title: A comparative study among laparoscopically assisted vaginal hysterectomy, vaginal hysterectomy and abdominal hysterectomy: experience in a tertiary care hospital in Bangladesh.
abstract: The study was undertaken to compare the efficiency and outcome of laparoscopically assisted vaginal hysterectomy (LAVH), total abdominal hysterectomy (TAH) and vaginal hysterectomy (VH) in terms of operative time, cost, estimated blood loss, hospital stay, quantity of analgesia use, intra- and postoperative complications rate and patients recovery. A total of 750 patients were prospectively collected in the study period from January 2005 through January 2009 in a tertiary care hospital. The mean estimated blood loss in LAVH and VH group were significantly lower compared with the TAH group. As to postoperative pain, significantly less diclofenac was required in the LAVH and VH group vs the TAH group. LAVH, VH is clinically and economically comparable with TAH, with patients' benefits of less estimated blood loss; less analgesia use; less intra- and postoperative complication rates; less postoperative pain; rapid patient recovery and shorter hospital stay. The study concludes that thus, LAVH, VH is clinically and economically comparable with TAH.
authors.affiliation: Department of Gynecology and Obstetrics, Bangladesh Institute of Research and Rehabilitation in Diabetes (BIRDEM), 122 Kazi Nazrul Islam Avenue, Dhaka 1000, Bangladesh. shelly_birdem@yahoo.com
authors.forename: S
authors.initials: S
authors.lastname: Jahan
authors.forename: T R
authors.initials: TR
authors.lastname: Das
authors.forename: N
authors.initials: N
authors.lastname: Mahmud
authors.forename: S K
authors.initials: SK
authors.lastname: Mondol
authors.forename: S H
authors.initials: SH
authors.lastname: Habib
authors.forename: S
authors.initials: S
authors.lastname: Saha
authors.forename: S
authors.initials: S
authors.lastname: Yasmin
authors.forename: M
authors.initials: M
authors.lastname: Joarder
mesh_terms: D000328:Adult; D001459:Bangladesh; D016063:Blood Loss, Surgical; D003365:Costs and Cost Analysis; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000191:economics / Q000379:methods*; D007045:Hysterectomy, Vaginal / Q000191:economics / Q000379:methods*; D010535:Laparoscopy / Q000191:economics / Q000379:methods*; D007889:Leiomyoma / Q000601:surgery; D008875:Middle Aged; D010149:Postoperative Pain / Q000188:drug therapy / Q000453:epidemiology; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies; D013997:Time Factors; D014594:Uterine Neoplasms / Q000601:surgery