Background: In gynecology, hysterectomy is one of the most common procedures because of the prevalence of con ditions such as uterine myomas, abnormal uterine bleeding, and prolapses. In addition to the traditional open, vaginal, and laparoscopic methods, robotic-assisted laparoscopy is now an option. Aim and objectives: This research aimed to determine which type of hysterectomy, nondescent vaginal or complete laparoscopic, was superior in women with benign lesions and mobile, nonprolapsed uteruses of 14 weeks gestation or less. Patients and methods: This prospective comparative study was carried out on 50 patients attending the outpatient clinic of the gynecological department of Al Azhar University Hospitals who require hysterectomy for benign conditions. Result: There was no significant difference among the groups regarding Demographic characteristics, pathology of benign uterine lesions distribution, Uterine size distribution, Operative data except in blood loss, Postoperative data except in hospital stay and Return to normal daily activity, and Postoperative complications except in Wound infection. Conclusion: The rates of non-descent vaginal hysterectomy and total laparoscopic hysterectomy (TLH) are rising. This research shows that vaginal hysterectomy (VH) and TLH are equally effective in removing a nonprolapsed uterus with benign lesions. While complete TLH has the advantage of a shorter surgical time than VH, the benefits of a quicker recovery and return to regular daily activity favor VH.
A Wed, study studied this question.
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