Post operative outcomes of Total laparoscopic hysterectomy versus Non descent vaginal hysterectomy in Abnormal uterine bleeding patients: A prospective randomized control study.

Dr Shailee Bhatt; Dr Ami Shah; Dr Mukul Shah

Volume : VIII, Issue : XI, November - 2019

Post operative outcomes of Total laparoscopic hysterectomy versus Non descent vaginal hysterectomy in Abnormal uterine bleeding patients: A prospective randomized control study.

Dr Shailee Bhatt, Dr Ami Shah, Dr Mukul Shah

Abstract :

Background: Hysterectomy is one of the most commonly performed major gynecological surgery. The decision depends on indications for operation, surgeon�s training and preference, uterine size, adnexal pathologies and patient choice. There is increasing trend towards minimally invasive, less painful and cosmetic surgeries. Thus, Total laparoscopic hysterectomy (TLH) and Non descent vaginal hysterectomy (NDVH) have gained popularity. Objectives To compare post–operative outcomes in form of blood loss, ambulation time, post–operative pain and complications between TLH and NDVH in patients having abnormal uterine bleeding. Methods: Patients undergoing above operation during December 2018 to June 2019 at GCS medical college, hospital and research center, Ahmedabad, were included in the study. All patients having Abnormal uterine bleeding were thoroughly examined and investigated. Option for medical management was provided to all patients. Patients were observed minutely during post– operative period for any complications. Results: Twenty five patients underwent NDVH and twenty five underwent TLH. Intra operative blood loss, post–operative pain and ambulation time are slightly more in NDVH patients as compared with TLH. Conclusions: TLH is associated with less morbidity and post–operative complications than NDVH. However, the approach of hysterectomy shall depend upon the technologies available in hospital, skill of surgeon, size and pathological nature of uterus and preference of surgeon as well as the patient.