Elective hysterectomy: A clinicopathogical review from Abha catchment area of Saudi Arabia

A Retrospective Review: Vaginal versus Abdominal Hysterectomy for Benign Gynecological Diseases in a Tertiary Canter

“…Previous studies [6] [8] [9] reported that vaginal approach mainly used in patients with uterine prolapse that is similar to our results.…”

“…Previous studies from Saudi Arabia [6], South Africa [8], UK and USA as reported from a 2014 systematic review showed similar finding [1].…”

“…A previous study was done in our center on 2008 reported that the abdominal approach is more commonly used than vaginal [6]. In China, the vaginal approach is the most common method used overall [7].…”

Analytical study of hysterectomies

“…30 In a study by Sobande AA, leiomyoma was the commonest histopathological diagnosis 25.8% of the hysterectomy specimens followed by adenomyosis 22.7%. 10 According to Bhide et al the histopathology incidence of leiomyoma is 19%. 31 Similar reports were published by Sarfraz T and Praveen S. 32,33 Whereas Jamal S, Braai S, reported leiomyoma at 35.7% and adenomyosis 30%.…”

“…Women from rural areas seek medical care late, due to socio-economic factors and availability to health care facilities, when conservative treatment is not possible and the best treatment option will be hysterectomy, but with proper selection of patients the morbidity and mortality of hysterectomy can be kept low. 9,10 Majority of the hysterectomy procedures are performed via an abdominal approach (64%) -TAH total abdominal hysterectomy and TAH+BSO-total abdominal hysterectomy with bilateral salphingo-oophorectomy, or vaginal route (22%)-VH+PFR-vaginal hysterectomy with pelvic floor repair, and by laparoscopy (14%)-TLH -total laparoscopic hysterectomy or LAVH laproscopic assisted vaginal hysterectomy Jacoby et al 1 The society of pelvic reconstructive surgeons issued guidance regarding the, hysterectomy route in 1999, since then vaginal hysterectomy has again gained favor.…”