LAPAROSCOPIC ASSISTED VAGINAL HYSTERECTOMY VERSUS ABDOMINAL HYSTERECTOMY FOR BENIGN GYNECOLOGICAL DISEASES

Abstract

To determine the safety and effect on quality of life of Laparoscopic assisted vaginal hysterectomy (LAVH) compared with total abdominal hysterectomy (TAH) in the management of benign gynecological diseases. Randomized
controlled trial in Misurata Cancer Institute. Ninety women scheduled for an abdominal hysterectomy for benign
gynecological diseases. The overall incidence of operative complications was 13% in LAVH group and 22% in
TAH group, with an 4.4% conversion rate . The mean length of the procedure was greater in women having LAVH
(85 minutes) compared to TAH (35 minutes), there was a difference in post-operative analgesia requirements between the two groups; TAH needed more analgesics and needed more hospital stay than LAVH group .The rate of
postoperative recovery, satisfaction with the operation, and quality of life at four weeks post-operative were more
with LAVH GROUP than TAH group. LAVH compared to TAH has the advantages of faster return to normal activity, shorter duration of hospital stay, lower intra-operative blood loss and fewer wound or abdominal wall infections
but it has longer operation time, higher rate of lower urinary tract (bladder and ureter) injures and needs more experience.