Comparison of total laparoscopic hysterectomy and abdominal hysterectomy

Objective: The aim of this prospective study is to evaluate and compare to the outcomes of total laparoscopic hysterectomy (TLH) and total abdominal hysterectomy (TAH) who performed in our clinic. Materials and Methods: We performed surgical procedures at Necmettin Erbakan University Faculty of Medicine, Department of Obstetrics and Gynecology between January 2013 and April 2014. Forty patients who underwent TLH (group 1) compared to 40 patients who underwent TAH (group 2). The mean age of the cases, body mass index (BMI), duration of operation, the amount of blood loss, rates of complications and post operative hospital stay were compared for two groups. Results: There were no statistically significant differences between the two groups regarding age, body mass index (BMI), specimen weight, pre-operative hemoglobin (Hb) value and rates of the complications. The mean post-operative Hb value was significantly higher in group 1 than group 2 (11.5 +/- 0.8 gr/dl vs. 10.8 +/- 1.7, p=0.02). The mean time of operation was significantly longer in group 1 than in group 2 (105.4 +/- 22.9 minutes vs. 74 +/- 18, p<0.001). The mean duration of hospital stay was statistically shorter in group 1 compared to the group 2 (2.48 +/- 0.6 days vs. 4.88 +/- 1.2, p<0.001). Conclusion: Total laparoscopic hysterectomy is safe and feasible method for gynecological diseases. TLH may offer specific benefits for properly selected patients. Its advantages are lower peri-operative morbidity, improvement of quality of life, shorter hospital stay and faster return to activity.