A comparative study of vaginal and abdominal hystrectomy for enlarged uterus

Abstract

Objective: To compare outcome in patients who underwent vaginal and abdominal hysterectomy for benign enlarged uterus. Methods: In a prospective randomized study, 50 vaginal hysterectomies were compared with 50 abdominal hysterectomies performed from April 2020 to September 2021. Patients characteristics before, during and after operations were reviewed and followed up for 3 months to evaluate post op complications. Results: There was no difference in patients age, parity, uterine size and intraoperative complications between two groups. Operative time, blood loss, post op demand for analgesia and duration of hospital stay was lower in vaginal hysterectomy group as compared to the abdominal hysterectomy group. The overall complication occurred with TAH was significantly more than vaginal hysterectomy. Conclusion: Vaginal hysterectomy is safe as compared to abdominal hysterectomy in the treatment of benign gynecological disease with greater efficacy and safety even for enlarged and non prolapsed uterus.