Comparison of the Outcomes of Total Laparoscopic Hysterectomy Versus Total Abdominal Hysterectomy for Benign Gynecologic Conditions in a Limited-resources Setting.

Comparison of the Outcomes of Total Laparoscopic Hysterectomy Versus Total Abdominal Hysterectomy for Benign Gynecologic Conditions in a Limited-resources Setting.

Minimally invasive hysterectomy (laparoscopic) is associated with shorter hospital stay, less blood loss, faster recovery, and improved early postoperative quality of life compared with open abdominal hysterectomy. However, in low-resource settings, barriers such as equipment availability, cost, and limited surgeon experience may influence outcomes.

Inclusion Criteria:

• Women aged 35-65 years.
• Indication for elective hysterectomy for benign disease.
• Uterine size ≤ 16 weeks.

Exclusion Criteria:

• Malignancy or suspicion of malignancy.
• Prior extensive abdominal surgery with dense adhesions.
• Morbid obesity, BMI more than 40
• Severe cardiopulmonary disease.
• Pregnancy.
• Refusal participates in study