Laparoscopic Hysterectomy versus Abdominal Hysterectomy for Obese Women with Benign Diseases

Background: Obesity is a challenging health problem in gynecologic surgery. Laparoscopic has the potential advantages than abdominal hysterectomy of being quicker, efficient with low estimated blood loss.Aim of the work: To compare the safety and effectiveness of laparoscopic and abdominal hysterect...

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Autores principales:	Mohamed Thapet, Mahmoud Farouk Midan, Mahmoud Rady, Hossam Abdou
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2020
Materias:	laparoscopy abdominal benign hysterectomy obesity Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/c1455c41fc184af88f8e543f0030e5ae
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spelling	oai:doaj.org-article:c1455c41fc184af88f8e543f0030e5ae2021-12-02T15:22:18ZLaparoscopic Hysterectomy versus Abdominal Hysterectomy for Obese Women with Benign Diseases2636-41742682-378010.21608/ijma.2020.23354.1093https://doaj.org/article/c1455c41fc184af88f8e543f0030e5ae2020-04-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_82985_585ea6e92dfe39070bebd15850d26f43.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Obesity is a challenging health problem in gynecologic surgery. Laparoscopic has the potential advantages than abdominal hysterectomy of being quicker, efficient with low estimated blood loss.Aim of the work: To compare the safety and effectiveness of laparoscopic and abdominal hysterectomy for benign conditions in obese patients. Patients and Methods: Sixty patients were submitted to history taking, clinical examination, Lab investigations, abdominal ultrasound and biopsy for suspicious pathology. Patients divided into two equal groups. The first for total laparoscopic hysterectomy and the second for trans-abdominal hysterectomy. Patients were followed for six months after surgery. Data collected include operative time, amount of blood loss, complications and duration of hospital stay. Results: BMI was significantly higher among open when compared to laparoscopic group (43.69±3.86 vs 34.5±4.02 respectively), and low parity and low cesarean deliveries were significantly increased in laparoscopic group. The highest indication of hysterectomy in laparoscopic group was adenomyosis (43.3%) followed by fibroid (30.0%), while in open group, the most common indication was fibroid (53.3%) followed by adenomyosis (26.7%). Operative time showed significant decrease in laparoscopic when compared to open hysterectomy groups (56.23±21.5 vs 78.87±8.22 minutes respectively) and blood loss was significantly decreased among laparoscopic group. Finally, the length of hospital stay was significantly decreased in laparoscopic when compared to open groups (the median was 10 versus 24 hours respectively). Conclusion: Laparoscopic hysterectomy is superior to abdominal hysterectomy in obese females with benign conditions in terms of safety and efficacy.Mohamed ThapetMahmoud Farouk MidanMahmoud RadyHossam AbdouAl-Azhar University, Faculty of Medicine (Damietta)articlelaparoscopyabdominalbenignhysterectomyobesityMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 2, Pp 365-372 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	laparoscopy abdominal benign hysterectomy obesity Medicine (General) R5-920
spellingShingle	laparoscopy abdominal benign hysterectomy obesity Medicine (General) R5-920 Mohamed Thapet Mahmoud Farouk Midan Mahmoud Rady Hossam Abdou Laparoscopic Hysterectomy versus Abdominal Hysterectomy for Obese Women with Benign Diseases
description	Background: Obesity is a challenging health problem in gynecologic surgery. Laparoscopic has the potential advantages than abdominal hysterectomy of being quicker, efficient with low estimated blood loss.Aim of the work: To compare the safety and effectiveness of laparoscopic and abdominal hysterectomy for benign conditions in obese patients. Patients and Methods: Sixty patients were submitted to history taking, clinical examination, Lab investigations, abdominal ultrasound and biopsy for suspicious pathology. Patients divided into two equal groups. The first for total laparoscopic hysterectomy and the second for trans-abdominal hysterectomy. Patients were followed for six months after surgery. Data collected include operative time, amount of blood loss, complications and duration of hospital stay. Results: BMI was significantly higher among open when compared to laparoscopic group (43.69±3.86 vs 34.5±4.02 respectively), and low parity and low cesarean deliveries were significantly increased in laparoscopic group. The highest indication of hysterectomy in laparoscopic group was adenomyosis (43.3%) followed by fibroid (30.0%), while in open group, the most common indication was fibroid (53.3%) followed by adenomyosis (26.7%). Operative time showed significant decrease in laparoscopic when compared to open hysterectomy groups (56.23±21.5 vs 78.87±8.22 minutes respectively) and blood loss was significantly decreased among laparoscopic group. Finally, the length of hospital stay was significantly decreased in laparoscopic when compared to open groups (the median was 10 versus 24 hours respectively). Conclusion: Laparoscopic hysterectomy is superior to abdominal hysterectomy in obese females with benign conditions in terms of safety and efficacy.
format	article
author	Mohamed Thapet Mahmoud Farouk Midan Mahmoud Rady Hossam Abdou
author_facet	Mohamed Thapet Mahmoud Farouk Midan Mahmoud Rady Hossam Abdou
author_sort	Mohamed Thapet
title	Laparoscopic Hysterectomy versus Abdominal Hysterectomy for Obese Women with Benign Diseases
title_short	Laparoscopic Hysterectomy versus Abdominal Hysterectomy for Obese Women with Benign Diseases
title_full	Laparoscopic Hysterectomy versus Abdominal Hysterectomy for Obese Women with Benign Diseases
title_fullStr	Laparoscopic Hysterectomy versus Abdominal Hysterectomy for Obese Women with Benign Diseases
title_full_unstemmed	Laparoscopic Hysterectomy versus Abdominal Hysterectomy for Obese Women with Benign Diseases
title_sort	laparoscopic hysterectomy versus abdominal hysterectomy for obese women with benign diseases
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2020
url	https://doaj.org/article/c1455c41fc184af88f8e543f0030e5ae
work_keys_str_mv	AT mohamedthapet laparoscopichysterectomyversusabdominalhysterectomyforobesewomenwithbenigndiseases AT mahmoudfaroukmidan laparoscopichysterectomyversusabdominalhysterectomyforobesewomenwithbenigndiseases AT mahmoudrady laparoscopichysterectomyversusabdominalhysterectomyforobesewomenwithbenigndiseases AT hossamabdou laparoscopichysterectomyversusabdominalhysterectomyforobesewomenwithbenigndiseases
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Laparoscopic Hysterectomy versus Abdominal Hysterectomy for Obese Women with Benign Diseases

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