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                                    Rising Trend of Laparoscopic Hysterectomy Over Abdominal Hysterectomy: A Comparative Study
             In five women who underwent TLH, postoperative  REFERENCES
          blood transfusion and prolonged catheterisation was     1.  Mattingly RF, Thompson JD. Leiomyomata uteri and abdomi-
          done. But in all of these cases, size of uterus was > 12   nal hysterectomy for benign disease. In: JD Thompson.,
          weeks and fibroid of size 5 to 10 cm was present, because   editor. In Te Linde’s Operative Gynecology, 6th ed. Edited by
          of which peroperative blood loss was little more and    RF Mattingly. Philadelphia: JB Lipincott; 1985. pp. 230-242.
          hence, postoperative transfusion was given and catheter     2.  Reich H. 13 New techniques in advanced laparoscopic
          was kept for longer period for prophylactic purpose. In   surgery. Baillière’s Clinical Obstetrics and Gynaecology. 1989
                                                                  Sep 1;3(3):655-681.
          these cases of large fibroid uterus, first Myomectomy     3.  Phipps JH, John M, Nayak S. Comparison of laparoscopi-
          was done and then we proceeded with hysterectomy.       cally assisted vaginal hysterectomy and bilateral salpingo-
          Both uterus and fibroid were removed by Ribbon Coring   ophorectomy with conventional abdominal hysterectomy
                   12
          technique vaginally.  However, none of the patient had   and bilateral salpingo-ophorectomy. BJOG: An International
          bladder or ureteric injury, and catheter was kept for   Journal of Obstetrics & Gynaecology. 1993 Jul;100(7):698-700.
          little longer time for prophylactic purpose, especially in     4.  Balcı O. Comparison of total laparoscopic hysterectomy
          women with adherent bladder or previous surgery.        and abdominal hysterectomy. Turk J Obstet Gynecol. 2014
                                                                  Dec;11(4):224-227.
             In a Cochrane database systemic review Johnson       5.  Loh FH, Koa RC. Laparoscopic hysterectomy versus abdomi-
               13
          et al.,  surgical approach to hysterectomy was given for   nal hysterectomy: a controlled study of clinical and functional
          benign diseases. When TLH was compared to TAH, it       outcomes. Singapore Med J. 2002 Aug;43(8):403-407.
          was found that TLH is associated with more benefits in     6.  Frigerio L, Gallo A, Ghezzi F, Trezzi G, Lussana M, Franchi
          term of lower intraoperative blood loss, shorter duration   M. Laparoscopic assisted hysterectomy versus abdomi-
          of hospital stay, speedier return to normal activities, fewer   nal hysterectomy in endometrial cancer. Int J Gynecol
                                                                  Obstet.2006;93(3):209-213.
          wound or abdominal wall infections, fewer unspecified     7.  Shridhar M, Chillamherla S. Comparison of open hyster-
          infections or febrile episodes, but more urinary tract   ectomy and total laparoscopic hysterectomy: a study in
          (bladder or ureter) injuries.  Hence, it was concluded   a teaching hospital. International surgery journal. 2016
          that vaginal hysterectomy (VH) should be performed in   Feb;3(1):296-300.
          preference to abdominal hysterectomy where possible     8.  Garry R, Fountain J, Brown J, Manca A, Mason S, Sculpher M
          and in cases where VH is not possible, laparoscopic hys-  et al. Evaluate hysterectomy trial: a multicentre randomised
                                                                  trial comparing abdominal, vaginal and laparoscopic
          terectomy may avoid the need for abdominal surgery.     methods of hysterectomy. Health Technol Assess. 2004 Jun;
                                                    8
             In another meta analysis by Garry et al.,  it was    8(26):1-154.
          reported that although laparoscopic surgery has been     9.  Lumsden MA, Twaddle S, Hawthorn R, Traynor I, Gilmore
          associated with major complications, but still it leads   D, Davis J et al. A randomised comparison and economic
          to less post operative pain and quick recovery. Hence,   evaluation of laparoscopic assisted vagnal hysterectomy and
          surgeon should decide the mode of surgery after weigh-  abdominal hysterectomy. British journal of obstetrics and
                                                                  gynaecology 2000;107:1386-1391.
          ing risk and benefits associated with surgery.        10.  Mäkinen J, Johansson J, Tomas C, Tomas E, Heinonen PK,
             Hence, it can be observed that laparoscopic surgeries   Laatikainen T, Kauko M, Heikkinen AM, Sjöberg J. Morbid-
          are beneficial but the pros and cons should be equally   ity of 10 110 hysterectomies by type of approach. Human
          balanced before deciding the mode of surgery.           Reproduction. 2001 Jul 1;16(7):1473-1478.
                                                                11.  Kanmani M, Govindarajan M, Selvaraj V. Comparative study
          CONCLUSION                                              of surgical results between total abdominal hysterectomy
                                                                  and total laparoscopic hysterectomy in a tertiary hospital:
          Laparoscopic hysterectomy is the upcoming procedure     a 2 year retrospective study. Int J Reprod Contracept Obstet
          which is associated with less post operative complica-  Gynecol 2018;7:1019-1023.
          tions, shorter hospital stay and wound complications as     12.  Patel N, Delvadia D, Musselman B. Ribbon Coring Technique:
          compared to abdominal hysterectomy. Hence, it can be    An Alternative Approach to Morcellation. Journal of Mini-
                                                                  mally Invasive Gynecology. 2014 Nov 1;21(6):S221.
          the preferred over open procedure especially in cases     13.  Johnson N, Barlow D, Lethaby A, Tavender E, Curr E, Garry
          with previous surgery and obesity. However, decision    R. Surgical approach to hysterectomy for benign gynaecologi-
          shall be taken with patient consent and better surgical   cal disease. Cochrane Database Syst Rev. 2006 Apr 19;(2):C
          expertise.                                              D003677.CZ











          World Journal of Laparoscopic Surgery, May-August 2018;11(2):59-63                                63
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