test Browse by Author Names Browse by Titles of Works Browse by Subjects of Works Browse by Issue Dates of Works

Advanced Search
& Collections
Issue Date   
Sign on to:   
Receive email
My Account
authorized users
Edit Profile   
About T-Space   

T-Space at The University of Toronto Libraries >
University of Toronto at Scarborough >
Bioline International Legacy Collection >
Bioline International Legacy Collection >

Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/2480

Title: Mini laparotomy versus conventional laparotomy for abdominal hysterectomy: a comparative study
Authors: Sharma, Jai Bhagwan
Wadhwa, Leena
Malhotra, Monila
Arora, Raksha
Keywords: Medicine
ms04035 Hysterectomy, Minilaparotomy, Laparotomy, complications
Issue Date: May-2004
Publisher: Medknow Publications on behalf of Indian Journal of Medical Sciences Trust
Citation: Indian Journal of Medical Sciences 58(5)
Abstract: Background: Less traumatizing measures for hysterectomies are searched for to improve the recovery from surgery. Aim: Comparison of minilaparotomy abdominal hysterectomy with conventional abdominal hysterectomy in respect to per-operative and post-operative outcome and complications. Setting and Design: In a medical college hospital patients undergoing abdominal hysterectomy were enrolled. It was a concomitant comparative study. Methods and Material: We are presenting our comparative data of 100 cases of minilaparotomy abdominal hysterectomy (group I, incision =< 6 cm) performed over last 4 years from January 1998 to December 2002 and comparing the outcome with 99 cases of abdominal hysterectomy (group II, incision > 6 cm) done by traditional method over the same duration. Statistical analysis used: Chi-square and Fischer test with significance of p value being taken at 0.05 were used for categorical data, while student's t test was used for continuous data. Results: Mean age and parity of patients were similar in the two groups. Incision was transverse in 100% cases in-group I and 22.2% cases in-group II. Estimated blood loss was significantly higher (354 ml) in group II in contrast to group I (240 ml). Blood transfusion was also required more commonly (22.2%) in-group II than in-group I (9%). Mean operative time was significantly more in-group II (90 minutes) than in group I (41 minutes). Mean hospital stay, day of mobility, starting oral diet and days of injectable analgesics required were higher in group II than in group I. Major complications were rare in both the groups, but minor complications were significantly higher in group II (40.4%) than in group I (26%). Conclusion: Minilaparotomy abdominal hysterectomy appears to be an attractive alternative to traditional abdominal hysterectomy with fewer complications.
URI: http://bioline.utsc.utoronto.ca/archive/00001592/01/IndianJMedSci_2004_58_5_196_8294.pdf
Appears in Collections:Bioline International Legacy Collection

Files in This Item:

File Description SizeFormat
IndianJMedSci_2004_58_5_196_8294.pdf41.87 kBAdobe PDF

Items in T-Space are protected by copyright, with all rights reserved, unless otherwise indicated.