Total Laparoscopic Hysterectomy Versus Total Abdominal Hysterectomy in Women With Endometrial Neoplasia

Total Laparoscopic Hysterectomy Versus Total Abdominal Hysterectomy in Women With Endometrial Neoplasia; Randomized Controlled Clinical Trial

The aim of this study is to compare operative time between total laparoscopy hysterectomy with bilateral salpingoophrectomy (TLH+BSO) versus total abdominal hysterectomy and bilateral salpingooophorectomy (TAH+BSO) in women with uterine neoplasia.

Research Questions:

Is total laparoscopic hysterectomy associated with similar operative operative time as total abdominal hysterectomy and bilateral salpingoophrectomy in women with uterine neoplasia?

Research Hypothesis:

In women with uterine neoplasia TLH with BSO may be similar to TAH with BSO as regard operative time.

Inclusion Criteria:

The presence of perimenopausal bleeding

• Early stage endometrial carcinoma.
• Endometrial hyperplasia with/without atypia.

Exclusion Criteria:

• Obese patients i.e., BMI< 29 k.g/m2.
• Patients unfit for laparoscopy as patients with cardio-pulmonary compromise.
• Presence of adnexal mass.
• End stage endometrial carcinoma stage 3 & 4.