title: A Prospective Randomized Comparative Study of Vaginal, Abdominal, and Laparoscopic Hysterectomies.
abstract: OBJECTIVE
  The present study is a prospective, randomized comparative study of abdominal, vaginal and laparoscopic hysterectomies comparing various parameters such as indications, blood loss, post operative pain, time taken for surgery, intraoperative and postoperative complications and total hospital stay.
  
  
  METHODS
  50 patients were selected in each group over a period of 18 months. The patients were selected in such a way that they could be operated by all 3 routes. Thus patients undergoing hysterectomy for non malignant conditions, having no adnexal masses, having no severe endometriosis, uterine size not more than 12 weeks and uterine descent of not more than 1st degree were selected.
  
  
  RESULTS
  The most common indication for hysterectomy was found to be DUB, the maximum time taken was in TLH, the minimum blood loss was found in TLH. There was significant difference in the pain scores using VAS among the three groups on day 0 and day 1, where the scores were significantly lower in VH group, the hospital stay was maximum in TAH group while there was no difference between VH and TLH groups.
  
  
  CONCLUSIONS
  TLH is a better alternative for TAH and with good equipment, expertise and excellent teamwork TLH will be the future candidate for mode of surgery.
authors.affiliation: KJ Somaiya hospital and Research Centre, Mumbai, India ; 202,203 B Wing Benzer, 2nd Cross Lane, Lokhandwala Complex, Andheri West, Mumbai, 400053 India.
authors.forename: Anand Murari
authors.identifier: 0000-0002-1839-0233
authors.initials: AM
authors.lastname: Nanavati
authors.affiliation: KJ Somaiya hospital and Research Centre, Mumbai, India.
authors.forename: Sudhir B
authors.initials: SB
authors.lastname: Gokral
keywords: Abdominal hysterectomy; Laparoscopic hysterectomy; Vaginal hysterectomy