الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
Hysterectomy is the most commonly performed major gynecologic procedure around the world. Benign diseases are responsible for more than 70% of the indications for hysterectomy. Despite the advantages of the laparoscopic and vaginal routes compared with laparotomy, this remains the most widely used access route for performing hysterectomy worldwide. (1,4,5)
Our study was carried out on one hundred women randomly divided into two equal groups, fifty patients each, recruited from EL-Shatby University Hospital complaining of abnormal uterine bleeding (AUB). All patients was randomly divided into two study groups using the sealed envelope technique: Group A (Laparotomy group): 50 patients did subtotal abdominal hysterectomy. Group B (Laparoscopy group): 50 patients did laparoscopic supracervical hysterectomy (LASH).
All patients had been subjected to full history taking, general, systemic, and bimanual pelvic examination. Relevant investigations; e.g. CBC, Renal and liver function tests, Blood sugar study and urine analysis had been taken preoperatively. Also Transvaginal ultrasonography done to confirm uterine size, ovarian status, and any concomitant pelvic lesion.
Both groups were homogenous as regard the age, parity and indication of hysterectomy. No significant difference was noted between them as regard neither the preoperative TVUS uterine size nor the concomitant pelvic pathology. The preoperative and postoperative Hb and Ht levels were not significantly different between the both groups.
Intrapoeratively; the laparoscopy group had fewer blood loss and suture material with shorter total scar length. Early postoperatively; the laparoscopy group need less analgesia, had less time to get peristalsis, flatus and ambulation with shorter hospital stay than the laparotomy group. Laparoscopy group had also a shorter duration of analgesia with more rapid return to basal activities than in the laparotomy group. The incidences of SSI and scar pain were statistically significantly less in the laparoscopy group than in the laparotomy group.