Retrospective Comparison of Non-descent Vaginal Hysterectomy and Total Laparoscopic Hysterectomy for Bulky Uterine Fibroids
Elmantwea, A., Negm, A., Edris, Y. (2023). Retrospective Comparison of Non-descent Vaginal Hysterectomy and Total Laparoscopic Hysterectomy for Bulky Uterine Fibroids. EKB Journal Management System, (), -. doi: 10.21608/bmfj.2023.230958.1881
Ashraf Nassif Elmantwea; Aziza Ali Negm; Yehia Mohamed Samir Edris. "Retrospective Comparison of Non-descent Vaginal Hysterectomy and Total Laparoscopic Hysterectomy for Bulky Uterine Fibroids". EKB Journal Management System, , , 2023, -. doi: 10.21608/bmfj.2023.230958.1881
Elmantwea, A., Negm, A., Edris, Y. (2023). 'Retrospective Comparison of Non-descent Vaginal Hysterectomy and Total Laparoscopic Hysterectomy for Bulky Uterine Fibroids', EKB Journal Management System, (), pp. -. doi: 10.21608/bmfj.2023.230958.1881
Elmantwea, A., Negm, A., Edris, Y. Retrospective Comparison of Non-descent Vaginal Hysterectomy and Total Laparoscopic Hysterectomy for Bulky Uterine Fibroids. EKB Journal Management System, 2023; (): -. doi: 10.21608/bmfj.2023.230958.1881

Retrospective Comparison of Non-descent Vaginal Hysterectomy and Total Laparoscopic Hysterectomy for Bulky Uterine Fibroids

Benha Medical Journal
Articles in Press, Accepted Manuscript, Available Online from 11 October 2023  XML PDF (543.71 K)
Document Type: Original Article
DOI: 10.21608/bmfj.2023.230958.1881
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Authors
Ashraf Nassif Elmantwea1; Aziza Ali Negm2; Yehia Mohamed Samir Edris email 3
1Assistant professor of Obstetrics and Gynecology Department, Benha University Hospital, Benha University Egypt
2Lecturer of Obstetrics and Gynecology Department, Benha University Hospital, Benha University Egypt
3Department of Gynaecology & Obst- Facukty of Medicine- Benha University
Abstract
Objective: To compare perioperative consequences including direct and indirect costs in patients with a bulky fibroid uterus sizing ≥ 12 weeks who underwent either Total vaginal hysterectomy (TVH) or who underwent total laparoscopic hysterectomy (TLH) for non-descent uteri. Patients and methods: A retrospective observational cohort study included 105 patients with a bulky fibroid uterus sizing ≥ 12 weeks who underwent hysterectomy (HR) performed between January 2015 and April 2023 in Benha university hospital and some private centers appraising the results between non-descent vaginal hysterectomy (NDVH) and TLH. The NDVH group consisted of 56 patients with a bulky fibroid uterus sizing ≥ 12 weeks who underwent TVH for non-descent uteri. The TLH group consisted of 49 patients with a bulky fibroid uterus sizing ≥ 12 weeks who underwent TLH for non-descent uteri. Both groups were compared statistically to discover variations in pre-, intra-, and post-operative demographic attributes as well as clinical measurements and perioperative consequences.Results: Both groups' participants were analogous as regards age, parity, pre-operative mean hemoglobin levels, hematocrit value, accompanying comorbidities, preceding CS numbers and parallel indications for hysterectomy, but greater arithmetic preoperative HBA1c and briefer preoperative hospital admittance (p < 0.0001) encouraging the NDVH group over the TLH group. There was no variance between the NDVH and the TLH clusters concerning operative time, blood loss, intra-operative complications, necessity for blood transfusion and rates of incidental cystotomy (p>0.05).
Keywords
non-descent vaginal hysterectomy; vaginal hysterectomy; hysterectomy
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