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Comparative Perioperative Outcomes of Laparoscopic and AH for Benign Gynecological Disease: A Multicenter
Areeba Ayub1, Saadia Hassan2, Sadia Firdous3
1Department of Obstetrics and Gynecology, Ayub Teaching Hospital, Abbottabad, Pakistan.
Insights
Minimally invasive laparoscopic hysterectomy offers better outcomes than abdominal hysterectomy for benign gynecologic conditions. This approach leads to fewer complications and shorter hospital stays, making it a preferred surgical option.
Area of Science:
- Gynecology
- Minimally Invasive Surgery
- Surgical Outcomes
Background:
- Abdominal hysterectomy (AH) is increasingly being replaced by minimally invasive hysterectomy for benign gynecologic conditions.
- Evaluating perioperative and short-term outcomes is crucial for comparing surgical approaches.
Purpose of the Study:
- To compare the perioperative and short-term outcomes of laparoscopic hysterectomy versus abdominal hysterectomy for benign gynecologic disease.
Main Methods:
- A multicenter retrospective cohort study involving 400 adult women undergoing elective hysterectomy for benign indications.
- Data collected from three tertiary institutions in Pakistan between 2019 and 2024.
- Multivariable regression models were used to adjust for baseline covariates.
Main Results:
- Laparoscopic hysterectomy demonstrated lower estimated blood loss, fewer postoperative complications, and shorter hospital stays compared to AH.
- Operative duration was longer for the laparoscopic approach.
- After multivariable adjustment, AH was independently associated with increased odds of postoperative complications and prolonged hospitalization.
Conclusions:
- Laparoscopic hysterectomy is associated with improved perioperative outcomes and shorter hospitalization compared to AH in a multicenter cohort.
- Further prospective studies are needed to confirm comparative effectiveness in diverse healthcare settings.
Background:
Minimally invasive hysterectomy has increasingly replaced AH for benign gynecologic disease. This multicenter study evaluated perioperative and short-term outcomes associated with laparoscopic versus AH for benign gynecologic disease.
Methods:
This multicenter retrospective cohort study was conducted across three tertiary institutions in Pakistan from 2019 to 2024. Adult women undergoing elective hysterectomy for benign indications were included. Multivariable regression models adjusted for baseline covariates.
Results:
A total of 400 patients were included (laparoscopic n = 200; abdominal n = 200). Laparoscopic hysterectomy was associated with lower estimated blood loss, fewer postoperative complications, and shorter hospital stay, although operative duration was longer. After multivariable adjustment, AH remained independently associated with increased odds of postoperative complications and prolonged hospitalization.
Conclusions:
In this multicenter cohort, laparoscopic hysterectomy was associated with improved perioperative outcomes and shorter hospitalization compared with AH. Prospective studies are warranted to further define comparative effectiveness across diverse healthcare settings.
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