A Comparative Study Between Laparoscopically Assisted Vaginal Hysterectomy and Total Abdominal Hysterectomy in Patients with Type 2 Diabetes

Abstract Background: Laparoscopically assisted vaginal hysterectomy (LAVH) has become a popular alternative of total abdominal hysterectomy (TAH) in cases difficult to manage via the vaginal route alone among patients, with type 2 diabetes. Objective: The aim of this study was to compare the efficiency of LAVH with TAH in terms of operative time and cost, estimated blood loss, hospital stay, analgesics, intra- and postoperative complication rates and patient recovery time. Design: This was a retrospective study. Materials and Methods: The study design was a retrospective, nonrandomized analysis. A retrospective observational study in the Japan Bangladesh Friendship Hospital (JBF; Dhaka, Bangladesh) was carried out comparing LAVH and TAH among the patients with type 2 diabetes from August 2004 to July 2008. Operative time and cost, estimated blood loss, hospital stay, intra- and postoperative complication rates, patient recovery time, and hystopathology was summarized. One hundred and twenty (120) hospital...