A comparative study of total laparoscopic hysterectomy and non-descent vaginal hysterectomy for treatment of benign diseases of uterus

Chattopadhyay, Shibram; Patra, Kajal Kumar; Halder, Madhusudan; Mandal, Ardhendu; Pal, Preetam; Bhattacharyya, Shritanu

doi:10.18203/2320-1770.ijrcog20170594

Cited by 10 publications

(20 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A study by Chattopadhyay et al reported that patients who underwent TLH had significantly lower post-operative pain compared to patients undergoing NDVH, which was statistically significant. 4 Similar findings were also noted in a study by Patel et al 7…”

Section: Discussionsupporting

confidence: 87%

See 1 more Smart Citation

Comparative study of non-descent vaginal hysterectomy and total laparoscopic hysterectomy performed for benign gynaecological conditions

Nimbannavar

Chugh

Rama

et al. 2021

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

Background: Hysterectomy is a common surgical procedure frequently performed in the day-to-day practice of gynaecology. Non-descent vaginal hysterectomy (NDVH), which is an art of gynaecological surgeons, has established its place in the realm of gynaecological surgeries. Total laparoscopic hysterectomy (TLH) has a steep learning curve, requires modernized OT set-up including special endoscopic instruments and may not be available in all centres. Non-decent vaginal hysterectomy is a viable alternative in such a scenario. Hence these two surgeries have been compared in this study.Methods: A total 40 patients undergoing hysterectomy for various benign indications, were included for the study. They were divided into two groups of 20 each. One group underwent TLH and the other NDVH. Demographic profile and other perioperative events were compared and statistically analysed. Results: NDVH group experienced more pain and required a greater number of analgesic doses. The intraoperative blood loss was more in NDVH group and duration of surgery was significantly higher in NDVH group. Rest of the parameters were by and large comparable. The incidence of bladder injury was more in the TLH group as compared to NDVH group.Conclusions: Both NDVH and TLH have their pros and cons. In a given case the final decision will depend on a number of variables like human, financial and medical.

show abstract

Section: Discussionsupporting

confidence: 87%

“…The sample size was calculated by considering the mean postoperative VAS score from the available literature. 4 VAS score in NDVH was 2.88±1.166 and TLH was 1.80±1.118. Entering these values in WinPepi software the calculated sample size obtained was 38, that is, 19 in each group.…”

Section: Methodsmentioning

confidence: 92%

Comparative study of non-descent vaginal hysterectomy and total laparoscopic hysterectomy performed for benign gynaecological conditions

Nimbannavar

Chugh

Rama

et al. 2021

Int J Reprod Contracept Obstet Gynecol

View full text Add to dashboard Cite

show abstract

“…10 Table 3 We analysed the data regarding pain in patients of both surgeries after 24 hours by VAS scoring system, we concluded that the mean pain score of patient with NDVH was 3.57+-1.3 and that of TLH was 5.4+-2.04. In contrast to the study done by chattopadhyay et al 4 in our study less pain was experienced by patient of NDVH group as compared to TLH group may be due to no incision on the abdomen as rectus sheath was neither opened nor sutured, bowel was not handled at all, peritoneal opening was minimal, gaseous distension was not required and no throat discomfort due to endotracheal intubation. Rather more pain in TLH was observed in our study which may be contributed to multiple incision on abdomen, gaseous distension, bowel handling and long operating time.…”

Section: Resultscontrasting

confidence: 96%

“…It requires less operative time, less intra operative bleeding, less post-operative morbidity, with regular infrastructural setup as observed by Shibara Chattopadhyay et al also in his study. 3,4 Even in case of scarred abdomen cervico fundal sign to feel dimpling to asses the feasibility of ndvh, as well as lateral surgical window approach makes NDVH less difficult and more safe in cases of previous abdominal surgery. 5 For uterus of 14 weeks and more debulking procidure like morcelation or coring can be done after securing uterine artery.…”

Section: Introductionmentioning

confidence: 99%

Keyhole to no hole hysterectomy - A retrospective analysis of NDVH and TLH in a teaching hospital

