START UP SKILLS CURVE OF TLH FOR BENIGN GYNECOLOGICAL DISEASES IN A SINGLE TERTIARY CENTRE IN UPPER EGYPT.

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Document Type : Original Article

Authors

1 Department of Obstetrics and Gynecology, Faculty of Medicine, Minia University, Egypt

2 Obs gynecology department faculty of medicine Elminia university

3 Obstetrics and Gynecology, Faculty of Medicine – Minia University, Egypt.

4 obs & Gyn, faculty of medicine, Minia University

Abstract

Background: Hysterectomy is a commonly performed gynecologic surgery that can be associated with significant morbidity and mortality. However, the evolution of the surgical approach, from open to minimally invasive surgery (MIS), has substantially improved patient outcomes by reducing perioperative complications, pain, and length of hospitalization.[1]

Objectives: This study was conducted to assess the feasibility and surgical outcome of laparoscopic hysterectomy in comparison to abdominal hysterectomy done for different benign gynecological indications in Minia University Maternity and Children Hospital (MUMCH).

Methods: Two hundred patients candidate for hysterectomy for benign gynecological diseases during this study period were randomly devided into 2 equal groups based on approach of hystrectomy either laparoscopic or abdominal, comparison between both groups as regared intra & post operative details was done .

Results:The differences between the two groups regarding hospital stay, postoperative pain score & patient satisfaction were statistically significant in favor of TLH group .

Conclusion: Laparoscopic hysterectomy is preferred over traditional abdominal hysterectomy in terms of less intraoperative blood loss, shorter hospital stay, less risk of wound complications, faster recovery and more patient satisfaction.

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Minia Journal of Medical Research

Articles in Press, Accepted Manuscript
Available Online from 09 February 2025

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