CLAMPLESS ABDOMINAL HYSTERECTOMY vs TOTAL ABDOMINAL HYSTERECTOMY USING CLAMPS

Dr.Dileep P. Javadekar; Dr.Mrs.Sanjivani A. Deshpande

Volume : V, Issue : III, March - 2016

CLAMPLESS ABDOMINAL HYSTERECTOMY vs TOTAL ABDOMINAL HYSTERECTOMY USING CLAMPS

Dr. Dileep P. Javadekar, Dr. Mrs. Sanjivani A. Deshpande

Abstract :

Our objective was to judge reduction in surgical hemorrhage by a modification within the customary total abdominal hysterectomy technique(TAH), the clampless abdominal hysterectomy (CAH). Eligible patients were those with indications for abdominal hysterectomy. CAH is predicated on an easy tie–cut technique of the round ligaments, infundibulopelvic ligaments, and uterine vein and arteries, as compared with the total abdominal hysterectomy of clamp–clamp–cut–tie–tie. Variations between the groups were tested by unpaired t–tests. patients within the CAH group (n=41) showed considerably less surgical hemorrhage (233.1+– 210.0 vs. 453.5+–345.4 ml. p=0.04) and shorter surgical times (56.9+–26.1 vs. 125.0+–45.9 min. p=0.000002) than patients within the TAH (n=46) group. We conclude that CAH may be a helpful alternative for removing the uterus, considerably reducing each surgical haemorrhage and surgical time.