الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Background: Laparoscopic hysterectomy is one of minimally invasive surgery in the management of endometrial neoplasia and its safety and efficacy with nearly the same rate of complications, less intraoperative blood loss and less postoperative pain. Aim of the Work: 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 endometrial neoplaia. Patients and Methods: The current study was conducted in Ain-Sham University Maternity Hospital during the period between January 2017 to May 2018. It included a total number of 52 women recruited from outpatient gynecology clinic. All were complaining from premenopausal or postmenopausal bleeding and diagnosed as having endometrial hyperplasia or endometrial carcinoma. Results: On comparing both groups, there was no significant difference between total operative time between both groups but, TLH with BSO had more prolonged operative time than TAH with BSO, there were significant decrease in intraoperative blood loss, post-operative pain and less post-operative pelvic pain in TLH group. There were no significant result regarding intra or post-operative complications, need for blood transfusion, hospital stay and post-operative return to daily activities or sexual satisfaction. TLH group had 2 cases with intra operative complications and 5 cases with post-operative complications. TAH had 2 cases of major complications and 1case of postoperative complication.Conclusion: Laparoscopic hysterectomy proved safety and efficacy in the management of endometrial neoplasia either endometrial hyperplasia or malignancy with no significant difference regarding operative time with less intraoperative blood less and postoperative pain with same rate of complications as abdominal route.