Zeynep Kamil Med J. 2018; 49(1): 24-27 | DOI: 10.16948/zktipb.370500

Abdominal, Vajinal Ve Total Laparoskopik Histerektominin Maliyet Etkinliklerinin ve Klinik Sonuçlarýnýn Seçili Hasta Grubunda Karþýlaþtýrýlmasý

Çetin Kýlýççý, Evrim Bostancý Ergen, Mesut Polat, Aysen Boza, Çiðdem Yayla Abide
Zeynep Kamil Research Hospital,Department of Obstetrics and Gynecology, Ýstanbul, Türkiye

INTRODUCTION: The aim was to compare the perioperative and postoperative outcomes of total laparoscopic hysterectomy(TLH), total abdominal hysterectomy(TAH), and vaginal hysterectomy( VH) in a selected group of patients.
METHODS: Two hundred twenty-three hysterectomies were included in this study. The patients were separated into three groups. Group1 included patients with TLH(n=63); TAH patients were placed in Group 2(n=133), and Group 3 was made up of patients who underwent VH(n=37). All three groups had similar ages, parities, and uterine sizes. The main outcome measures were operation time, fever, need for analgesia, duration of hospital survellience, return to work time, perioperative and postoperative complications, the number of blood transfusions, and costs of the surgery.
RESULTS: The total operation time was the shortest in the VH group. There was no significant difference in the hospital survellience
duration between the three groups. The VH was found to be the cheapest type of hysterectomy. When the VH group was compared with the TLH group, there was no difference in the use of analgesics for postoperative pain or the time return to work. The VH group patients required more blood transfusions in contrast with the TAH(p=0.001) and TLH groups(p<0.001).
DISCUSSION AND CONCLUSION: VH had similar operative and postoperative outcomes but the shortest duration of operation and the lowest surgical cost compared with the other two techniques.

Keywords: total laparoscopic hysterectomy, total abdominal hysterectomy, vaginal hysterectomy, cost-effectiveness, complication

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