Outcome of Patients Abdominal Versus Hysterectomy for Benign Gynaecology Diseases at Liaquat University Hospital
Objective: To compare the outcome of abdominal versus vaginal of hysterectomy in terms of hospital stay, the rate of complications and patient’s satisfaction.
Study design and setting: This was an observational study and carried out at Gynae and Obs department of LUMHS Jamshoro, from December 2010 to August 2013.
Methodology: A total of 90 patients with the benign gynecological disease were included. Patients with Gynecological malignancies and emergency obstetrical hysterectomies were excluded. Patients received in the outdoor department with a fibroid, adnexal mass, abnormal vaginal bleeding, pelvic inflammatory disease, endometriosis, uterovaginal prolapse and were admitted. All the patients were underwent an abdominal or vaginal hysterectomy. Data was recorded on pre-designed proforma.
Results: The mean age was 48.34±11.3 years. Intraoperative complications were more significant in abdominal hysterectomy p-value of 0.001. Post-operative complications were also significantly high in patient underwent abdominal hysterectomy as compared to vaginal hysterectomy p-value 0.001, as out 50 cases of vaginal hysterectomy 16.0% were found with postoperative febrile morbidity, 3.0% had paralytic ileus, 6.0% had developed wound infection and 6.05 were found with thrombophlebitis, while only one case had developed vault haematoma in patients of vaginal hysterectomy. Mean of the Hospital stay was significantly higher 6.33+2.32 days in patients of abdominal hysterectomy, p-value 0.001. Most of patients 28(70.0%), of vaginal hysterectomy showed significant satisfaction, p-value 0.001.
Conclusion: It is concluded that vaginal hysterectomy is the best route of hysterectomy for utero vaginal prolapse (descent of uterus) it can be done safely for other benign conditions of the uterus (non-descent of the uterus).
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