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A Comparison between Total Abdominal Hysterectomy versus Total Laparoscopic Hysterectomy
Ala Uwais1, Ahmed Al-Abadleh2, Mohammad Jahameh2
1Department of Obstetrics and Gynecology, Faculty of Medicine, Mutah University, Al-Karak, Jordan.
Insights
Total laparoscopic hysterectomy (TLH) and total abdominal hysterectomy (TAH) show similar outcomes. TLH offers reduced blood loss and faster recovery without wound infections compared to TAH.
Area of Science:
- Gynecology
- Minimally Invasive Surgery
- Surgical Outcomes
Background:
- Hysterectomy is a common gynecological procedure.
- Laparoscopic and abdominal approaches have different recovery profiles.
- Comparing outcomes is crucial for surgical decision-making.
Purpose of the Study:
- To compare operative and postoperative outcomes of total laparoscopic hysterectomy (TLH) and total abdominal hysterectomy (TAH).
Main Methods:
- Retrospective comparative study of 129 hysterectomies (39 TLH, 90 TAH) from September 2018 to July 2022.
- Data collected from Al-Karak Governmental Hospital records.
- Statistical analysis using SPSS 25.0.
Main Results:
- TLH indications included uterine fibroids; TAH indications included abnormal uterine bleeding.
- TLH group had shorter hospital stays and no wound infections.
- TLH demonstrated significantly lower estimated blood loss than TAH, with comparable transfusion rates and hemoglobin levels.
Conclusions:
- Total laparoscopic hysterectomy (TLH) and total abdominal hysterectomy (TAH) yield comparable overall outcomes.
- TLH is superior to TAH regarding reduced blood loss.
- Patients undergoing TLH experience faster recovery and a lower incidence of postoperative wound infection.
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.
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