LAPAROSCOPIC ASSISTED VAGINAL HYSTERECTOMY VERSUS ABDOMINAL HYSTERECTOMY FOR BENIGN GYNECOLOGICAL DISEASES

To determine the safety and effect on quality of life of Laparoscopic assisted vaginal hysterectomy (LAVH) compared with total abdominal hysterectomy (TAH) in the management of benign gynecological diseases. Randomizedcontrolled trial in Misurata Cancer Institute. Ninety women scheduled for an abdominal hysterectomy for benigngynecological diseases. The overall incidence of operative complications was 13% in LAVH group and 22% inTAH group, with an 4.4% conversion rate . The mean length of the procedure was greater in women having LAVH(85 minutes) compared to TAH (35 minutes), there was a difference in post-operative analgesia requirements between the two groups; TAH needed more analgesics and needed more hospital stay than LAVH group .The rate ofpostoperative recovery, satisfaction with the operation, and quality of life at four weeks post-operative were morewith LAVH GROUP than TAH group. LAVH compared to TAH has the advantages of faster return to normal activity, shorter duration of hospital stay, lower intra-operative blood loss and fewer wound or abdominal wall infectionsbut it has longer operation time, higher rate of lower urinary tract (bladder and ureter) injures and needs more experience.