Comparative Study of Outcomes in Patients Undergoing Laparascopic Assisted Vaginal Hysterectomy and Simple Vaginal Hysterectomy

Abstract

Introduction: Hysterectomy can be performed by Abdominal, Vaginal, Laparoscopic and Robotic routes. Aim: Study compares the outcomes of patients undergoing Vaginal hysterectomy with that of Laparoscopic assisted vaginal hysterectomy. Materials and Methodology: This prospective randomized study, was done in the Department of OBG in Gandhi hospital, between February 2014 and July 2015, after ethical committee approval. 50 women underwent Vaginal hysterectomy and another 50 Laparascopic assisted Vaginal Hysterectomy. Parameters like Age, Parity, BMI, History of Previous Caesarean, Medical illnesses like Hypertension and Diabetes, Uterine size, Indication for Hysterectomy, Operating time, blood loss, visceral injury, Postoperative fever, Urinary tract infection, Fall in Haemoglobin, Blood transfusions, Pain on day three, Day of Ambulation and Hospital stay were studied. Statistical analysis was done between the two groups on the parameters, using Chi-square test for qualitative parameters and Student “t” for quantitative variances. Results: There was no gross discrepancy in the “Mean value” in two groups regarding the above studied parameters, excepting the Operating time, which was almost double in Laparoscopic assisted vaginal hysterectomy. Indications constituted the same for both the groups. Discussion: “P’ value was insignificant in relation to age, parity, BMI, Previous Caesareans, medical illnesses, uterine volume, blood loss, fall in hemoglobin, blood transfusions, visceral injuries, postoperative fever, UTI, Pain, and day of ambulation. Indications for hysterectomy are comparable with other studies. The “P” value was significant for the operation time. Conclusions: Operating time is less in SVH. LAVH has higher complication rate. Key words: Simple Vaginal Hysterectom (SVH); Laparoscopic Assisted Vaginal Hysterectomy (LAVH); Intra Operative Outcomes; Postoperative Outcomes; Demographic Data; Operating Time; Visceral Injuries.