Comparative Study of Laparoscopic Assisted Vaginal Hysterectomy versus Vaginal Hysterectomy as Regards Blood Loss: Randomized Control Trial | ||||
Evidence Based Women's Health Journal | ||||
Article 5, Volume 9, Issue 2, May 2019, Page 425-431 PDF (979.96 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ebwhj.2019.33476 | ||||
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Authors | ||||
Sherif F. Hendawy1; Mohamed E. Mohamed1; Heba A. Allam1; Elsayed A. Zaghalil ![]() | ||||
1Department of Obstetrics and Gynecology, Faculty of Medicine, Ain-Shams University, Egypt | ||||
2Department of Obstetrics and Gynecology, Faculty of Medicine, Ain-Shams University | ||||
Abstract | ||||
Objective: A comparative research study conducted to evaluate and asses blood loss issues between laparoscopic assisted vaginal hysterectomy and vaginal hysterectomy. Patients and Methods: A prospective randomized controlled research study trial to investigate blood loss and other surgical and clinical outcomes in comparison between VH and LAVH. Results: No statistically significant difference was displayed between the research study groups concerning demographic parameters (age, BMI, parity uterine size) with p values= 0.224, 0.845, 0.296, 0.175 prospectively. No statistically significant difference between the research study groups concerning preoperative hemoglobin with p value =0.379. However, postoperative Hb was statistically significantly greater within VH research group than within LAVH research group with p value =0.021. Hemoglobin reduction was statistically significantly lower within VH than within LAVH with p value <0.001. Conclusion: our research group came to the conclusion that vaginal hysterectomy has a shorter operative time as well as less postoperative bleeding leading to lower Hb and Hct drop. Therefore it is better to conduct vaginal hysterectomy when surgically possible. | ||||
Keywords | ||||
blood loss; laparoscopic assisted vaginal hysterectomy; vaginal hysterectomy | ||||
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