Comparative study of total laproscopic hysterectomy versus total abdominal hysterectomy for benign pelvic diseases in a private hospital: A retrospective study
T Srinivas Rao, Jahannavi Rao, Sharathchandra Rao
Background: The laparoscopic technique of hysterectomy has gained more popularity worldwide from the time it was introduced in 1989 by Reich. The aim of the study was to compare the surgical results between total laparoscopic hysterectomy and total abdominal hysterectomy. Methods: We conducted a retrospective study of medical records of patients who underwent Total abdominal hysterectomy and total laparoscopic hysterectomy at Hitech Medicare Hospital and Research centre, Udupi between June 2017 to May 2019. Results: We observed that there was no significant difference between the two groups in respect to patient's age, parity, indication of surgery, or with history of previous abdominal surgery. Duration of surgery was found to be longer in total laparoscopic hysterectomy (117.37±14.15 min) than total abdominal hysterectomy (53.65±10.17 min). Operative blood loss was more in total abdominal hysterectomy (292.22±76.98 ml) than in in total laparoscopic hysterectomy (470.59±101.59 ml). There was also negative correlation observed between duration of surgery and blood loss and it was statistically significant (r -0.607 and p<0.0001). Conclusions: This study revealed that total laparoscopic hysterectomy is better in outcomes such as less blood loss, early discharge from hospital as compared to total abdominal hysterectomy.