Comparison of Operative Outcomes between Non-Descent Vaginal Hysterectomy and Total Laparoscopic Hysterectomy
Keywords:
hysterectomy, non-descent vaginal hysterectomy(NDVH), total laparoscopic hystererectomy(TLH), minimal invasive surgeryAbstract
ABSTRACT
Objective: The aim was to compare the operative outcomes in patients who underwent non-descent vaginal hysterectomy (NDVH) versus total laparoscopic hysterectomy (TLH).
Methods: A retrospective study was done by collecting the data from medical records. All women who underwent NDVH and TLH in Kratumban Hospital by one surge on during 1 January 2017 to 31 March 2020 were included. Those patients having malignancy as diagnosed by Pap smear or pathologic report or cases with concomitant sacral colpolexies were excluded from the study.
Results: Forty-nine patients were included (31 in the NDVH group and 18 in the TLH group). Total procedure time was significantly less in the NDVH group (123.6±58.0 minutes) as compared to TLH (174±60.2 minutes, p=.005). Mean postoperative hospital stay was significantly shorter in NDVH group than TLH group (1.7±0.6 vs 2.3±0.5 days, p=.001). A greater number of patients who underwent NDVH were discharged on postoperative day 1 as compared to those receiving TLH (p=.002). Uterine weight was associated with the operative time (p=.002)
Conclusion: NVDH can be performed safely with better operative times to those of conventional laparoscopic hysterectomy. NDVH is a safe alternative to TLH and may offer some operative advantages, including reduced procedure time and earlier discharge. So NDVH should be offered to a large group of appropriately selected women.
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