Comparative Study Between Total Laparoscopic Hysterectomy And Abdominal Hysterectomy In Management Of Benign Gynecological Conditions

Abdel Monem Mohamed Zakaria, Ahmed Saeed, Mohamed Elimam
In: Al-Azhar International Medical Journal · 2023 · vol. 4(10) · doi:10.58675/2682-339x.1991 · W4388428807
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Abstract

Background: In benign gynecological disorders, a laparoscopic hysterectomy may be preferable than an abdominal hysterectomy due to its possible benefits, such as shorter recovery times and less blood loss. Aim of the work: intended to evaluate the safety , benefits, and consequences of laparoscopic vs open hysterectomy for benign gynecological diseases. Methodology: 50 cases were subjected to a thorough medical history, physical examination, laboratory tests, abdominal ultrasound, and biopsies for suspicious pathology. cases separated into 2 groups of equal size. The 1st for trans-abdominal hysterectomy and the 2nd for complete LH. After surgery, patients were monitored for 6 months. Statistics obtained include surgical time, blood loss, comorbidities, and hospital stay duration. Results: Substantial improvements in low parity and low caesarean deliveries were observed in the laparoscopic group. In the laparoscopic group, adenomyosis was the most prevalent indication for hysterectomy (forty percent), followed by fibroids (twenty-eight percent). In the open group, fibroids were the most common indication (48percent), followed by adenomyosis (32percent). Contrasted to open hysterectomy, laparoscopic hysterectomy resulted in a much shorter duration of surgery (55 minutes vs. 70 minutes) and substantially less blood loss. The length of hospital stay was considerably shorter in the laparoscopic group as opposed to the open group (Mean± SD : 45.120 14.4 vs 59.52 ± 20.92 hours). Conclusion: When treating women with benign gynecological disorders, laparoscopic hysterectomy is preferable to abdominal hysterectomy because it is safe and has a higher success rate.

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adenomyosis

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