Objectives: This was a prospective study, conducted to analyze the intraoperative
and postoperative complications between abdominal and vaginal hysterectomy.
METHODS: This study was carried out on 120 patients (85 cases abdominal and 35 cases
vagi
nal hysterectomy),in the department of gynecology at Al-Assad university hospital in
Lattakia in the period between 1/7/2013-1/7/2014.
Results: the mean duration of surgery of abdominal hysterectomy was 103 min and
that of vaginal was 91 min (p=0.0192). Wound infection was the main cause for febrile
morbidity in abdominal hysterectomy group where as urinary tract infection was the main
cause for febrile morbidity in vaginal hysterectomy. There was 3)3,5%(case of bladder
injury and 2(2,8%) case of ureteric injury in abdominal hysterectomy group while none in
vaginal hysterectomy group Postoperatively there was 3 (3,5%) cases of secondary
haemorrage in TAH group while 1(2,8%) case in vaginal hysterectomy .there were 8
(9,4%) cases of paralytic ileus in abdominal hysterectomy while none in vaginal
hysterectomy . Overall 45 (52.9%) cases of abdominal hysterectomy and 12 (34.2%) case
of vaginal hysterectomy had complications (p=0.029). Conclusions: This study showed
that vaginal hysterectomy was associated with less intraoperative complications and
postoperative complications as compared to abdominal hysterectomy.
The study comprised 85 patients between 40-48 years old ,those have complained of DUB as either menorrhagia ,hyper menorrhea or both, the study was divided to :
Group A(50 patients): were given Norethisterone orally 5mg*3/daily for 6 months.
Group B (35 patients ):whose IUS was inserted for them and followed up for 1 year.
-The commonest side effect in GA was discomfort from taking the medicine 3times daily for long times (70%)while in GB was lower abdominal pain and low back pain(28,85%).
-The necessity to discontinue the treatment in GA was (61%)while in GB was(5,7%).-
-The improvement in Hemoglobin concentrate was better in GB than GA .-
-The successful of treatment was( 76% )in GA while( 88,35% ) in GB .-
-The total abdominal hysterectomy rate was( 22%) in GA while in GB( 8,55%)