Peri-operative morbidity between total laparoscopic hysterectomy and abdominal hysterectomy for benign gynecological disease: A prospective comparative study

Abstract

Compared to laparoscopic hysterectomy, there is a slightly higher risk of complications with that of abdominal hysterectomy. The procedural costs of laparoscopic hysterectomy are greater than abdominal hysterectomy. Most studies show less post-operative pain, shorter hospital stay and faster postoperative recovery with laparoscopic hysterectomy than with abdominal hysterectomy. All the patients attending Gynecology outpatient department with symptoms were assessed with history and clinical examination by the Consultant Gynecologist and investigated. Those requiring hysterectomy were analyzed by the Consultants for the approach depending on the indication for the surgery, nature of the disease and patient characteristics. Pain score of 3 was found in 36% of patients of TAH group whereas 2% in TLH group. At 12- 24hours, pain score of 0 was found in 4% of patients of TAH group whereas 2% in TLH group. Pain score of 1 was found in 76% of patients of TAH group whereas 16% in TLH group. Pain score of 2 was found in 20% of patients of TAH group whereas 82% in TLH group. At POD 1, pain score of 0 was found in 84% of patients of TAH group whereas 94% in TLH group.