Comparison of laparoscopic, abdominal, and vaginal hysterectomy methods in terms of clinical parameters

İlkan Kayar; Ferhat Çetin; Mustafa Çetin; Özer Birge

doi:10.17944/interdiscip.1772824

Comparison of laparoscopic, abdominal, and vaginal hysterectomy methods in terms of clinical parameters

Abstract

Objective: To compare the demographic characteristics, operative outcomes, laboratory findings, and complications among laparoscopic (n=254), abdominal (n=233), and vaginal (n=334) hysterectomy methods. Methods: A retrospective analysis of 821 patients undergoing hysterectomy was conducted. Groups were compared for age, BMI (body mass index), operative time, intraoperative blood loss, postoperative hemoglobin drop (ΔHb), length of hospital stay, complication rates, wound infections, and presence of malignancy. Statistical significance was assessed with p < 0.05, and post-hoc analyses were adjusted accordingly. Results: Mean age differed significantly among groups (p < 0.001), notably between laparoscopic (48 ± 6 years) and vaginal (50 ± 6 years) groups (adj. p < 0.001); BMI showed no significant difference (p = 0.089). Operative time was longest in the laparoscopic group (95 ± 14 min, p < 0.001, all post-hoc adj. p < 0.001). Blood loss was highest in the abdominal group (253 ± 67 cc) compared to laparoscopic (123 ± 40 cc) and vaginal (135 ± 37 cc) (p < 0.001, adj. p < 0.001). The postoperative hemoglobin decrease was greatest in the abdominal group (–2.73 ± 1.54 g/dL) versus laparoscopic (–1.58 ± 1.11 g/dL) and vaginal (–1.73 ± 0.97 g/dL) (p < 0.001, adj. p < 0.001). Hospital stay was shortest after vaginal hysterectomy (2.0 ± 0.5 days) and longest after abdominal (3.1 ± 0.8 days) (p < 0.001, adj. p < 0.001). Complication rate was highest in the abdominal group (16.3%), including wound infection (10.3%) (p < 0.001). Malignant pathology was more frequent in the abdominal group (9.0%) compared to vaginal (3.3%) (p = 0.013). Conclusion: Abdominal hysterectomy is associated with greater blood loss, larger hemoglobin drop, longer operative time and hospital stay, and higher complication and malignancy detection rates, whereas vaginal hysterectomy offers the shortest hospitalization. These findings underscore the importance of surgical method selection based on perioperative risk profiles.

Keywords

References

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Details

Primary Language

English

Subjects

Surgery (Other), Obstetrics and Gynaecology, Public Health (Other)

Journal Section

Research Article

Authors

İlkan Kayar
0000-0001-6385-4730
Türkiye

Ferhat Çetin
0000-0002-8613-2711
Türkiye

Mustafa Çetin
0000-0003-2813-2163
Türkiye

Özer Birge ^*
0000-0002-1939-3743
Türkiye

Publication Date

December 16, 2025

Submission Date

August 28, 2025

Acceptance Date

October 4, 2025

Published in Issue

Year 2025 Volume: 16 Number: 56

DOI

https://doi.org/10.17944/interdiscip.1772824

IZ

https://izlik.org/JA74ZX44CP

Cite

RIS / Bibtex

APA

Kayar, İ., Çetin, F., Çetin, M., & Birge, Ö. (2025). Comparison of laparoscopic, abdominal, and vaginal hysterectomy methods in terms of clinical parameters. Interdisciplinary Medical Journal, 16(56), 162-167. https://doi.org/10.17944/interdiscip.1772824

AMA

1.Kayar İ, Çetin F, Çetin M, Birge Ö. Comparison of laparoscopic, abdominal, and vaginal hysterectomy methods in terms of clinical parameters. Interdiscip Med J. 2025;16(56):162-167. doi:10.17944/interdiscip.1772824

Chicago

Kayar, İlkan, Ferhat Çetin, Mustafa Çetin, and Özer Birge. 2025. “Comparison of Laparoscopic, Abdominal, and Vaginal Hysterectomy Methods in Terms of Clinical Parameters”. Interdisciplinary Medical Journal 16 (56): 162-67. https://doi.org/10.17944/interdiscip.1772824.

EndNote

Kayar İ, Çetin F, Çetin M, Birge Ö (December 1, 2025) Comparison of laparoscopic, abdominal, and vaginal hysterectomy methods in terms of clinical parameters. Interdisciplinary Medical Journal 16 56 162–167.

IEEE

[1]İ. Kayar, F. Çetin, M. Çetin, and Ö. Birge, “Comparison of laparoscopic, abdominal, and vaginal hysterectomy methods in terms of clinical parameters”, Interdiscip Med J, vol. 16, no. 56, pp. 162–167, Dec. 2025, doi: 10.17944/interdiscip.1772824.

ISNAD

Kayar, İlkan - Çetin, Ferhat - Çetin, Mustafa - Birge, Özer. “Comparison of Laparoscopic, Abdominal, and Vaginal Hysterectomy Methods in Terms of Clinical Parameters”. Interdisciplinary Medical Journal 16/56 (December 1, 2025): 162-167. https://doi.org/10.17944/interdiscip.1772824.

JAMA

1.Kayar İ, Çetin F, Çetin M, Birge Ö. Comparison of laparoscopic, abdominal, and vaginal hysterectomy methods in terms of clinical parameters. Interdiscip Med J. 2025;16:162–167.

MLA

Kayar, İlkan, et al. “Comparison of Laparoscopic, Abdominal, and Vaginal Hysterectomy Methods in Terms of Clinical Parameters”. Interdisciplinary Medical Journal, vol. 16, no. 56, Dec. 2025, pp. 162-7, doi:10.17944/interdiscip.1772824.

Vancouver

1.İlkan Kayar, Ferhat Çetin, Mustafa Çetin, Özer Birge. Comparison of laparoscopic, abdominal, and vaginal hysterectomy methods in terms of clinical parameters. Interdiscip Med J. 2025 Dec. 1;16(56):162-7. doi:10.17944/interdiscip.1772824