Home / Archive / Vol. 37 No. 1 (2025): JOURNAL OF AYUB MEDICAL COLLEGE ABBOTTABAD / ORIGINAL
The role of regional anesthesia in post-operative pain management.
Adeeb Aurangzeb
BBH Rawalpindi
Aiman Majeed
Aga Khan University Hospital, Karachi
Nazia Suleman
Consultant Gynaecologist, Life Care Hospital, Maternity Home and Pain Clinic; Assistant Professor, Abu Ummara Medical and Dental College, Lahore
Isma Abbas
UHS Lahore
Faiza Maqsood
Liaquat Hospital Karachi
Keywords:
Uterine prolapse, laparoscopic hysterectomy, vaginal hysterectomy, long-term outcomes, surgical management.
Abstract
Background: Uterine prolapse is a common gynecological condition that significantly affects the quality of life. Surgical intervention is often necessary, with laparoscopic and vaginal hysterectomy being two prevalent techniques. However, the long-term outcomes of these approaches remained inadequately understood.
Aim: This study aimed to compare the long-term outcomes of laparoscopic hysterectomy (LH) and vaginal hysterectomy (VH) in the treatment of uterine prolapse.
Methods: A retrospective analysis was conducted on patients who underwent either LH or VH for uterine prolapse between January 2010 and December 2015. Data collected included patient demographics, surgical duration, postoperative complications, and long-term outcomes, such as recurrence of prolapse, postoperative pain, and overall patient satisfaction, which were evaluated using validated questionnaires. Statistical analysis was performed using chi-square tests and independent t-tests, with a significance level set at $p < 0.05$.
Results: A total of 200 patients (100 LH and 100 VH) were included in the study. The LH group exhibited a significantly shorter surgical duration (mean 120 minutes) compared to the VH group (mean 150 minutes, $p < 0.01$). Postoperative complications were reported in 15% of the LH group and 20% of the VH group, with no significant difference ($p = 0.35$). At a mean follow-up of 36 months, recurrence of prolapse occurred in 5% of the LH group and 10% of the VH group ($p = 0.04$). Patient satisfaction was higher in the LH group, with 85% reporting satisfaction compared to 75% in the VH group ($p = 0.03$).
Conclusion: The study concluded that laparoscopic hysterectomy resulted in better long-term outcomes compared to vaginal hysterectomy in treating uterine prolapse. LH was associated with shorter surgical times, lower recurrence rates, and higher patient satisfaction, suggesting it as a preferable option for surgical management of uterine prolapse.
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Published
2025-03-15
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