Comparative Study between Subtotal Abdominal Hysterectomy with Elctrocoagulation of Cervical Epithelium and Total Abdominal Hysterectomy

Objective: Is subtotal abdominal hysterectomy with thermal damage of endocervical canal better than total abdominal hysterectomy for benign lesions? Design: Cross sectional study.Setting: Zagazig University Hospital, Obstetrics and Gynecology Department From September 2011 – September 2012. Population: 100 patients with benign gynaecological lesions designed to have abdominal hysterectomy. Patients were divided into two groups:Group A: 50 patients had subtotal abdominal; hysterectomy with thermal damage of endocervical canal.Group B: 50 patients had total abdominal hysterectomy.Methods: All patients were subjected to history taking, general examination and local examinations. Routine laboratory and pelviabdominal, and transvaginal ultrasound.Intraoperative monitoring of blood loss, duration, blood transfusion units, complications.In group A: Subtotal abdominal hysterectomy with thermal damage of endocervical canal done.In group B: Total abdominal hysterectomy was done.Main Outcome Measures: Postoperative follow-up: Early postoperative period: HB %, blood transfusion, pain and analgesic use, early mobilization, and hospital stay. Results: Subtotal abdominal hysterectomy with thermal damage of endocervical canal in comparison to total abdominal hysterectomy for benign lesions, consume less operative time (60/120 minute), less blood loss (400/1000), less blood transfusion intraoperatively (1/2 units) and postopertively (1/2 units), more haemoglobin level popstopertive (12/10gm/dl), less analgesic use (6/11 amp NSAID), early ambulation (9/16 hours), less hospital stay (2/4 days) respectively. Conclusions: Subtotal abdominal hysterectomy with thermal damage of endocervical canal better than total abdom-inal hysterectomy for benign lesions in this study.