Title: Minilaparotomy hysterectomy is an effective option for the treatment of benign uterine pathologies: A comparative study with conventional Pfannenstiel and laparoscopic approaches in developing countries

Biography:

She was born in a respectable Muslim family in 1970. She has completed MBBS from Sylhet M A G Osmani Medical College in 1995. She has completed MCPS (Gynae &Obs) from Bangladesh College of physicians & Surgeons and MS (Gynae & Obs) in 2006 from Bangabandhu Sheikh Mujib Medical University. She is trained in Laparoscopy, Hysteroscopy, Colposcopy & infertility. She has done Fellowship in Minimal Access surgery (FMAS) from India in 2016. And also done Diploma in Assisted Reproductive Technology from India.

 

Abstract

Aims and Objectives

To introduce minilaparotomy hysterectomy, a technical modification in the performance of hysterectomy.

To review and compare the results obtained using Pfannenstiel, laparoscopy and minilaparotomy hysterectomy.

Patient and Method

Between February 16 and February 18 one hundred sixteen patients with benign uterine disease requiring hysterectomy underwent minilaparotomy, conventional Pfannenstiel and laparoscopic hysterectomy in Mohammadpur fertility center. A retrospective data analysis was performed. The surgical approach for minilaparotomy procedure was carried out via a 4-5 cm midline transverse incision 1.5 cm above the symphysis pubis. The mean range of patients age was 46 (39-66) yrs.

Result

The minilaparotomy procedure was the fastest procedure with a mean time of 63.4min (range57.85-68.94 min, P<0.001) Hospital stay was shortest in laparoscopic procedure (mean time 2.24 days, range1.86-2.61 days) (P < 0/001). For minilaparotomy hospital stay was (mean time was 3.1 days), average blood loss was least (range 30-50 ml). All patient returns back to work within one week of surgery. The rate of intra operative and post-operative complication were not statistically different among three procedures.

Conclusion

The minilaparotomy hysterectomy is an effective minimally invasive procedure with a low morbidity rate and short hospital stay. The concept can help in learning and performing this procedure easily and safely. It can be performed with the use of simple instruments thereby reducing the expenses. It may well serve as an alternative to the conventional Pfannenstiel or laparoscopic hysterectomy in low resource developing countries.