Quality of Life and Surgical Outcome After Total Laparoscopic Hysterectomy Versus Total Abdominal Hysterectomy for Benign Disease: A Randomized Controlled Trial

Crossmark: check for updates

Authors

  • Chaitra R P
  • Mahendra G Professor and HOD, Department of OBG, Adichunchanagiri Institute of Medical Sciences, B.G. Nagara, Karnataka, India
  • Shruti K K Senior Resident, Department of OBG, Adichunchanagiri Institute of Medical Sciences, B.G. Nagara, Karnataka, India
  • Yanamadala Lijaswi

DOI:

https://doi.org/10.17140/phoj-11-584

Keywords:

TAH, TLH, Quality of life, Surgical outcome, RAND-36

Abstract

Hysterectomy is a widely performed surgical procedure for benign gynecological conditions such as uterine
fibroids, abnormal uterine bleeding, and endometriosis. This randomized controlled trial compares total
laparoscopic hysterectomy (TLH) and total abdominal hysterectomy (TAH) in terms of surgical outcomes
and quality of life (QoL). Sixty participants were randomized into two groups: TLH (n=30) and TAH (n=30).
TLH demonstrated reduced blood loss, shorter hospital stays, and higher QoL scores on the RAND-36
questionnaire compared to TAH, despite longer operating times. These findings reinforce TLH as the preferred
approach for managing benign gynecological conditions.

References

Garry R. Health economics of hysterectomy. Best Practice and Research. Clinical Obstetrics and Gynaecology. 2005;19(3):451-65.

Pauls RN. Impact of gynecological surgery on fe-male sexual function. International Journal of Impotence Research. 2010;22(2):105-14.

Mokate T, Wright C, Mander T. Hysterectomy and sexual function. British Menopause Society Jour-nal. 2016;12(4):153-7.

Claerhout F, Deprest J. Laparoscopic hysterec-tomy for benign diseases. Best Pract Res Clin Ob-stet Gynaecol. 2005;19:357-75.

Aarts JW, Nieboer TE, Johnson N, Tavender E, Garry R, Mol BW, et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev. 2015:CD003677.

Mäkinen J, Brummer T, Jalkanen J, Heikkinen AM, Fraser J, Tomás E, et al. Ten years of progress – improved hysterectomy outcomes in Finland Std. F value∗ P. Value Deviation 20.345 .789 .378 22.685 20.7193 49.871 <.0001 43.0290 9.4823 8.348 .005 18.4841

746 1.650 .204 9.961 10.4308 13.552 .001 18.8049 12.9968 1.341 .252 17.7138 11.321 2.161 .147 16.100 7.739 3.985 .051 14.393

83 0.76 0.87 7.74 TLH 5 port site infection 3 port sinus tract formation 1996-2006: A longitudinal observation study. Br Med J Open. 2013;3(10):28. 7. Reich H, Roberts L. Laparoscopic hysterectomy in current gynaecological practice. Reviews in Gynaecological Practice. 2003;3:32-40. 8. Garry R. Towards evidence-based hysterectomy. Gynaecological Endoscopy. 1998;7:225-33.

Johnson N, Barlow D, Lethaby A, Tavender E, Curr L, Garry R. Methods of hysterectomy: systematic review and meta-analysis of randomised con-trolled trials. Br Med J. 2005;330:1478.

Clarke A, Black N, Rowe P, Mott S, Howle K. Indi-cations for and outcome of total abdominal hys-terectomy for benign disease: A prospective co-hort study. Br J Obstet Gynaecol. 1995;102(8):611- 20.

Khaniki M, Shojaie M, Tarafdari A. Histopatholog-ical study of hysterectomy operations in a univer-sity clinic in Tehran from 2005 to 2009. J Family Reprod Health. 2011;5(2):51-5.

Marana R, Busacca M, Zupi E, Garcea N, Paparella P, Catalano GF. Laparoscopically assisted vaginal hysterectomy versus total abdominal hysterec-tomy: a prospective, randomized, multicenter study. Am J Obstet Gynecol. 1999;180(2):270-5.

Aarts JW, Nieboer TE, Johnson N, Tavender E, Garry R, Mol BW, et al. Surgical ap-proach to hysterectomy for benign gynaeco-logical disease. Cochrane Database Syst Rev. 2015;2015(8):CD003677.

Takahashi A, Uemura M, Kitazawa J, Nakata M, Hayashi Y. Laparoscopic hysterectomy for be-nign pathology does not yield more periopera-tive complications than abdominal or vaginal hysterectomies: our experience in introducing laparoscopic hysterectomy. Gynecol Minim Inva-sive Ther. 2020;9(4):215-9.

Baek JW, Gong DS, Lee GH. A comparative study of total laparoscopic hysterectomy (TLH) and to-tal abdominal hysterectomy (TAH). Korean J Ob-stet Gynecol. 2005;48(6):1490-6.

Sutasanasuang S. Laparoscopic hysterectomy versus total abdominal hysterectomy: A retro-spective comparative study. J Med Assoc Thail. 2011;94(1):8-16.

Nagar OS. A comparative study between to-tal laparoscopic hysterectomy and total ab-dominal hysterectomy for benign uterine con-ditions. Int J Reprod Contracept Obstet Gynecol. 2023;12(12):3571-7.

Agarwal M, Sinha S, Singh S, Haripriya H, Roy I. Surgical morbidity of laparoscopic hysterec-tomy versus abdominal hysterectomy: A retro-spective overview. Gynecol Minim Invasive Ther. 2023;12(3):161-5.

Tandogdu Z, Wagenlehner FM. Global epidemi-ology of urinary tract infections. Curr Opin Infect Dis. 2016;29:73-9.

Downloads

Published

2026-06-17 — Updated on 2026-07-18

Versions

How to Cite

Chaitra R P, Mahendra G, Shruti K K, & Yanamadala Lijaswi. (2026). Quality of Life and Surgical Outcome After Total Laparoscopic Hysterectomy Versus Total Abdominal Hysterectomy for Benign Disease: A Randomized Controlled Trial. Public Health - Open Journal, 11(1), 584–589. https://doi.org/10.17140/phoj-11-584 (Original work published June 17, 2026)

Issue

Vol. 11 No. 1 (2026): Volume 11 Issue 1 2026

Section

Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

All content published in Public Health - Open Journal (PHOJ) is licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This license allows anyone to copy, distribute, transmit, and adapt the work — including for commercial purposes — provided appropriate credit is given to the original author(s) and source.