Benign uterus patolojileri için yapılan histerektomi metodlarının değerlendirilmesi

ABSTRACTAim : The aim of this study is to compare the intraoperative and postoperative complications of laparoscopic and abdominal approaches in hysterectomies performed for benign indications in our clinic.Materials and Methods: This is a retrospective, cross-sectional study. Between 01.09.2021 and 01.02.2024, the medical records and surgical reports of 209 patients who underwent total abdominal hysterectomy (TAH) and total laparoscopic hysterectomy (TLH) for benign uterine pathologies at the Department of Obstetrics and Gynecology, Namık Kemal University Faculty of Medicine in Tekirdağ were analyzed. The two different hysterectomy approaches were compared in terms of operation time, blood loss, major complications, and length of hospital stay.Results: The average age of the 209 patients included in the study was 48.34 ± 7.9 years. The most common indication for hysterectomy was abnormal uterine bleeding (AUB) in 47.8% of cases, followed by myomas in 17.7%. A total of 134 patients (64.6%) underwent TAH, and 74 patients (35.4%) underwent TLH. In 16 patients (8.1%), the procedure was converted from laparoscopic to open surgery. No significant differences were found between the groups in terms of age, parity, and gravidity (p > 0.05). There were no statistically significant differences in preoperative and postoperative hemoglobin (Hb) levels between the TAH and TLH groups (p > 0.05). No significant differences were found in operation times and hospital stay duration (p > 0.05). The average uterine size and average myoma size were significantly larger in the TAH group (p < 0.05). Perioperative complication rates were similar between the groups (p > 0.05). The need for blood transfusions and analgesics was significantly higher in the abdominal hysterectomy group (p < 0.05).Conclusion: Laparoscopic hysterectomy offers several advantages over abdominal hysterectomy, including shorter recovery time, less postoperative discomfort, and better cosmetic outcomes. Major complication rates are similar for both approaches. In cases where vaginal hysterectomy is not suitable, laparoscopic approach should be preferred over abdominal approach.