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Aim: It is a retrospective study to compare the LAVH done by a beginner for laparoscopic surgeries and abdominal hysterectomy cases done by the same team of surgeons. Introduction: Laparoscopic surgeries are replacing open surgeries in all fields.Most of the gynaecologists, who are well trained in open surgeries, are hesitant to start doing laparoscopic surgeries.This study which compares LAVH done by a beginner with abdominal hysterectomy will be beneficial for them. Methodology: This study was done in GMKMCH, Salem from March 2015-March 2016.We have done about 40 cases of LAVH and compared with 40 cases of abdominal hysterectomy done by same team of surgeons. Results: During the initial period when LAVH cases were started the complication rate and conversion to laparotomy cases were high. The duration of surgery was long about (2 hr. 30 minutes- 3 hrs.) in the initial period which was reduced to less than 1 hr. 30 minutes after 6 months. Conclusion: The Gynaecologists in govt. tertiary health centres can start doing LAVH cases instead of laparotomies for gynaecological surgeries and this will be a gateway for doing other laparoscopic surgeries (laparoscopic myomeclaprascopic,tomy, TLH ,Lap ovarian cystectomy, Lap.Wertheimsetc).

Comparative Study of Lavh Vs. Abdominal Hysterectomy Done By A Beginner for Laparoscopic Surgeries In A Govt Medical College Hospital