A Study on Deciding the Route of Hysterectomy

Background: Hysterectomy is a common major gynaecological procedures and the choice of route for the same, whether abdominal, vaginal or laparoscopic route is controversial. Aims: To compare the outcome measures and rate of complication following vaginal, abdominal and laparoscopic hysterectomy. Methods: This prospective, randomised study was performed at a tertiary care centre from July 2012 to June 2014. A total of 180 patients undergoing hysterectomy for benign conditions were studied and 60 patients were randomly assigned for abdominal, vaginal and laparoscopic hysterectomy.  The outcome was assessed and compared between groups. Results: Outcome in majority of the parameters studied showed that vaginal hysterectomy is the most beneficial method with least complications. Conclusion: Vaginal hysterectomy was the most beneficial method as compared to other methods and was associated with least complications.