Asati Pranshi, Asati Swati, Sinha Varsha, Dixit Heena, Mahajan Akriti, Alraddadi Yasser Khalid, Syed Afroz Kalmee
Department of Obstetrics and Gynecology, Bundelkhand Medical College, Sagar, Madhya Pradesh, India.
Department of Obstetrics and Gynecology, Vyas Medical College and Hospital Jodhpur, Rajasthan, India.
J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2428-S2430. doi: 10.4103/jpbs.jpbs_236_24. Epub 2024 Jul 5.
Uterine fibroids, which are benign tumors affecting a significant proportion of women, often necessitate hysterectomy for suggestive relief. Understanding the relative efficiency and safety profiles of different techniques is crucial for optimizing patient care.
This prospective cohort study enrolled women diagnosed with symptomatic uterine fibroids who underwent hysterectomy. Surgical techniques included "total abdominal hysterectomy (TAH)", "laparoscopic hysterectomy (LH)", and "vaginal hysterectomy (VH)". Efficacy outcomes included operative time, blood loss, and recurrence rates, while complications encompassed intraoperative and postoperative adverse events.
Laparoscopic hysterectomy demonstrated the shortest operative time and least blood loss compared with TAH and VH. Total abdominal hysterectomy had the highest rates of both intraoperative and postoperative complications, followed by LH and VH. Recurrence rates were comparable among the three techniques.
Laparoscopic hysterectomy offers advantages in operative efficiency and complication rates compared with total abdominal and vaginal hysterectomy techniques.
子宫肌瘤是一种影响相当一部分女性的良性肿瘤，常需进行子宫切除术以缓解症状。了解不同技术的相对效率和安全性对于优化患者护理至关重要。
这项前瞻性队列研究纳入了被诊断为有症状子宫肌瘤且接受子宫切除术的女性。手术技术包括“经腹全子宫切除术（TAH）”、“腹腔镜子宫切除术（LH）”和“经阴道子宫切除术（VH）”。疗效指标包括手术时间、失血量和复发率，而并发症包括术中及术后不良事件。
与TAH和VH相比，腹腔镜子宫切除术的手术时间最短，失血量最少。经腹全子宫切除术的术中及术后并发症发生率最高，其次是LH和VH。三种技术的复发率相当。
与经腹和经阴道子宫切除术技术相比，腹腔镜子宫切除术在手术效率和并发症发生率方面具有优势。
