Comparison of Outcomes of Total Laparoscopic Hysterectomy versus Total Abdominal Hysterectomy
DOI:
https://doi.org/10.53685/jshmdc.v4i1.113Keywords:
Total laparoscopic hysterectomy, Total abdominal hysterectomy, Blood loss, ComplicationsAbstract
Background: Hysterectomy is the most common gynecological procedure performed worldwide. Recently, total laparoscopic hysterectomy (TLH) has been presented as an effective substitute for total abdominal hysterectomy (TAH).
Objective: To compare operative and postoperative outcomes of TLH with TAH.
Methods: This Quasi-experimental study was conducted at the department of Obstetrics and Gynecology of Hameed Latif hospital, Pakistan from December 2018 to June 2019. A total of 116 patients (58 in each group) undergoing hysterectomy, meeting the selection criteria were included in the study. Intraoperative and postoperative evaluations included intraoperative blood loss estimation and post-operative hospital stay. All data were recorded in a predesigned study proforma. Data were analyzed through SPSS version 23.
Results: The mean age of patients in TLH and TAH was 47.28±4.62 years and 47.22±4.72 years respectively. The mean blood loss in the TLH group was 216.28±149.85 ml and in TAH group was 371.38±147.16 ml with statistically significant lower mean blood loss in TLH group (p-value < 0.001). Mean duration of hospital stay in the TLH group was 2.28±1.23 days and in the TAH group versus 3.86±1.30 days in TAH group (p-value < 0.001).
Conclusion: Mean blood loss and hospital stay were statistically lower in TLH when compared with TAH. Adequate training of the staff can ensure adoption of laparoscopic procedure due to improved intraoperative and postoperative outcomes.
References
Shrestha R, Yu L. Comparison between laparoscopic hysterectomy and abdominal hysterectomy. Nepal J Obstet Gynaecol. 2014; 9(1): 26-28. doi:10.3126/njog.v9i1.111 83.
Inal ZO, Inal HA. Comparison of abdominal, vaginal, and laparoscopic hysterectomies in a tertiary care hospital in Turkey. Ir J Med Sci. 2018; 187(2): 485-491. doi:10.1007/s11845-017-1660-6.
Bilquees, Shaukat R, Memon F. Outcome of patients abdominal versus hysterectomy for benign gynecology diseases at Liaquat University Hospital. J Soc Obstet Gynaecol Pak. 2018; 8(2): 115-119.
Jayashree S, Ajjammanavar V, Amrutha B. Total laparoscopic hysterectomy versus vaginal hysterectomy: a retrospective study. Int J Reprod Contracept Obstet Gynecol. 2015; 4(5): 1499-1504. doi:10.18203/2320-1 770.ijrcog20150736.
He H, Yang Z, Zeng D, Fan J, Hu X, Ye Y, et al. Comparison of the short-term and long-term outcomes of laparoscopic hysterectomies and abdominal hysterectomies: a case study of 4,895 patients in the Guangxi Zhuang Autonomous Region, China. Chin J Cancer Res. 2016; 28(2): 187–196. doi:10.21147/j.i ssn.10009604.2016.02. 06.
Mallick R, English J, Waters N. Total laparoscopic hysterectomy versus total abdominal hysterectomy in the treatment of benign gynecological disease: a retrospective review over 5 years. Gynecol Surg. 2016; 13(4): 359-364. doi:10.1007/s1 0397-016-0990-0
M Kanmani, Govindarajan Mirudhubashini, Selvaraj Vishranthi. Comparative study of surgical results between total abdominal hysterectomy and total laparoscopic hysterectomy in a tertiary hospital: a 2-year retrospective study. Int J Reprod Contracept Obstet Gynecol. 2018: 7(3): 1019-1023. doi:10.18203/23201770. ijrcog20180884.
Kluivers KB, Johnson NP, Chien P, Vierhout ME, Bongers M, Mol BWJEJoO, et al. Comparison of laparoscopic and abdominal hysterectomy in terms of quality of life: a systematic review. 2008; 136(1): 3-8. doi:10.1016/j.ejogrb.2007.06.004.
Jain N, Kamra J, Chabbra A. Rising Trend of Laparoscopic Hysterectomy Over Abdominal Hysterectomy: A Comparative Study. World J Lap Surg 2018; 11(2): 59-63. doi:10.5005/jp-journals-10033-1336.
Garry R, Fountain J, Mason S, Hawe J, Napp V, Abbott J, et al. The eVALuate study: two parallel randomised trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomy. BMJ. 2004; 328(7432): 129. doi:10.1136/bmj.37984.62 3889.F6.
Balci O. Comparison of total laparoscopic hysterectomy and abdominal hysterectomy. Turk J Obstet Gynecol. 2014; 11(4): 224. doi:10.4274/tjod.47108
Chakraborty N, Rhodes S, Luchristt D, Bretschneider CE, Sheyn D. Is total laparoscopic hysterectomy with longer operative time associated with a decreased benefit compared with total abdominal hysterectomy?. Am J Obstet Gynecol. 2023; 228(2): 205.e1-205.e12. doi:10.1016/j.ajog.2022.09.042.
Fathy M, Al-Azony H, Hasanen E, Abd-Elhamid NJTEJoHM. Total laparoscopic hysterectomy versus total abdominal hysterectomy in uterine tumors. 72(10): 5427-5432. doi: 0.21608/EJHM.2018.11353.
Sutasanasuang S. Laparoscopic hysterectomy versus total abdominal hysterectomy: a retrospective comparative study. J Med Assoc Thai. 2011; 94(1): 8-16.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Sajida Imran, Sahar Ali, Zahra Samreen
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
-
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
-
Non Commercial — You may not use the material for commercial purposes.
-
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
This work is licensed under a 
