Comparing of Hysterectomy Approaches For Cases with Bening Indication
Aim: Lately, vaginal hysterectomies (VH) are being performed more frequently than abdominal hysterectomies (AH) for benign pathologies. Even then, total laparoscopic hysterectomy (TLH) has been widely done because of its shorter recovery time. In this study, we compared the results of AH, VH and...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Yayinevi
2013-09-01
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| Series: | Haseki Tıp Bülteni |
| Subjects: | |
| Online Access: | http://www.hasekidergisi.com/article_4694/Comparing-Of-Hysterectomy-Approaches-For-Cases-With-Bening-Indication |
| Summary: | Aim: Lately, vaginal hysterectomies (VH) are being performed
more frequently than abdominal hysterectomies (AH) for benign
pathologies. Even then, total laparoscopic hysterectomy (TLH) has
been widely done because of its shorter recovery time. In this study,
we compared the results of AH, VH and TLH performed in our clinic.
Methods: In this study, we retrospectively evaluated the
hysterectomies performed between December 2010 and
December 2011 for benign uterine pathologies in the Obstetric
and Gynecology Clinic at Bağcılar Training and Research Hospital.
It is a retrospective study. During this time, 139 AH (56.8%), 61
VH (24.9%), and 45 TLH (18.3%) were done. Data including age,
parity, length of hospital stay, change in hematocrit, and length of
the operations were recorded. Statistical analysis was performed.
Results: The average age of patients who underwent AH, VH and
TLH was 49.5.0, 59 and 51.6, respectively. The average parity was
3.0, 4.5 and 4.3, respectively. The average length of hospital stay
was 3.8, 3.8, and 2.9 days, respectively. Duration of operation
(139.27+/-36.48 min) in TLH group was longer than in AH
(66.91+/-11.64 min) and VH groups (47.50+/-9.6 min) (p<0.01).
Changes in hematocrit were similar in the groups. Complications
related to TLH seem to be a little more than other procedures.
Conclusion: Nearly 70% of all hysterectomies in USA are
made abdominally. The American College of Obstetricians and
Gynecologists (ACOG) recommended VH as approach of choice for
being associated with better outcomes and fewer complications
than either laparoscopic or abdominal approach. Although our
clinic is new, the total number of VH and TLH are similar to that of
AH. (The Medical Bulletin of Haseki 2013; 51: 112-5) |
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| ISSN: | 1302-0072 2147-2688 |