Comparative Analysis of Surgical Approaches for Hysterectomy

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Archana V. Rokade, SS Vhawal, Sneha Amarnath, Hajare Neha Udaysing

Abstract

A frequent gynecological surgical operation with a variety of techniques is the hysterectomy. With regard to surgical outcomes, advantages, and problems, this review paper intends to give a thorough comparative analysis of various hysterectomy surgical procedures, including abdominal, vaginal, laparoscopic, and robotic approaches. The abdominal hysterectomy is linked to a lengthier recovery period and more postoperative pain, although providing a clear view of the surgical field and suitable for extensive cases. Smaller uterine diameters and benign diseases are appropriate for vaginal hysterectomy since it offers a quicker recovery and fewer problems. Laparoscopic-assisted vaginal hysterectomy (LAVH) and total laparoscopic hysterectomy (TLH) are two subtypes of laparoscopic hysterectomy that provide less postoperative pain and shorter hospital stays. The cost-effectiveness of robotic hysterectomy, which combines laparoscopy with improved precision, is a problem. Individual surgical approaches should be chosen, taking into account the patient's health, the surgeon's experience, and the resources at hand. Laparoscopic and robotic-assisted hysterectomy are two minimally invasive surgical procedures that provide a quicker recovery and less postoperative discomfort. For particular therapeutic situations, the old-fashioned abdominal and vaginal techniques are still appropriate. Making well-informed decisions can result in the best results and higher patient satisfaction.

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