2020

IJOGR

View full text Add to dashboard Cite

Introduction: Prior to medical advances in yester years VH was limited to uterine prolapse but in present techno-medical era the techniques and indications of vaginal hysterectomy have changed to give an excellent health care to women cosmetically at a reasonable cost with minimum invasion and maximum safety and satisfaction. Aims and objective: The aim of the study was to find out the answer of the question, IS REALLY TLH LESS INVASIVE THEN NDVH? By analyzing these two commonly performed procedures to find out the differences to decide whether NDVH is a simpler, less invasive, quicker, cost effective, environment friendly technique then TLH in the similar gynecological indications. Materials and Methods: A retrospective study was done on 120 randomly selected patient of Hysterectomy for various reasons between March 2016 till September 2017 in Dept. of Ob/Gyn LNMC JKH, Bhopal. Patients' original files and surgery reports of the TLH and VH were analyzed and compared retrospectively for the indication of surgery, patients' age, weight, parity, uterus size, time taken for surgery, blood loss, post-operative analgesia, hospital stay, Intra and post op complications. A stastical analysis of the data was performed using independent t test and p value of less than 0.01 was considered statically significant. Results: The mean time taken to perform TLH was significantly longer i.e. 184.83 minutes compared with NDVH, i.e. 83.5.minutes (p<0.004). Rate of conversion to AH was more with TLH due to haemorrhage in 3 and bladder injury in one of our cases, in comparison two cases in NDVH due to rectal and bladder injury. Blood loss in both the surgery was comparable as mean post op Hb in both group were 9.5 & 9.8 with no significant p value. Mean Pain score measured by VAS after 24 hours of surgery in TLH was 5.4+-2.02 and in NDVH was 3.57 +-1.3 after test of significance the p value was significant[<0.001] Proves that pain was less in NDVH than TLH. Duration of stay in the hospital was almost the same for both groups. Cost of surgery was more with TLH in comparison to NDVH. Conclusion: NDVH was as less invasive as TLH with the advantages of no visible scar on the abdomen, done under regional anaesthesia with routine instruments, less pain, less medication, less operative time, thus faster recovery so should be the first option whenever minimally invasive scar less hysterectomies is desired for similar indications.

show abstract

“…After a cesarean section, total laparoscopic hysterectomy (TLH) is the second most common procedure in gynecology departments [1]. Abnormal uterine bleeding (AUB), pelvic organ prolapse, leiomyoma, and cancer are routine indications for TLH [2].…”

Section: Introductionmentioning

confidence: 99%

Outcomes of Total Laparoscopic Hysterectomy: A Single-Surgeon Experience of Initial 50 Cases

Ashfaq¹,

Samina²,

Jabeen³

et al. 2021

Cureus

View full text Add to dashboard Cite

In this study, we reported a single surgeon experience of total laparoscopic hysterectomy (TLH) in terms of intraoperative and early postoperative outcomes and complications. In addition, we compared our results with published literature for a reevaluation of complications and outcomes. Material and methodsThis present prospective study was conducted on 50 patients who underwent TLH due to benign causes. Patients diagnosed with abnormal uterine bleeding (AUB), uterine fibroids, and post-menopausal bleeding (PMB) were included in this analysis. Patients were discharged after 24 hours of surgery if there were considered fit for discharge. The patients' age, co-morbidities, size of the uterus, additional procedure along with TLH, and postoperative complications were collected and analyzed. The follow-up period was three months, done on the tenth day after surgery, the thirtieth day, and then at three months. ResultsThe mean age of our patients was 46.42±5.01 years. The major indication of hysterectomy was fibroids diagnosed in 27 (54.0%) patients and AUB in 18 (36.0%) patients. Out of 50, 10 (20.0%) patients had a previous cesarean section, and 4 (8.0%) had a bilateral tubal ligation (BTL). Mean surgery duration was 124.26±44.74 minutes. Mean hospital stay was 2.18±0.39 days. Total complications occurred in five (10.0%) patients, ureteric injury in one (2.0%) patient, port-site infections in 2 (4.0%), and vault infections in 2 (4.0%) patients. ConclusionTLH is a safe procedure and can be performed with minimal complications in patients with benign uterine etiology.

show abstract

A comparative study of total laparoscopic hysterectomy and non-descent vaginal hysterectomy for treatment of benign diseases of uterus

Cited by 10 publications

References 5 publications

Comparative study of non-descent vaginal hysterectomy and total laparoscopic hysterectomy performed for benign gynaecological conditions

Comparative study of non-descent vaginal hysterectomy and total laparoscopic hysterectomy performed for benign gynaecological conditions

Keyhole to no hole hysterectomy - A retrospective analysis of NDVH and TLH in a teaching hospital

Outcomes of Total Laparoscopic Hysterectomy: A Single-Surgeon Experience of Initial 50 Cases

Contact Info

Product

Resources

About