EVALUATION OF THE EARLY RESULTS OF HYSTERECTOMY TO TREAT LARGE UTERINE FIBROIDS AT 103 MILITARY HOSPITAL

Văn Huy Hà 1,, Viết Trung Nguyễn1, Trọng Hưng Mai 2, Thị Vân Trang Lê1
1 103 Military Hospital
2 Hanoi Obstetrics & Gynecology Hospital,

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Abstract

Objectives: to evaluate early results of hysterectomy to treat large uterine fibroids at 103 Military Hospital. Subjects and methods: A cross-sectional descriptive study on 93 patients with large uterine fibroids undergoing hysterectomy at Military Hospital 103 from 3/2021 to 9/2022. Results: In the laparoscopic hysterectomy group: mean age 46.37 ± 5.56, mean uterine size (compared to pregnant uterus) 14.3 ± 1.7 weeks, average fibroid size on ultrasound 84.6 ± 21.8mm, average surgery time 140.2 ± 44.1 minutes, average number of times of analgesic using 1.2 ± 0.7, the rate of patients walking on the second day was 67,7%, average hospital stay 4.40 ± 0.74 days. In the abdominal hysterectomy group: mean age 46.61 ± 4.41, mean uterine size (compared to pregnant uterus) 14.5 ± 3.0 weeks, mean fibroid size on ultrasound 88, 3 ± 33.1 mm, average surgical time 91.4 ± 51.9 minutes, average number of times of analgesics using 1.9 ± 0.9, the rate of patients walking on the second day was 22,5%, average hospital stay 4.97 ± 0.66 days.  Conclusion: The results of laparoscopic hysterectomy for large uterine fibroids are similar to those of abdominal hysterectomy. Laparoscopic hysterectomy offers more benefits than abdominal hysterectomy, but the technique is complicated and requires modern equipment.

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