Comparing Surgical Stress after Total Abdominal Hysterectomy (TAH) and Non-Descent Vaginal Hysterectomy (NDVH)

Background: A hysterectomy is a surgical procedure to remove the uterus, commonly performed by a gynecologist. The most widely used techniques are total abdominal hysterectomy (TAH) and vaginal hysterectomy (NDVH), with laparoscopically assisted vaginal hysterectomy (LAS) offering potential benefits like a shorter hospital stay. This study aimed to compare the surgical stress associated with TAH versus NDVH. Methods: In this prospective, randomized trial, 20 women with noncancerous uterine conditions requiring a hysterectomy and a uterine size of less than 12 weeks were included. The participants were divided into two groups: TAH and NDVH. Each patient underwent a thorough medical evaluation, including history, physical examination, laboratory tests, and imaging studies. Results: The TAH group had a shorter operation time, but no significant difference was observed between the two groups in terms of blood loss, hemoglobin drop, or intraoperative complications. In contrast, the NDVH group experienced quicker recovery, with earlier activity and first flatus. These patients also had shorter hospital stays and reduced pain, leading to a lower demand for analgesics and a quicker return to normal activities. The TAH group showed more acute pain and was associated with more significant scarring. Conclusion: NDVH is a safer, more practical, and less invasive option compared to TAH. It results in less tissue damage, faster recovery, and fewer complications, making it the preferred method when feasible.