World Journal of Laparoscopic Surgery

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Volume  14 (2021)
Volume  13 (2020)
Volume  12 (2019)
Volume  11 (2018)
Volume  10 (2017)
Volume  9 (2016)
Volume  8 (2015)
Volume  7 (2014)
Volume  6 (2013)
Volume  5 (2012)
Volume  4 (2011)
Volume  3 (2010)
Volume  2 (2009)
Volume  1 (2008)
Related articles

VOLUME 10 , ISSUE 1 ( January-April, 2017 ) > List of Articles

RESEARCH ARTICLE

Laparoscopic vs Abdominal Hysterectomy in the Management of Benign Gynecological Diseases: A Tertiary Hospital Experience in Punjab

Garima Gupta, Vanlal K Varte

Citation Information : Gupta G, Varte VK. 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.

DOI: 10.5005/jp-journals-10033-1293

Published Online: 01-04-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


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.

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.

PDF Share
  1. Hysterectomy. In Berek & Novak's gynaecology. 15th ed. Lippincott Williams & Wilkins, Wolters Kluwer; 2012. p. 803.
  2. Why hysterectomy rate are lower in India. Indian J Community Med 2008 Jul;33(3):196-197.
  3. Prevalence of hysterectomy among rural and urban women with and without health insurance in Gujarat, India. Reprod Health Matters 2011 May;19(37):42-51.
  4. Is laparoscopic hysterectomy a waste of time? Lancet 1995 Jan 7;345(8941):36-41.
  5. Comparison of Laparoscopic assisted vaginal hysterectomy, total abdominal hysterectomy and vaginal hysterectomy. Ulster Med J 2006 Jan;75(1):45-48.
  6. Total Laparoscopic hysterectomy: indications, techniques and outcomes. Curr Opin Obstet Gynaecol 2007 Aug;19(4):337-344.
  7. Laparoscopic assisted vaginal hysterectomy with lateral transection of uterine vessels. Surg Endosc 2003 Mar;17(3):485-490.
  8. Comparison of laparoscopically assisted vaginal hysterectomy and total abdominal hysterectomy. Med J Islam Repub Iran 2008 May;22(1):23-28.
  9. Laparoscopic assisted vaginal hysterectomy: a case control comparative study with total abdominal hysterectomy. Faridpur Med Coll J 2013;8(2):59-62.
  10. A retrospective and comparative study between laparoscopically assisted vaginal hysterectomy (LAVH) and total abdominal hysterectomy (TAH). J Med Assoc Thai 2004 Jul;87(7);745-749.
  11. A comparative study between laparoscopically assisted vaginal hysterectomy and abdominal hysterectomy. J Med Assoc Thai 2007 May;90(5):837-843.
  12. Laparoscopic assisted vaginal hysterectomy: a case control comparative study with total abdominal hysterectomy. J Am Assoc Gynecol Laparosc 1994 Feb;1(2):116-121.
  13. Laparoscopically assisted vaginal hysterectomy: a suitable substitute for abdominal hysterectomy. J Reprod Med 2000 Sep;45(9):738-742.
  14. Comparison of laparoscopically assisted vaginal hysterectomy and abdominal hysterectomy: a randomized controlled trial. J Minim Invasive Gynecol 2012 Jan-Feb;19(1):89-94.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.