Oby Nagar|Akanksha Sharma|Vijay Shankar|Gunjan Agarwal|Shalini Agarwal
A comparative study of total laparoscopic hysterectomy and non-descent vaginal hysterectomy for treatment of benign diseases of uterus
Sawai ManSingh Medical College and Hospital|Sawai ManSingh Medical College and Hospital|Sawai ManSingh Medical College and Hospital|Sawai ManSingh Medical College and Hospital|Sawai ManSingh Medical College and Hospital
background hysterectomy one common surgery performed gynecologistas time passing trend towards approaches minimally invasive less painful less complications less blood loss cosmeticthus total laparoscopic hysterectomy vaginal hysterectomy gained popularity laparoscopic surgeries require high tech operation theatre setups sophisticated instruments high surgical skillsvaginal hysterectomy descent non descent simple effective technique benign pathologies uterusobjective study conducted compare total laparoscopic hysterectomy non descent vaginal hysterectomy reference fall blood haemoglobin level duration operation weight uterus post operative complications postoperative ambulationmaterials methods patients undergoing types hysterectomy ietlh ndvh september 2017 march 2018 mahila chikitsalya hospital sms medical college included studythose patients malignancy diagnosed pap smear c excluded studyall patients investigated thoroughly cardio respiratory status fitness surgery medical conditionspatients observed vigilantly preoperative intraoperative postoperative period complicationsresult thirty women underwent tlh thirty underwent ndvhthere statistically significant difference groups mean age patients weight bmi literacy rates patients groupstlh took significantly longer perform however estimated blood loss mean postoperative hemoglobin change mean postoperative duration hospital stay greater vh groupmean uterine mass similar groupswhile major intraoperative postoperative complications incidence minor complications comparable groupsconclusion maximum number hysterectomies done adenomyosis aub fibroid uterus aub lndvh takes upper hand tlh economic takes lesser time requires less surgical techniques comparison tlhon hand tlh associated small scar surgery less morbidity less postoperative painin way approach uterus shall depend upon skill surgeon size pathological nature uterus technology available hospital preference patient well surgeon