A comparative study of total laparoscopic hysterectomy versus non‐descent vaginal hysterectomy in benign uterine lesions

Background: In gynecology, hysterectomy is one of the most common procedures because to the prevalence of conditions such uterine myomas, abnormal uterine bleeding, and prolapses. In addition to the traditional open, vaginal, and laparoscopic methods, robotic assisted laparoscopy is now an option. Aim and objectives: This research aimed to determine which type of hysterectomy, non-descent vaginal or complete laparoscopic, was superior in women with benign lesions and mobile, non-prolapsed uteruses of 14 weeks' gestation or less. Subjects and methods: This prospective comparative study was carried out on 50 patients attending the outpatient clinic of gynecological department of Al Azhar University Hospitals who require hysterectomy for benign conditions. Result: There was no significant difference among the groups regarding Demographic characteristics, Pathology of benign uterine lesions distribution, Uterine size distribution, Operative data except in blood loss, Postoperative data except in hospital stay and Return to normal daily activity and Postoperative complications except in Wound infection. Conclusion: The rates of NDVH and TLH are rising. This research shows that vaginal hysterectomy (VH) and total laparoscopic hysterectomy (TLH) are equally effective in removing a non-prolapsed uterus with benign lesions. While complete laparoscopic hysterectomy (TLH) has the advantage of a shorter surgical time than vaginal hysterectomy (VH), the benefits of a quicker recovery and return to regular daily activity favor vaginal hysterectomy (VH).