الفهرس 
Aim of the workOnly 14 pages are availabe for public view
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Abstract
This is a Cohort study conducted from January 2020 and March 2022 within the Department of Obstetrics and Gynecology in Menoufia Tertiary Care University Hospitals. , in order to find out if laparoscopic assisted vaginal hysterectomy is an effective alternative for conventional abdominal hysterectomy.
Women with benign gynecological conditions who required hysterectomy and where vaginal hysterectomy was not an option were recruited for the study. The study Included 41 patients as: 21 patients underwent LAVH (cases) and 22 underwent abdominal hysterectomy (controls). Two of the patients in LAVH group required conversion to laparotomy due to technical aspects of laparoscopy.
The main parameters evaluated were duration of surgery, intraoperative blood-loss; all intraoperative and postoperative complications were noted. The specimen weight was obtained. Hemoglobin estimation was done for all patients 24 hours. For comparing postoperative pain and activity, we used Wong-Baker Faces Pain Rating Scale and Activity assessment scale respectively. Extra analgesia required and days of hospital stay taken into account.
Mean operating time for LAVH was significantly longer than that for abdominal hysterectomy while the mean blood loss was significantly lower in LAVH. Another advantage of LAVH was significantly lower postoperative pain and activity score. Patients in the abdominal hysterectomy group required extra analgesia in the first postoperative day as compared to the LAVH group. Mean hospital stay / days was significantly higher in TAH group compared to TAVH group. Overall complications were not significantly different between the two groups.