Journal of Gynecological Endoscopy and Surgery

ORIGINAL ARTICLE
Year
: 2011  |  Volume : 2  |  Issue : 2  |  Page : 79--84

A comparative study between laparoscopically assisted vaginal hysterectomy and vaginal hysterectomy: Experience in a tertiary diabetes care hospital in Bangladesh


Samsad Jahan1, Tripti Das2, Nusrat Mahmud1, Masuda Islam Khan1, Latifa Akter1, Samiron Kumar Mondol3, Sharmin Yasmin4, Nurun Nahar5, Samira Humaira Habib6, Soma Saha6, Debashish Paul6, Mahjabin Joarder7 
1 Department of Gynecology and Obstetrics, BIRDEM, Dhaka, Bangladesh
2 Department of Gynecology and Obstetrics, BSMMU, Dhaka, Bangladesh
3 Department of Surgery, BIRDEM, Dhaka, Bangladesh
4 Department of Gynecology and Obstetrics, BIHS, Dhaka, Bangladesh
5 Department of Gynecology and Obstetrics, SSMC, Dhaka, Bangladesh
6 Health Economics Unit, BADAS, Dhaka, Bangladesh
7 Department of Gynecology and Obstetrics, Bangladesh Medical College, Dhaka, Bangladesh

Correspondence Address:
Samsad Jahan
Departments of Gynecology and Obstetrics, Ibrahim Medical College, BIRDEM, 122 Kazi Nazrul Islam Avenue, Dhaka -1000,
Bangladesh

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. Materials and 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.


How to cite this article:
Jahan S, Das T, Mahmud N, Khan MI, Akter L, Mondol SK, Yasmin S, Nahar N, Habib SH, Saha S, Paul D, Joarder M. A comparative study between laparoscopically assisted vaginal hysterectomy and vaginal hysterectomy: Experience in a tertiary diabetes care hospital in Bangladesh.J Gynec Endosc Surg 2011;2:79-84


How to cite this URL:
Jahan S, Das T, Mahmud N, Khan MI, Akter L, Mondol SK, Yasmin S, Nahar N, Habib SH, Saha S, Paul D, Joarder M. A comparative study between laparoscopically assisted vaginal hysterectomy and vaginal hysterectomy: Experience in a tertiary diabetes care hospital in Bangladesh. J Gynec Endosc Surg [serial online] 2011 [cited 2017 Mar 27 ];2:79-84
Available from: http://www.gynecendoscopy.org/article.asp?issn=0974-1216;year=2011;volume=2;issue=2;spage=79;epage=84;aulast=Jahan;type=0