الفهرس | Only 14 pages are availabe for public view |
Abstract SUMMARY The vaginal approach is preferred among the minimally invasive approaches. Laparoscopic hysterectomy is a preferable alternative to open abdominal hysterectomy for those patients in whom a vaginal hysterectomy is not indicated or feasible. Although minimally invasive approaches to hysterectomy are the preferred route, open abdominal hysterectomy remains an important surgical option for some patients. This study was add more information about blood loss during operation comparing between Vaginal, Laparoscopic and Abdominal hysterectomy. To compare blood loss during vaginal, laparoscopic and abdominal hysterectomy. This prospective study included ninety patients with uterine benign diseases that were justified for total hysterectomy. They were recruited and assessed for eligibility from Ain shams university maternity hospital. Patients were divided into three groups each comprised thirty patients; group I (total abdominal hysterectomy (TAH)), group II (vaginal hysterectomy (VH)), group III (total laparoscopic hysterectomy (TLH)). There was a significant difference between women of the three groups regarding operative time. Post-HOC analysis showed that this statistical significance was only attributed to the difference between groups I. Differences between women of groups I and II; and between women of groups II and III; as regards operative time were statistically non-significant. There was a significant difference between women of the three groups regarding estimated blood loss [EBL]. Post-HOC analysis showed that this statistical significance was attributed to the differences between group I [TAH Group] and group II; and between group I and group III [TLH Group]; women of group I had significantly higher EBL, when compared to those of groups II and III. Difference between women of groups II and III; as regards EBL was statistically non-significant. There were no significant differences between women of the three groups regarding rates of intraoperative complications. |