الفهرس 
Introduction & Aim of the workOnly 14 pages are availabe for public view
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Abstract
This study evaluates laparoscopic hysterectomy as regard operative
time, blood loss, post-operative pain, analgesic requirement, early and late
operative complications; also compares short and long term clinical results
of laparoscopic and open hysterectomy.
Forty-two sequential patients were included and scheduled for panhysterectomy
at Department of General Surgery, Menoufia University and
were divided into two groups from March 2016 till April 2018.
The clinical characteristics of the 42 patients were similar as regard
follow up duration, age and parity. The indications for hysterectomy
among the study groups were nearly similar. There was significant
difference between the two groups in the operative time which decreased
progressively for both groups but more in the second group. Two cases
were re-admitted, one for repair of vesico-vaginal fistula for Laparoscopic
hysterectomy and the other for repair of incisional hernia for open
hysterectomy. The LH group showed fewer analgesic requirements, earlier ambulation, shorter hospital stay and earlier regain of daily and coital
activities. On the contrary, much more direct costs.
Laparoscopic hysterectomy has become a popular alternative to
abdominal hysterectomy; as dissection of major vessels and cardinal
ligaments by electrosurgery, stapling devices and/or extra or intracorporeal
sutures are now available.