Comparison of Short Term Outcomes Between Vaginal and Abdominal Hysterectomy
Keywords:
Vaginal Hysterectomy, Abdominal Hysterectomy, Benign uterine conditions, Morbidities, ComplicationsAbstract
Background: Hysterectomy is the second most commonly performed major surgery on female after caesarean section. Objective: To compare short term outcomes between abdominal and vaginal hysterectomy in terms of febrile morbidity, mean operating time and mean hospital stay duration in women with benign uterine conditions. Subject and Methods: This trial was Randomized Controlled and was conducted at the Obstetrics and Gynaecology department Lady Aitchison Hospital, Lahore from 30-12-2014 to 29-06-2015. One hundred and twenty patients (sixty in each group) were recruited who fulfilled the inclusion and exclusion criteria. Group-A underwent abdominal hysterectomy and group-B underwent vaginal hysterectomy. The data was entered and analyzed by SPSS version 10. Results: The mean age of patients was 45.16+3.83 and 44.9+3.67 in group-A and B in respective order. Fever was more common in abdominal hysterectomy group. Difference between groups were statistically significant (P=0.003). Mean duration of hospital stay in group-A was 7.92+1.33 and in group-B 4.77+1.01 days (P<0.001). Mean duration of operative time (minute) in group-A was longer 92.55+4.50 and in groupB operative time as shorter 78.98+4.44 minutes (P<0.001). Conclusion: Current study results show that short term morbidity is less in vaginal hysterectomy shown by parameters of lesser febrile morbidity, shorter operative time and shorter duration of hospital stay which is encouraging to adopt vaginal route as preffered method.
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