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| Comparative study of Transabdominal and Laparoscopic Total Hysterectomy for Patients with Benign Uterine Lesions |
| Ding Xinyue, Lei Wen |
| Nanyang Central Hospital,Nanyang,Henan,473000,China |
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Abstract Objective To compare the Results of transabdominal and laparoscopic total hysterectomy(TLH)in the treatment of patients with benign uterine lesions. Methods Sixty-two patients with benign uterine lesions from our hospital were enrolled between.Using a randomised number table,they were divided into an observation group(n=31,undergoing total laparoscopic hysterectomy)and a control group(n=31,undergoing transabdominal hysterectomy).The perioperative indexes,inflammatory indexes [interleukin-6(IL-6),C-reactive protein(CRP)],postoperative recovery,and complication rates were compared between the 2 groups. Results Compared with the control group,the observation group had less intraoperative bleeding,longer operation time,and shorter days of antibiotic use(P<0.05);the levels of IL-6 and CRP were lower in the observation group compared with the control group at 1 d postoperatively(P<0.05);the time of defecation,time of getting out of bed,and the number of days of hospitalization in the observation group were shorter than that in the control group(P<0.05);and the complication rate in the observation group was 3.23%(1/31)was lower than 25.81%(8/31)in the control group(P<0.05). Conclusion Compared with TAH,TLH treatment of patients with benign uterine lesions can reduce bleeding,shorten the duration of antibiotic use and hospitalization days,promote postoperative exhaustion,improve body inflammation,and reduce the risk of complications,although it takes longer.
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Received: 26 April 2026
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