital in Bangladesh. J Obstet Gynecol. 2011;31(3):254-7.

Celik C, Abali R, Tasdemir N, Aksu E, Çalışkan H, Akkuş D. Total laparoscopic hysterectomy compared with abdominal hysterectomy; clinical outcomes. J Clin Anal Med. 2014;5(6):490-3.

Cho HY, Choi KJ, Lee YL, Chang KH, Kim HB, Park SH. Comparison of two bipolar systems in laparoscopic hysterectomy. JSLS. 2012;16:456- 60.

Kongwattanakul K, Khampitak K. Comparison of laparoscopically assisted vaginal hysterectomy and abdominal hysterectomy: a randomized controlled trial. J Min Inv Gynecol. 2012;19(1):89-94.

Nanavati AM, Gokral SB. A prospective randomized comparative study of vaginal, abdominal, and laparoscopic hysterectomies. J Obstet Gynaecol India. 2016 Oct 1;66(1):389-94.

Ajjammanavar V, Jayashree S, Amrutha B. Total laparoscopic hysterectomy versus total abdominal hysterectomy: a retrospective study. J Evid Based Med Healthcare. 2015;2(41):7019-25.