Abstract

Objective: To compare the outcomes of patients who had vaginal and abdominal hysterectomy for benign uterine enlargement.
Methods: For two years, 50 vaginal hysterectomies were compared to 50 abdominal hysterectomies in a prospective study. Patients' characteristics before, during, and after operations were reviewed and tracked for three months to assess post-operative complications.
Results: There was no difference between the two groups in terms of patient age, parity, uterine size, or intraoperative complications. The vaginal hysterectomy group had a lower operating time, blood loss, post-op demand for analgesia, and hospital stay duration than the abdominal hysterectomy group. TAH was associated with significantly more complications than vaginal hysterectomy.
Conclusion: In the treatment of benign gynaecological disease, vaginal hysterectomy is more effective and safer than abdominal hysterectomy, with greater efficacy and safety even for enlarged and non-prolapsed uteri.

Key words: vaginal hysterectomies, benign gynaecological disease, pelvic adhesions