Comparative Study between Subtotal Abdominal Hysterectomy with Elctrocoagulation of Cervical Epithelium and Total Abdominal Hysterectomy

Objective: Is subtotal abdominal hysterectomy with thermal damage of endocervical canal better than total abdominal hysterectomy for benign lesions? Design: Cross sectional study. Setting: Zagazig University Hospital, Obstetrics and Gynecology Department From September 2011 – September 2012. Population: 100 patients with benign gynaecological lesions designed to have abdominal hysterectomy. Patients were divided into two groups: Group A: 50 patients had subtotal abdominal; hysterectomy with thermal damage of endocervical canal. Group B: 50 patients had total abdominal hysterectomy. Methods: All patients were subjected to history taking, general examination and local examinations. Routine laboratory and pelviabdominal, and transvaginal ultrasound. Intraoperative monitoring of blood loss, duration, blood transfusion units, complications. In group A: Subtotal abdominal hysterectomy with thermal damage of endocervical canal done. In group B: Total abdominal hysterectomy was done. Main Outcome Measures: Postoperative follow-up: Early postoperative period: HB %, blood transfusion, pain and analgesic use, early mobilization, and hospital stay. Results: Subtotal abdominal hysterectomy with thermal damage of endocervical canal in comparison to total abdominal hysterectomy for benign lesions, consume less operative time (60/120 minute), less blood loss (400/1000), less blood transfusion intraoperatively (1/2 units) and postopertively (1/2 units), more haemoglobin level popstopertive (12/10gm/dl), less analgesic use (6/11 amp NSAID), early ambulation (9/16 hours), less hospital stay (2/4 days) respectively. Correspondence to: Dr. Wael S. Nossair, The Department of Obstetrics & Gynecology, Faculty of Medicine, Zagazig University Conclusions: Subtotal abdominal hysterectomy with thermal damage of endocervical canal better than total abdominal hysterectomy for benign lesions in this study.