Description
Mihnea NICODIN, Anca POPESCU, Ștefana Maria PETRUȚ, Maria Alexandra BRĂGARU, Mariam DALATY, Diana BADIU, Elena RUSU, Ovidiu NICODIN
Hysterectomy is a common surgical procedure performed for various gynecological conditions like uterine fibroids, with vaginal approach gaining recognition for its potential advantages over abdominal. This study aims to compare surgical outcomes between vaginal hysterectomy (VH) and abdominal hysterectomy (AH). A pilot study including 50 patients with uterine fibroids from “Carol Davila” Central Military Emergency University Hospital, were divided into two groups: group 1 consisted of 25 patients who underwent VH and group 2 consisted of 25 patients who underwent AH. Key variables analyzed included operation duration, length of hospitalization, postoperative hemoglobin levels, and complication rates. The VH group had a significantly shorter operation time (i.e., 89.88 minutes vs. 112.1 minutes, p < 0.05) and reduced hospital days (2.4 days vs. 3.1 days, p < 0.05) compared with the AH group. Postoperative hemoglobin levels were also statistically significant in the vaginal group compared to the abdominal group (i.e., 11.45 g/dl vs. 10.1 g/dl, p < 0.05). Although complication rates showed a trend favoring VH (i.e., 1 vs. 2 complications, p = 0.56), differences were not statistically significant. Findings align with existing literature suggesting that VH is associated with shorter operation time, shorter length of hospitalization, and less blood loss compared to AH. This study underscores the advantages of VH, advocating for its consideration as a preferred surgical option.
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