Laparoscopic assisted vaginal hysterectomy versus total abdominal hysterectomy for benign uterine pathology: Outcome and complications

Abstract

Introduction: ACOG acknowledges that the choice of approach should be based on the surgical indication, the patient’s condition, and data supporting the approach, informed patient preference, and the surgeon’s expertise and training. Methodology: Written informed consent was taken from patient for pre-operative evaluation, surgical procedure, post operative evaluation and willingness to participate in study. 30 Consecutive Patients who gave consent for LAVH and 30 consecutive patients who gave consent for TAH were taken up for the study. Results: 26.7% patients in TAH group required blood transfusion because of significant intraoperative blood loss. Only 3 (10%) patients in LAVH group required blood transfusion. Conclusion: 1 patient in LAVH group required conversion to laparotomy because of dense adhesions, since it is a teaching institute time taken for LAVH was more as interns and PG’s were trained about LAVH which took longer time.