Abstract
To compare outcomes of vaginal and abdominal hysterectomy procedures in women with benign gynaecological diseases. This was a prospective study of outcomes of consecutive patients who underwent total vaginal hysterectomy (VH) or abdominal hysterectomy (AH) for benign gynaecological diseases. Patient characteristics before, during, and after the operations were reviewed. Patients were followed up for three months to evaluate postoperative complications. This study included a total of 313 patients. 143 patients underwent AH and 170 patients underwent VH. Baseline characteristics were similar between the two groups. There were no intraoperative complications in either group. Operation time, intraoperative blood loss, first postoperative flatus time, time to out-of-bed activity, mean maximum postoperative body temperature, and duration of fever were all significantly shorter and less severe in the VH group compared with the AH group. In addition, vaginal length in the VH group was significantly shorter than in the AH group. Vaginal hysterectomy has advantages over AH in the treatment of benign gynaecological diseases, providing greater efficacy and safety with minimal invasiveness.
Highlights
Hysterectomy is currently one of the most common gynaecological surgical procedures.[1]
The present study examined outcomes of patients who underwent vaginal hysterectomy (VH) or abdominal hysterectomy (AH) at the Department of Obstetrics and Gynaecology, Air Force General Hospital, PLA, Beijing, China
There are many approaches to hysterectomy for benign diseases, including AH, VH, laparoscopic assisted vaginal hysterectomy
Summary
Hysterectomy is currently one of the most common gynaecological surgical procedures.[1]. Surgical haemostasis can be secured by a variety of methods, including mechanical (sutures) or vessel coagulation (diathermy), electrocoagulation diathermy has been shown to be unreliable for vessels larger than 2 mm in diameter.[10] Electrosurgical vessel sealing is a new haemostatic system based on the combination of pressure and bipolar electrical energy, and is able to seal vessels up to 7 mm in diameter This sealing system has been used in VH with encouraging results.[11,12] The LigaSureTM system is a common electrosurgical vessel sealing system used in VH, and has been shown to reduce complications in comparison to AH.[13]. The purpose of this study was tocompare the feasibility and safety of VH and AH procedures in the treatment of benign uterine diseases, and to determine the outcomes of both procedures
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