COMPARISON OF TOTAL LAPAROSCOPIC HYSTERECTOMY VERSUS TOTAL ABDOMINAL HYSTERECTOMY: AN ASSESSMENT OF THE LEARNING CURVE; RANDOMIZED CONTROL STUDY.
Hysterectomy is one of the most frequently performed gynaecological procedure
in female. Objectives: The purpose of this study was to compare the outcome between total
laparoscopic hysterectomy and abdominal hysterectomy regarding blood loss during surgery,
surgical time and postoperative hospital stay. Settings: Department of Gynecology & Obstetrics
Allied Hospital, Faisalabad Medical University, Faisalabad. Period: 1st January 2016 - 31st
December 2016 (1 Year). Study Design: Randomized control Study. Material & Methods: The
ethical committee of Faisalabad Medical University, Faisalabad approved the study protocol. The
patient demographical characteristics were similar in both groups. 112 patients were enrolled.
Including 56 case of total laparoscopic hysterectomy and 56 cases of abdominal hysterectomy
which meets inclusion criteria. Result: Average blood loss in TLH was 83.09+10.74ml while it
was 387.88+59.54ml in TAH. When both groups were compared regarding operative time, it
was 76.73+20.2min in TLH while it was 84.7+19.9 in TAH. Postoperative stay in the hospital
was 1.25+0.44 days in TLH while it was 5.72+0.83 in TAH. Conclusion: The laparoscopic
hysterectomy is a modern surgical method in current gynecological practice. With increasing
experience and good collaboration of surgical team, time duration can be shortened and blood
loss can be reduced to negligible.