WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Review Journal for Medical Science and Pharma Professionals

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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  • Google Scholar
  • Index Copernicus
  • SOCOLAR, China
  • Research Bible, Fuchu, Tokyo. JAPAN
  • Cosmos Impact Factor
  • Scientific Indexing Services (SIS)
  • UDLedge Science Citation Index
  • International Impact Factor Services
  • International Society for Research Activity (ISRA) Journal Impact Factor (JIF)
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Abstract

COMPARISON OF COMPLICATIONS BETWEEN TOTAL ABDOMINAL AND VAGINAL HYSTERECTOMY

*Ali Soliman, Ahmad Abdul Rahman and Safaa Salman

ABSTRACT

Background: Hysterectomy is considered one of the major operations in the field of obstetrics and gynecology,and it tranks second after caesarean section. Hysterectomy is performed in three ways: 1-Transvaginal hysterectomy:a surgical incision is made in the dome of vagina 2-Transabdominal hysterectomy: a surgical incision is made across the abdomen and can be: A-Total hysterectomy: include complete hysterectomy with the cervix B-Subtotal hysterectomy: include hysterectomy while preserving the cervix C-Radial hysterectomy:include removal of the uterus and cervix with tissue around the uterus and tissue around the cervix with the upper third of vagina and scraping of pelvic nodes 3-Endoscopic hysterectomy Objective: Main objective: This was a prospective study,conducted to analyze the intraoperative and postoperative complication between abdominal and vaginal hysterectomy. Second objective: Determine the best method of hysterectomy. Methods: One hundred women scheduled for hysterectomy were randomised to either abdominal hysterectomy (n=50) or vaginal hysterectomy (=50). Design: Randomised controlled trial. Results: The mean duration of surgery was shorter in vaginal hysterectomy group than in abdominal hysterectomy group(p-value=0.0001).Postoperative haemoglobin decline was evident in abdominal hysterectomy group(p-value0.001),and ther was no statistically significant difference in postoperative haemoglobin decline in vaginal hysterectomy group(p-value0.09).The need for blood transfusion was higher in the abdominal hysterectomy group than in the vaginal hysterectomy group(p-value=0.04).Urinary infections was more common in the vaginal hysterectomy group than in the abdominal hysterectomy group(p-value0.02), Incisional infections was more common in the abdominal hysterectomy group than in the vaginal hysterectomy group(p-value=0.04). The hospital stay was shorter in vaginal hysterectomy group than in abdominal hysterectomy group(p-value=0.0001). Bladder injury, ureteric injury, secondary haemorrage and paralytic ileuswere were similar between the two techniques. Conclusion: This study showed that vaginal hysterectomy was associated with less intraoperative complication and postoperative complications as compared to abdominal hysterectomy.

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