A Comparison between Total Abdominal Hysterectomy versus Total Laparoscopic Hysterectomy

Author:

Uwais Ala1,Al-Abadleh Ahmed2,Jahameh Mohammad2,Satari Anas2,Al-Hawamdeh Qabas2,Haddadin Sahel3

Affiliation:

1. Department of Obstetrics and Gynecology, Faculty of Medicine, Mutah University, Al Karak, Jordan

2. Department of Clinical Sciences, Faculty of Medicine, Mutah University, Al Karak, Jordan

3. Department of General Surgery, King Hussein Medical Hospital, Royal Medical Services, Amman, Jordan

Abstract

Abstract Objectives: To compare the operative and postoperative outcomes of total laparoscopic hysterectomy (TLH) and total abdominal hysterectomy (TAH). Materials and Methods: In this retrospective comparative study, we reviewed all hysterectomies performed in the Al-Karak Governmental Hospital in Al-Karak, Jordan, from September 2018 to July 2022. We enrolled 129 patients who underwent hysterectomy. The patients were divided into the TLH (n = 39) and TAH (n = 90) groups. Patient data were accessed through hospital records and analyzed using SPSS 25.0. Results: The most common indication for TLH was uterine fibroid, and that for TAH was abnormal uterine bleeding, although the specimen weights were comparable. There was no significant between-group difference in the patient’s demographics. Although the TLH group had longer operative time, the hospital stay was shorter and there were no reported cases of wound infection. The estimated blood loss was significantly lower in the TLH group than in the TAH group, but there was no difference between the two groups in terms of blood transfusion requirement and postoperative hemoglobin level. Conclusion: TLH and TAH had comparable overall outcomes in the Al-Karak Governmental Hospital. However, TLH was superior to TAH in terms of blood loss, and patients with TLH recovered faster without postoperative wound infection.

Publisher

Medknow

Subject

Obstetrics and Gynecology

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