Abstract
Objective:The aim of this prospective study is to evaluate and compare to the outcomes of total laparoscopic hysterectomy (TLH) and total abdominal hysterectomy (TAH) who performed in our clinic.Materials and Methods:We performed surgical procedures at Necmettin Erbakan University Faculty of Medicine, Department of Obstetrics and Gynecology between January 2013 and April 2014. Forty patients who underwent TLH (group 1) compared to 40 patients who underwent TAH (group 2). The mean age of the cases, body mass index (BMI), duration of operation, the amount of blood loss, rates of complications and post operative hospital stay were compared for two groups.Results:There were no statistically significant differences between the two groups regarding age, body mass index (BMI), specimen weight, pre-operative hemoglobin (Hb) value and rates of the complications. The mean post-operative Hb value was significantly higher in group 1 than group 2 (11.5±0.8 gr/dl vs. 10.8±1.7, p=0.02). The mean time of operation was significantly longer in group 1 than in group 2 (105.4±22.9 minutes vs. 74±18, p<0.001). The mean duration of hospital stay was statistically shorter in group 1 compared to the group 2 (2.48±0.6 days vs. 4.88±1.2, p<0.001).Conclusion:Total laparoscopic hysterectomy is safe and feasible method for gynecological diseases. TLH may offer specific benefits for properly selected patients. Its advantages are lower peri-operative morbidity, improvement of quality of life, shorter hospital stay and faster return to activity.
Highlights
Gynecological surgical laparoscopy started to be used by Palmer at the end of 1950s
Because necessity of comprehensive surgical education and equipment today still a lot of gynecologists prefer abdominal surgery. Aim of this prospective study is to evaluate and compare the results of total laparoscopic hysterectomy (TLH) and total abdominal hysterectomy (TAH) cases which were performed in our clinic
Mean hospitalization time was shorter for patients who undergone TLH than patients who undergone TAH and this was statistically significant (2.48±0.6 day-4.88±1.2, p
Summary
Gynecological surgical laparoscopy started to be used by Palmer at the end of 1950s. While surgical procedures like adhesiolysis, cyst aspiration and ovarian biopsy were performed firstly, Reich et al reported first laparoscopic assisted vaginal hysterectomy case in 1989(1). Since when compared with abdominal hysterectomy, because of lower morbidity and faster healing period, laparoscopic hysterectomy started to be used progressively as an. Aim of this prospective study is to evaluate and compare the results of total laparoscopic hysterectomy (TLH) and total abdominal hysterectomy (TAH) cases which were performed in our clinic
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