Outcomes of hysterectomy in women with prior cesarean section: retrospective analysis of non-descent vaginal hysterectomy (NDVH) versus abdominal hysterectomy (TAH) in Benha University hospital
Evidence Based Women's Health Journal • 2023
Publication Information
Authors
Ashraf Nassif Mahmoud Elmantwea
, Yehia Mohamed Samir Edrisb
Ashraf Nassif Mahmoud Elmantwea
, Yehia Mohamed Samir Edrisb
Ashraf Nassif Mahmoud Elmantwe
, Yehia Mohamed Samir Edris
Keywords
non-descent vaginal hysterectomy, vaginal hysterectomy, cesarean section, hysterectomy,
total abdominal hysterectomy, retrospective study
Journal
Evidence Based Women's Health Journal
Publisher
Not Available
Volume
Not Available
Issue
Not Available
Pages
Not Available
publication.type
Local
Paper Link
Not Available
Supplementary Materials
Not Available
Abstract
Objective: To compare perioperative outcomes in women with one or more Cesarean section (CS)
who underwent Total vaginal hysterectomy (TVH) compared to who underwent total abdominal
hysterectomy (TAH) for non-prolapse indications.
Patients and methods: A retrospective observational cohort analysis included 335 women with
previous ≥ one CS underwent hysterectomy (HR) performed between January 2015 and March 2023
in Benha university hospital and private center comparing the outcomes between non-descent vaginal
hysterectomy (NDVH) and TAH. The NDVH group (study group) included 155 women with
previous ≥ one CS who underwent TVH for non-prolapse indications. The TAH group (control
group) included 180 women with previous ≥ one CS who underwent TAH for non-prolapse
indications. Both groups were evaluated statistically to detect differences in pre-, intra-, and postoperative demographic characteristics as well as clinical parameters and complications.
Results: Both index and study groups participants had were comparable as regards age, parity, preoperative mean hemoglobin levels, associated comorbidities, previous CS numbers and similar
indications for hysterectomy, but higher statistical preoperative HBA1c and shorter preoperative
hospital administration(p0.05).while there was a high statistical differences (p
who underwent Total vaginal hysterectomy (TVH) compared to who underwent total abdominal
hysterectomy (TAH) for non-prolapse indications.
Patients and methods: A retrospective observational cohort analysis included 335 women with
previous ≥ one CS underwent hysterectomy (HR) performed between January 2015 and March 2023
in Benha university hospital and private center comparing the outcomes between non-descent vaginal
hysterectomy (NDVH) and TAH. The NDVH group (study group) included 155 women with
previous ≥ one CS who underwent TVH for non-prolapse indications. The TAH group (control
group) included 180 women with previous ≥ one CS who underwent TAH for non-prolapse
indications. Both groups were evaluated statistically to detect differences in pre-, intra-, and postoperative demographic characteristics as well as clinical parameters and complications.
Results: Both index and study groups participants had were comparable as regards age, parity, preoperative mean hemoglobin levels, associated comorbidities, previous CS numbers and similar
indications for hysterectomy, but higher statistical preoperative HBA1c and shorter preoperative
hospital administration(p0.05).while there was a high statistical differences (p
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