RT Journal Article
SR Electronic
T1 Laparoscopic supracervical hysterectomy compared with total abdominal hysterectomy
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 1597
OP 1600
VO 29
IS 11
A1 Diab, Abdalla E.
A1 Abdul-Latif, Essam E.
A1 Eldash, Mohamed
A1 Mahdy, Mohamed S.
A1 Shalaby, Hamed
A1 Shafik, Mustafa
YR 2008
UL http://smj.org.sa/content/29/11/1597.abstract
AB OBJECTIVE: To assess if laparoscopic supracervical hysterectomy (LSH) had any advantage over traditional total abdominal hysterectomy (TAH) carried out for benign conditions.METHODS: This prospective case control study was carried out between June 2005 and October 2006 in the Obstetrics and Gynecology Department of Zagazig University Hospitals, Zagazig, Egypt. Twenty-eight women operated upon by LSH were compared to 56 women who had undergone TAH. Variables compared were patient's age, weight, preoperative diagnosis, number of previous laparotomies, operative time, intra/post-operative complications, blood loss, uterine weight, hospital stay, need for analgesia, and resumption of normal activity.RESULTS: Patient's demographics were similar in both groups. The operative time was longer in the LSH group (93.7±5.7 versus 69.0±6.8 min, p=0.001). Other operative and post-operative parameters were similar except that LSH patients showed shorter hospital stay (1.7±0.5 versus 4.0±0.7 days), time to resume normal activity (20.8±2.6 versus 50.0±7.9 days) and lower dose of post-operative analgesia (141.7±62.4 versus 282.0±87.4mg diclofenac), (p=0.001).CONCLUSION: Laparoscopic supra cervical hysterectomy is a safe procedure and should be considered, if hysterectomy will be carried out for a benign condition with healthy cervix. A further larger study is needed to confirm these findings.