Laparoscopic Hysterectomy versus Abdominal Hysterectomy for Obese Women with Benign Diseases
Thapet, M., Farouk Midan, M., Rady, M., Abdou, H. (2020). Laparoscopic Hysterectomy versus Abdominal Hysterectomy for Obese Women with Benign Diseases. EKB Journal Management System, 2(2), 365-372. doi: 10.21608/ijma.2020.23354.1093
Mohamed Elsayed Thapet; Mahmoud Farouk Midan; Mahmoud Salah Mahmoud Rady; Hossam Abdelmageed Abdou. "Laparoscopic Hysterectomy versus Abdominal Hysterectomy for Obese Women with Benign Diseases". EKB Journal Management System, 2, 2, 2020, 365-372. doi: 10.21608/ijma.2020.23354.1093
Thapet, M., Farouk Midan, M., Rady, M., Abdou, H. (2020). 'Laparoscopic Hysterectomy versus Abdominal Hysterectomy for Obese Women with Benign Diseases', EKB Journal Management System, 2(2), pp. 365-372. doi: 10.21608/ijma.2020.23354.1093
Thapet, M., Farouk Midan, M., Rady, M., Abdou, H. Laparoscopic Hysterectomy versus Abdominal Hysterectomy for Obese Women with Benign Diseases. EKB Journal Management System, 2020; 2(2): 365-372. doi: 10.21608/ijma.2020.23354.1093

Laparoscopic Hysterectomy versus Abdominal Hysterectomy for Obese Women with Benign Diseases

International Journal of Medical Arts
Article 7, Volume 2, Issue 2, April 2020, Page 365-372  XML PDF (502.05 K)
Document Type: Original Article
DOI: 10.21608/ijma.2020.23354.1093
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Authors
Mohamed Elsayed Thapet email 1; Mahmoud Farouk Midan2; Mahmoud Salah Mahmoud Radyorcid 3; Hossam Abdelmageed Abdou4
1Department of Obstetrics and Gynecology, Damietta Faculty of Medicine Al-Azhar University, Egypt
2Department of Obstetrics and Gynecology; Damietta Faculty of Medicine, Al-Azhar University, Egypt
3Department of Obstetrics and Gynecology; Damietta Faculty of Medicine, Al Azhar University, Egypt
4Department of Obstetrics and Gynecology, Faculty of Medicine, Helwan University, Egypt.
Abstract
Background: Obesity is a challenging health problem in gynecologic surgery. Laparoscopic has the potential advantages than abdominal hysterectomy of being quicker, efficient with low estimated blood loss.
Aim of the work: To compare the safety and effectiveness of laparoscopic and abdominal hysterectomy for benign conditions in obese patients.
Patients and Methods: Sixty patients were submitted to history taking, clinical examination, Lab investigations, abdominal ultrasound and biopsy for suspicious pathology. Patients divided into two equal groups. The first for total laparoscopic hysterectomy and the second for trans-abdominal hysterectomy. Patients were followed for six months after surgery. Data collected include operative time, amount of blood loss, complications and duration of hospital stay.
Results: BMI was significantly higher among open when compared to laparoscopic group (43.69±3.86 vs 34.5±4.02 respectively), and low parity and low cesarean deliveries were significantly increased in laparoscopic group. The highest indication of hysterectomy in laparoscopic group was adenomyosis (43.3%) followed by fibroid (30.0%), while in open group, the most common indication was fibroid (53.3%) followed by adenomyosis (26.7%). Operative time showed significant decrease in laparoscopic when compared to open hysterectomy groups (56.23±21.5 vs 78.87±8.22 minutes respectively) and blood loss was significantly decreased among laparoscopic group. Finally, the length of hospital stay was significantly decreased in laparoscopic when compared to open groups (the median was 10 versus 24 hours respectively).
Conclusion: Laparoscopic hysterectomy is superior to abdominal hysterectomy in obese females with benign conditions in terms of safety and efficacy.
Keywords
Laparoscopy; Abdominal; Benign; Hysterectomy; Obesity
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