title: A Comparative Study Between Laparoscopically Assisted Vaginal Hysterectomy and Vaginal Hysterectomy: Experience in a Tertiary Diabetes Care Hospital in Bangladesh.
abstract: OBJECTIVE
  The study was undertaken to compare the efficiency and outcome of Laparoscopic Assisted Vaginal Hysterectomy (LAVH) and Vaginal Hysterectomy (VH) in terms of operative time, cost, estimated blood loss, hospital stay, quantity of analgesia use, intra- and postoperative complication rates and patients recovery.
  
  
  METHODS
  A total of 500 diabetic patients were prospectively collected in the study period from January 2005 through January 2009. The performance of LAVH was compared with that of VH, in a tertiary care hospital. The procedures were performed by the same surgeon.
  
  
  RESULTS
  There was no significant difference in terms of age, parity, body weight or uterine weight. The mean estimated blood loss in LAVH was significantly lower when compared with the VH group (126.5±39.8 ml and 100±32.8 ml), respectively. As to postoperative pain, less diclofenac was required in the LAVH group compared to the VH group (70.38±13.45 mg and 75.18±16.45 mg), respectively.
  
  
  CONCLUSIONS
  LAVH, is clinically and economically comparable to VH, with patient benefits of less estimated blood loss, lower quantity of analgesia use, lower rate of intra- and postoperative complications, less postoperative pain, rapid patient recovery, and shorter hospital stay.
authors.affiliation: Department of Gynecology and Obstetrics, BIRDEM, Dhaka, Bangladesh.
authors.forename: Samsad
authors.initials: S
authors.lastname: Jahan
authors.affiliation: BSMMU, Dhaka, Bangladesh.
authors.forename: Tripti
authors.initials: T
authors.lastname: Das
authors.affiliation: Department of Gynecology and Obstetrics, BIRDEM, Dhaka, Bangladesh.
authors.forename: Nusrat
authors.initials: N
authors.lastname: Mahmud
authors.affiliation: Department of Gynecology and Obstetrics, BIRDEM, Dhaka, Bangladesh.
authors.forename: Masuda Islam
authors.initials: MI
authors.lastname: Khan
authors.affiliation: Department of Gynecology and Obstetrics, BIRDEM, Dhaka, Bangladesh.
authors.forename: Latifa
authors.initials: L
authors.lastname: Akter
authors.affiliation: Department of Surgery, BIRDEM, Dhaka, Bangladesh.
authors.forename: Samiron Kumar
authors.initials: SK
authors.lastname: Mondol
authors.affiliation: Department of Gynecology and Obstetrics, BIHS, Dhaka, Bangladesh.
authors.forename: Sharmin
authors.initials: S
authors.lastname: Yasmin
authors.affiliation: Department of Gynecology and Obstetrics, SSMC, Dhaka, Bangladesh.
authors.forename: Nurun
authors.initials: N
authors.lastname: Nahar
authors.affiliation: Health Economics Unit, BADAS, Dhaka, Bangladesh.
authors.forename: Samira Humaira
authors.initials: SH
authors.lastname: Habib
authors.affiliation: Health Economics Unit, BADAS, Dhaka, Bangladesh.
authors.forename: Soma
authors.initials: S
authors.lastname: Saha
authors.affiliation: Health Economics Unit, BADAS, Dhaka, Bangladesh.
authors.forename: Debashish
authors.initials: D
authors.lastname: Paul
authors.affiliation: Department of Gynecology and Obstetrics, Bangladesh Medical College, Dhaka, Bangladesh.
authors.forename: Mahjabin
authors.initials: M
authors.lastname: Joarder
keywords: Bangladesh; laparoscopically assisted vaginal hysterectomy; vaginal hysterectomy