Yehia mohamed samir mohamed ahmed
Asst. Professor
Outcomes of Hysterectomy in Women with Prior Cesarean Section: Retrospective Analysis of Non-Descent Vaginal Hysterectomy (NDVH) Versus Abdominal Hysterectomy (TAH) in Benha University Hospital
• 2023
Publication Information
Authors
Ashraf Nassif Mahmoud Elmantwe and Yehia Mohamed Samir Edris
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publication.type
Local
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Abstract
Objective: To compare perioperative outcomes in women with one or more Cesarean section (CS) who underwent Total
vaginal hysterectomy (TVH) compared to who underwent total abdominal hysterectomy (TAH) for non-prolapse indications.
Materials and Methods: A retrospective observational cohort analysis included 335 women with previous ≥ one CS
underwent hysterectomy (HR) performed between January 2015 and March 2023 in Benha university hospital and private
center comparing the outcomes between non-descent vaginal hysterectomy (NDVH) and TAH. The NDVH group (study
group) included 155 women with previous ≥ one CS who underwent TVH for non-prolapse indications. The TAH group
(control group) included 180 women with previous ≥ one CS who underwent TAH for non-prolapse indications. Both
groups were evaluated statistically to detect differences in pre-, intra-, and post-operative demographic characteristics as
well as clinical parameters and complications.
Results: Both index and study groups participants had were comparable as regards age, parity, pre-operative mean
hemoglobin levels, associated comorbidities, previous CS numbers and similar indications for hysterectomy, but higher
statistical preoperative HBA1c and shorter preoperative hospital administration(p0.05).while there was a high statistical differences (p
vaginal hysterectomy (TVH) compared to who underwent total abdominal hysterectomy (TAH) for non-prolapse indications.
Materials and Methods: A retrospective observational cohort analysis included 335 women with previous ≥ one CS
underwent hysterectomy (HR) performed between January 2015 and March 2023 in Benha university hospital and private
center comparing the outcomes between non-descent vaginal hysterectomy (NDVH) and TAH. The NDVH group (study
group) included 155 women with previous ≥ one CS who underwent TVH for non-prolapse indications. The TAH group
(control group) included 180 women with previous ≥ one CS who underwent TAH for non-prolapse indications. Both
groups were evaluated statistically to detect differences in pre-, intra-, and post-operative demographic characteristics as
well as clinical parameters and complications.
Results: Both index and study groups participants had were comparable as regards age, parity, pre-operative mean
hemoglobin levels, associated comorbidities, previous CS numbers and similar indications for hysterectomy, but higher
statistical preoperative HBA1c and shorter preoperative hospital administration(p0.05).while there was a high statistical differences (p