Comparison of Short Term Outcome between Vaginal and Abdominal Hysterectomy

Abstract

Objectives: To compare short term outcomes between vaginal and abdominal hysterectomy. Subject and Method: It was a cross sectional study and conducted in the department of obstetrics and gynecology unit - III, Jinnah hospital Lahore. Study was carried out over a period of one year from Jul 2013 to Jun 2014. Non probability purposive technique was used for sampling. A total of 134 patients were included in the study after fulfilling the inclusion criteria. The cases studied included 84 patients undergoing total abdominal hysterectomy and 50 cases of vaginal hysterectomy. The outcome measures were operative time, need for blood transfusion, postoperative febrile morbidity, wound infection, secondary hemorrhage and duration of hospital stay. Results: Mean age of the patient was 51.2+ 5.3 years and 55.3+ 6.1 years in abdominal hysterectomy group and vaginal hysterectomy group respectively. Fever was commoner in abdominal hysterectomy group i.e; 5.9 % compared to 2% in vaginal hysterectomy group. Mean duration of hospital stay after abdominal hysterectomy was 3.0+ 0.6 days and after vaginal hysterectomy, it was 2.1+ 0.4 days. Mean operating time in abdominal hysterectomy group was 90 + 10.1 minutes compared to vaginal hysterectomy group which was 70 + 8.5 minutes. Need for blood transfusion was lesser in vaginal hysterectomy group compared to abdominal hysterectomy group (8.33% VS 2%). Conclusion: Short term morbidity is lesser after vaginal hysterectomy compared to the abdominal hysterectomy.