Comparison of Operative Time, Intraoperative Blood Loss, and Surgical Complications between Non-Descent Vaginal Hysterectomy and Total Laparoscopic Hysterectomy for Benign Uterine Lesions: A Comparative Observational Study
Keywords:
Non-Descent Vaginal Hysterectomy, Total Laparoscopic Hysterectomy, Operative Time, Blood Loss, Surgical Complications, Benign Uterine Disease.Abstract
Background: Non-descent vaginal hysterectomy (NDVH) and total laparoscopic hysterectomy (TLH) are minimally invasive approaches for hysterectomy in women with benign uterine disease. Selection of the surgical route requires consideration of operative efficiency, blood loss, complications, available resources, and surgical expertise.
Objective: To compare operative time, intraoperative blood loss, and surgical complications between NDVH and TLH for benign uterine lesions.
Methods: This comparative observational study included 50 women undergoing hysterectomy for benign uterine lesions at a tertiary care hospital. Twenty-five underwent TLH and 25 underwent NDVH. Operative time, intraoperative blood loss, complications, and conversion to laparotomy were compared.
Results: Mean operative time was significantly longer with TLH than NDVH (112.92±37.64 vs 55.36±25.84 minutes; p<0.05). Mean blood loss was also significantly higher with TLH (114±46.32 vs 90±27.38 mL; p<0.05). Complications occurred in four patients overall: bladder and bowel injury in the TLH group and excessive bleeding and urinary tract infection in the NDVH group. Two TLH cases required conversion to laparotomy.
Conclusion: In this study, NDVH was associated with shorter operative time and lower intraoperative blood loss than TLH, while overall complications were infrequent in both groups.
