Donnish Journal of Medicine and Medical Sciences
October 2015 Vol. 2(7), pp. 096-102
Copyright © 2015 Donnish Journals
Original Research Paper
Hysterectomy in Women with Benign Uterine Disease. A Prospective Randomized Comparison of three Minimally Invasive Procedures
Moez Kdous*, Marwen Braham, Monia Ferchiou and Fethi Zhioua
Center of Reproductive Biology, Department of Gynecology and Obstetrics, Aziza Othmana Hospital, Tunis, University of Tunis El Manar, Tunisia.
Corresponding Author E-mail: kdousmoez@gmail.com
Accepted 7th July, 2015.
Abstract
Objectives: To compare the clinical results of three minimally invasive hysterectomy techniques: vaginal hysterectomy (VH), laparoscopically assisted vaginal hysterectomy (LAVH), and total laparoscopic hysterectomy (TLH). Study design: A prospective, randomized study was performed at our gynecologic surgery center between January 2008 and December 2013. A total of 176 women indicated to undergo hysterectomy for benign uterine disease were randomly assigned to three different groups VH (n=57), LAVH (n=61), and TLH (n=58). Results: TLH had the longest operating time (135minutes) and severe complications occurred only in this group. The lowest consumption of analgesics was observed in TLH patients. VH had the shortest operating time (65 min). However, febrile complications rate and the increase in CRP were significantly higher. LAVH had an acceptable operating time (110 min), a low complication rate, lack of severe post-operative complications and smallest drop in hemoglobin. Conversion rate was comparable between VH, LAVH and TLH. The follow-up of patients within 1, 6 and12 months does not show significant differences between the three groups. Conclusion: VH is the most suitable method for women for whom the shortest duration of surgery and anesthesia is optimal. LAVH is preferable in cases when oophorectomy is required. TLH did not appear to offer any significant benefits over the other two methods apart from less consumption of analgesics and should be indicated in women where neither VH nor LAVH are feasible.
Keywords: Benign uterine disease, Laparoscopy, Vaginal hysterectomy.
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Cite This Article:
Moez Kdous, Marwen Braham, Monia Ferchiou and Fethi Zhioua. Hysterectomy in Women with Benign Uterine Disease. A Prospective Randomized Comparison of three Minimally Invasive Procedures. Donnish Journal of Medicine and Medical Sciences 2(7) 2015 pp. 096-102.
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