Talat Parveen, Tasneem Kausar, Tayyaba Iqbal, Asia Batool.
Comparison of Outcome between Vaginal and Abdominal Hysterectomy.
Pak J Med Health Sci Jan ;7(4):1150-3.

Aim: To evaluate the outcome between abdominal and vaginal hysterectomy in terms of mean operative time, hospital stay and complication rate. Methods: A total of 76 patients who had required hysterectomy for benign pathology with uterus of less than 14 weeks size, utero-vaginal prolapse or those with failed medical treatment in dysfunctional uterine bleeding were included. Patients were grouped in I and II with 38 patients in each group. Vaginal hysterectomy was done for group I and abdominal hysterectomy for group II. Mean Operative time, hospital stay and post-operative complications were noted. Follow up period was 1-4 weeks with mean follow up of 1.25 ± 0.70 weeks for group I and 1.79 ± 2.12 weeks for group II. Results: Mean Operative time was 72.27 ± 10.32 minutes for group I and 89.31 ± 12.45 minutes for group II (p<0.0001). Mean hospital stay was 2.12 ± 0.71 for group I and 3.78 ± 1.67 for group II with p-value <0.0001.In group I, only 06 (15.7%) patients i.e. hemorrhage in 01 (2.63%), urinary tract infection in 02 (5.26%) and vaginal vault hematoma/infection in 03 (7.89%) patients, had complications while in group II, 15 (39.47%) patients developed complications i.e. bladder or ureteric injury in 01 (2.63%) patients, hemorrhage in 03 (7.89%), wound infection in 04 (10.53%) and urinary tract infection in 04 (10.53%) patients. Conclusion: Vaginal route is more effective and reliable method for hysterectomy in benign conditions because of its less mean operative time, hospital stay and complications rate compared to abdominal hysterectomy.

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