MINI LAPAROTOMY VERSUS CONVENTIONAL LAPAROTOMY FOR ABDOMINAL HYSTERECTOMY: A COMPARATIVE STUDY
Background: Less traumatizing measures for hysterectomies are searched for to improve the recovery from surgery. Aim: Comparison of minilaparotomy abdominal hysterectomy with conventional abdominal hysterectomy in respect to per-operative and post-operative outcome and complications. Setting and Des...
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Published in | Indian journal of medical sciences Vol. 58; no. 5; pp. 196 - 202 |
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Main Author | |
Format | Journal Article |
Language | English |
Published |
India
Medknow Publications on behalf of Indian Journal of Medical Sciences Trust
01.05.2004
Medip Academy |
Subjects | |
Online Access | Get full text |
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Summary: | Background: Less traumatizing measures for hysterectomies are
searched for to improve the recovery from surgery. Aim: Comparison of
minilaparotomy abdominal hysterectomy with conventional abdominal
hysterectomy in respect to per-operative and post-operative outcome and
complications. Setting and Design: In a medical college hospital
patients undergoing abdominal hysterectomy were enrolled. It was a
concomitant comparative study. Methods and Material: We are
presenting our comparative data of 100 cases of minilaparotomy
abdominal hysterectomy (group I, incision =< 6 cm) performed over
last 4 years from January 1998 to December 2002 and comparing the
outcome with 99 cases of abdominal hysterectomy (group II, incision
> 6 cm) done by traditional method over the same duration.
Statistical analysis used: Chi-square and Fischer test with
significance of p value being taken at 0.05 were used for categorical
data, while student's t test was used for continuous data. Results:
Mean age and parity of patients were similar in the two groups.
Incision was transverse in 100% cases in-group I and 22.2% cases
in-group II. Estimated blood loss was significantly higher (354 ml) in
group II in contrast to group I (240 ml). Blood transfusion was also
required more commonly (22.2%) in-group II than in-group I (9%). Mean
operative time was significantly more in-group II (90 minutes) than in
group I (41 minutes). Mean hospital stay, day of mobility, starting
oral diet and days of injectable analgesics required were higher in
group II than in group I. Major complications were rare in both the
groups, but minor complications were significantly higher in group II
(40.4%) than in group I (26%). Conclusion: Minilaparotomy abdominal
hysterectomy appears to be an attractive alternative to traditional
abdominal hysterectomy with fewer complications. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 0019-5359 1998-3654 |