Published in:
01-03-2012 | General Gynecology
Role of serum interleukin-6 in comparing surgical stress after laparoscopic-assisted vaginal hysterectomy and non-descent vaginal hysterectomy for large uteri
Authors:
Kallol Kumar Roy, Murali Subbaiah, Shilpa Singla, Sunesh Kumar, Jai Bhagwan Sharma, Dipender Kumar Mitra
Published in:
Archives of Gynecology and Obstetrics
|
Issue 3/2012
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Abstract
Aims and objectives
To compare the perioperative inflammatory response using interleukin-6 (IL-6) in patients of laparoscopic-assisted vaginal hysterectomy (LAVH) and non-descent vaginal hysterectomy (NDVH) for large uteri with benign disease.
Materials and methods
Twenty women with benign uterine disease and failed medical management with size of uterus ranging from 300 to 1,500 g (12–24 weeks) were randomized into two equal groups for either technique of hysterectomy, LAVH and NDVH. Venous blood levels of IL-6 were measured preoperatively and 3, 24 and 72 h after beginning of surgery. Statistical analysis was done using SPSS15 software.
Results
No statistically significant difference was present in demographic characteristics, operating time, and uterine weight between the two groups. No major complications were encountered. The increase in serum interleukin 6 levels from preoperative value to the value at 3 h postoperatively was found to be significantly higher in LAVH group when compared with NDVH group indicating greater tissue handling and trauma in LAVH group.
Conclusion
Non-descent vaginal hysterectomy appears to be better than laparoscopic-assisted vaginal hysterectomy for large uteri in terms of inflammatory response.