Outcome of Laparoscopic Hysterectomy Compared to Open Hysterectomy for Benign Uterine Conditions in Bangladeshi Women

Open Access

Abstract

Introduction: Hysterectomy remains one of the commonest major gynecologic procedures performed worldwide for benign conditions such as symptomatic leiomyomas, abnormal uterine bleeding, and adenomyosis. Over recent decades, minimally invasive approaches—particularly laparoscopic hysterectomy—have increasingly replaced open abdominal hysterectomy. The present work therefore aims to compare perioperative and short-term postoperative outcomes of LH and AH for benign uterine disease in Bangladeshi women. Methods & Materials: This descriptive comparative study was conducted at the Department of Obstetrics and Gynecology, Pongu and General hospital, Khulna, Bangladesh from July 2023 to June 2024. A total of 100 women diagnosed with benign uterine conditions requiring hysterectomy were enrolled and divided into two equal groups: laparoscopic hysterectomy (LH, n = 50) and open abdominal hysterectomy (AH, n = 50). Data were entered and analyzed using SPSS version 26. Result: In this study of 100 women, laparoscopic hysterectomy (n=50) was associated with longer operative time (112.5 ± 20.6 min vs 92.4 ± 18.2 min) but significantly lower blood loss (185 ± 45 mL vs 310 ± 65 mL), fewer transfusions (6% vs 18%), and reduced postoperative pain (VAS 3.8 vs 6.2) compared to open abdominal hysterectomy (n=50). Patients in the laparoscopic group also experienced shorter hospital stays (3.1 ± 0.9 vs 6.2 ± 1.4 days), faster ambulation and oral intake, earlier return to routine activities and work, fewer wound infections (4% vs 14%), and higher overall satisfaction, highlighting the perioperative and recovery benefits of the minimally invasive approach. Conclusion: Laparoscopic hysterectomy offers significant advantages over open abdominal hysterectomy for benign uterine conditions in Bangladeshi women. Despite a slightly longer operative time, LH was associated with significantly reduced blood loss, lower transfusion requirements, less postoperative pain, shorter hospital stay, faster return to daily activities and work, and fewer wound-related complications.