LAVH or TAH - choosing it wise and making it safe

Laparoscopic hysterectomy versus total abdominal hysterectomy: a retrospective study at a tertiary hospital

“…These results match many previous reports [8,9]. These results, as quoted from Nambiar et al [10], show that "the trends in indication for hysterectomy have remained the same over the past two decades irrespective of the type of population. "…”

“…In our study, analgesia requirements were measured by the amount of use of both injectable and oral pain medications. 43.9% of patients in the LH group needed post-operative analgesics compared to 54.7% in the TAH group, which was similar to the results of Marana et al [13] and Nambiar et al [10] who reported that abdominally operated women needed more pain medications than laparoscopically operated women.…”

“…The rate of intraoperative bleeding, hematoma formation, wound infection, urinary tract infection (UTI), and bladder injury was higher in TAH group compared to LH group, in contrast to vaginal vault laceration and post-operative fever that were higher in LH compared to TAH; however, these differences were statistically nonsignificant. Higher rates of UTI in the TAH group could be caused by the need for prolonged catheterization, and increased rates of postoperative fever following LH can be attributed to upper respiratory tract infection following endotracheal intubation [10]. There was no significant difference between both groups in mean BMI, with patients in the LH group having a mean ± SD BMI of 34.47 ± 7.42 compared to 32.17 ± 6.85 in the TAH group.…”

Surgical Site Infection in Laparoscopic Hysterectomy versus Abdominal Hysterectomy in Gynecological Disease(s): An Overview

“…The indications for hysterectomy have, however, remained the same over the past two decades, mainly, abnormal uterine bleeding, endometrial hyperplasia, adenomyosis, and endometriosis among which abnormal uterine bleeding alone may account for more than 25% of all hysterectomies. [ 1 2 3 4 ] With improvements in surgical skills and experiences, a surgeon should choose the procedure which best achieves the goal of surgery and at the same time maximizes patient safety. [ 5 ]…”