Abstract

Objective: Aim of the study is to compare the efficacy of vessel sealing for securing pedicles in vaginal hysterectomy as compared to total laparoscopic hysterectomy in terms of operating time, perioperative Hb differences, time taken for ambulation, postoperative pain, hospital stay and Intra and Post-op complications. Method: This is a prospective randomized controlled clinical trial conducted at GMERS Medical College and Hospital, Sola, Ahmedabad over a period of about 3 years. A total of 102 patients were divided into 2 groups randomly. One group is operated by Vessel Sealing Device via Vaginally and other group is operated by total laparoscopic hysterectomy. Result: Significant reduction in operative time, post operative pain, pre and post-op Hb deficit, time taken for ambulation and hospital stay in Vaginal Hysterectomy with Vessel Sealer were found compared to Total laparoscopic hysterectomy. There was no significant difference in major intra-operative and post-operative complications. Conclusion: Vaginal Hysterectomy with Vessel Sealer is an effective alternative to Total Laparoscopic Hysterectomy.

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