{"paper_id":"4bfd0dea-28ac-4fa6-bf87-651bbee072c5","body_text":"Analysis of Indications and Different Surgical Approaches for Gynecological Hysterectomies and their Consequences\nDOI:\nhttps://doi.org/10.53350/pjmhs20221612765Abstract\nBackground: Hysterectomy is one of the most common gynecological surgeries regardless of the surgeon’s approach.\nPurpose: This study was conducted to compare three hysterectomy techniques, viz abdominal, vaginal and laparoscopic hysterectomy, in terms of their effectiveness and low post-op complications.\nMethods: The study's cohort included 631 women who underwent benign hysterectomies between 2018 and 2022 in tertiary care hospitals in three areas of Pakistan. The patients in Groups A, B, and C comprised 277, 43 and 311 patients, who were surgically operated by LHs, VHs, and AHs, respectively.\nFindings: Most of the patients with BH were of age 39-50 years and multiparous with an average weight of 71.4+15 Kg. The major (p<0.05) underlying medical conditions were endometriosis, followed by uterine bleeding, fibroids, pelvic prolapse, adenomyosis and gynecological cancer having an incidence of 44.05, 36.45, 11.88, 5.38, 1.26 and 0.95%, respectively. The AH and VH had the highest incidence of surgical and post-operative problems (p<0.05) compared to the LH, with percentages of 56.59, 55.81, and 20.21%, respectively. Among complications, most often observed were thrombosis, post-operative infections, and bleeding (p<0.05).\nPractical implications: It was recommended that the gynaecologist should pursue LH, which is less invasive and has a high success rate, for BH.\nConclusion: It was thus concluded that the laparoscopic hysterectomy was minimally invasive and was associated with a low incidence of intraoperative and postoperative complications.\nKeywords: Endometriosis; Non-invasive hysterectomy; Laparoscopic hysterectomy; Intraoperative complications.","source_license":"CC0","license_restricted":false}