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.
Patients 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 postoperative demographic characteristics as well as clinical parameters and complications.
Results: Both index and study groups participants had were comparable as regards age, parity, preoperative 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 |
