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World Journal of Laparoscopic Surgery
Abstract
 
 

ABSTRACT

Objectives:
• To compare laparoscopically assisted vaginal hysterectomy (LAVH) with total abdominal hysterectomy (TAH) in a retrospective analysis for the management of benign diseases.
• To evaluate average age, hospital stay, blood loss, intraoperative and postoperative complication rates, and postoperative pain management.

Study design:
• A retrospective case–control study in Christian Medical College and Hospital, Ludhiana, was carried out comparing LAVH) and TAH for a period of 1 year between November 2014 and October 2015.
• Sample size: A total of 124 patients (62 for LAVH and 62 for TAH).

Results:
• The LAVH is associated with shorter hospital stay as compared with TAH (3.3 and 5.8 days; p < 0.001), less amount of blood loss (176 and 420 mL; p < 0.022), and less number of postoperative complication rates (4.76 and 14.5%; p = 0.061).
• The LAVH is also associated with less number of blood transfusions. Only 8 patients required blood transfusion intra- or postoperatively following LAVH, and 25 patients for TAH.
• The operation time in LAVH is slightly longer as compared with TAH (173 vs 153 minutes; p = 0.999).
• Analgesic drug requirement to control pain was significantly less in LAVH. About 38.7% required continous opoid infusion pump following TAH, and only 6.35% following LAVH.

Conclusion:
• The LAVH is a safe and reliable alternative to open surgery in the management of benign gynecological diseases, with significantly reduced hospital stay and complications.

Keywords: Analgesia, Blood loss, Complications, Laparoscopically assisted vaginal hysterectomy, Total abdominal hysterectomy.

How to cite this article: Gupta G, Varte VK, Goyal S. Laparoscopic vs Abdominal Hysterectomy in the Management of Benign Gynecological Diseases: A Tertiary Hospital Experience in Punjab. World J Lap Surg 2017;10(1):8-11.

Source of support: Nil

Conflict of interest: None

 
 
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