Objective: A comparative research study conducted to evaluate and asses blood loss issues between laparoscopic assisted vaginal hysterectomy and vaginal hysterectomy.
Patients and Methods: A prospective randomized controlled research study trial to investigate blood loss and other surgical and clinical outcomes in comparison between VH and LAVH.
Results: No statistically significant difference was displayed between the research study groups concerning demographic parameters (age, BMI, parity uterine size) with p values= 0.224, 0.845, 0.296, 0.175 prospectively. No statistically significant difference between the research study groups concerning preoperative hemoglobin with p value =0.379. However, postoperative Hb was statistically significantly greater within VH research group than within LAVH research group with p value =0.021. Hemoglobin reduction was statistically significantly lower within VH than within LAVH with p value <0.001.
Conclusion: our research group came to the conclusion that vaginal hysterectomy has a shorter operative time as well as less postoperative bleeding leading to lower Hb and Hct drop. Therefore it is better to conduct vaginal hysterectomy when surgically possible.