Comparison between abdominal, vaginal and laparoscopic hysterectomy in patients with benign uterine lesions as regards blood loss during operation

Abstract

The vaginal approach is preferred among the minimally invasive approaches. Laparoscopic hysterectomy is a preferable alternative to open abdominal hysterectomy for those patients in whom a vaginal hysterectomy is not indicated or feasible. Although minimally invasive approaches to hysterectomy are the preferred route, open abdominal hysterectomy remains an important surgical option for some patients. This study was add more information about blood loss during operation comparing between Vaginal, Laparoscopic and Abdominal hysterectomy. To compare blood loss during vaginal, laparoscopic and abdominal hysterectomy. This prospective study included ninety patients with uterine benign diseases that were justified for total hysterectomy. They were recruited and assessed for eligibility from Ain shams university maternity hospital. Patients were divided into three groups each comprised thirty patients; group I (total abdominal hysterectomy (TAH)), group II (vaginal hysterectomy (VH)), group III (total laparoscopic hysterectomy (TLH)). There was a significant difference between women of the three groups regarding operative time. Post-HOC analysis showed that this statistical significance was only attributed to