Comparative Analysis of Vaginal Hysterectomy and Laparoscopic Hysterectomy in Non-Descent Uterus at a Tertiary Care Center
Keywords:
Vaginal hysterectomy, Laparoscopic hysterectomy, non-descent uterus, surgical outcomesAbstract
Background: Both vaginal hysterectomy (VH) and laparoscopic hysterectomy (LH) are common interventions for benign gynaecological pathology. The selection among these methods, especially in the case of a non-descent uterus, continues to be a matter of discussion. The purpose of this study was to compare perioperative and postoperative outcomes of VH and LH in a tertiary health care center.
Methods: This comparative observational study was conducted at the Department of Obstetrics and Gynaecology, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, from July 2022 to June 2023. The study population comprised 200 patients with VH (n=105) and LH (n=95). Intraoperative and postoperative data (operative time, blood loss, recovery parameters, and complication rates) were collected. Data were analyzed using SPSS version 25.0.
Results: The mean operative time was significantly shorter with VH than with LH (52.5 ± 14.2 vs. 101.4 ± 24.7 minutes, p<0.001), intraoperative blood loss was considerably less with VH than with LH (86.1 ± 22.6 vs. 135.3 ± 38.5 mL, p=0.002), and post-operative hospital stay was shorter with VH than with LH (3.4 ± 1.2 vs. 5.3 ± 1.3 days, p=0.01). Postoperative complications were similar, with minor differences in febrile morbidity and postoperative wound infection rates.
Conclusion: In non-descent uterus cases, VH provides improved surgical efficiency and quicker recovery compared with LH. Due to its advantages, VH should be used when possible. Additional multicenter studies are required to clarify long-term outcomes and optimize clinical decision-making.
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