Mini Laparotomy Hysterectomy as an Alternative to Conventional Hysterectomy: A Comparative Study

Objective: To compare the post-operative short-term outcome of mini laparotomy hysterectomy to conventional hysterectomy.

Methodology: This randomized controlled trial was conducted in Khyber Teaching Hospital Peshawar from January 2022 to December 2022 involving 80 female patients with various uterine pathologies (divided equally between both groups Group A being lower midline group and group B having mini laparotomy patients) selected through non probability consecutive sampling taking proper inclusion criteria into perspective. Informed consent was taken, proformas were filled, data was entered into Microsoft excel sheet and analyzed through SPSS version 23.0 software. Results were depicted in the form of tables and charts.

Results: The mean age of the patients in group A was 41.5 ± 7.6 and in group B was 43.6 ± 6.3. Age had no correlation with the post operative outcome (p-value = 0.152) in any of the group of patients. The most common pathology in both groups was dysfunctional uterine bleeding (n=22, 55%). As expected, patients who underwent mini-laparotomy hysterectomy (group B) had relatively better 1st post -operative day (p-value =<0.01), 3rd post operative day (p-value = 0.01) VRS scores along with quicker mobility (p-value= <0.01) and fewer days spent in the hospital (p-value= <0.01) as compared to those patients who underwent complete midline laparotomies.

Conclusion: In terms of post-operative outcome and recovery mini laparotomy hysterectomy has better results but it depends on the type of uterine pathology.