Rising Trend of Laparoscopic Hysterectomy Over Abdominal Hysterectomy: A Comparative Study

Abstract

Aim: Hysterectomy is one of the most common surgeries being performed in perimenopausal women. It can be done either vaginally, abdominally or laparoscopically. The laparoscopic surgery is now on rising trend since it is associated with less peroperative complications, less postoperative pain, has better wound healing and early recovery and returns to normal activities. Hence, this study is being conducted to compare abdominal and laparoscopic hysterectomy. Materials and methods:A retrospective observational study is conducted at the tertiary hospital. Total 135 women underwent surgery, of which 100 had an abdominal hysterectomy (TAH) while 35 had a laparoscopic hysterectomy (TLH). In mobile uterus of size < 12 weeks, TLH was done. The comparison was done between two groups as per and postoperative complications. Results:The mean age, parity, and BMI was comparable in two groups. Duration of hospital stay was significantly less in women who underwent TLH. Peroperative complications as bowel and bladder injury were found in 4 cases and all of them occurred during TAH. Wound sepsis was also seen during TAH only. However, postoperative blood transfusion was given in more number of women who underwent TLH than in TAH, although the difference was statistically insignificant. Conclusion:Laparoscopic hysterectomy is preferred over open procedure as it is associated with less per-operative complications, shorter hospital stay, and wound complications.Laparoscopic surgery is more beneficial to the patient than abdominal hysterectomy. However, the decision regarding the mode of surgery shall be based on patient consent and surgical expertise.