Effectiveness of Total Laparoscopic Hysterectomy versus Non-descent Vaginal Hysterectomy in women with benign uterine pathologies: A Randomized Controlled Trial

**Introduction:**The ideal hysterectomy procedure should be minimally invasive, have low morbidity, low health care costs, shorten the length of the hospital stay, and improve patient satisfaction. Therefore, the current study’s objective is to assess and compare the clinical results of two alternative hysterectomy approaches namely Total Laparoscopic Hysterectomy (TLH) and Non-Descent Vaginal Hysterectomy (NDVH).

Methodology: A total of 132 women with benign uterine pathologies will be randomized by computer-generated randomization and a sequentially numbered, sealed opaque envelope method will be used for allocation in this single-blinded parallel-group randomized controlled trial. Group A (study group) will be the patients undergoing TLH and Group B (control group) will be the patients undergoing NDVH.

Result: The blood loss in each group will be calculated using a quantitative method of measuring blood loss intraoperatively. The operation time will be noted and the pain at the suture site will be noted immediately post-surgery and on day 2 of the surgery using the Visual Analog Scale. The statistical analysis will include descriptive and inferential analysis to determine the significant difference.

Conclusion: The present study will be comparing and concluding the

effectiveness of TLH and NDVH in women with benign uterine pathologies. This will explore the outcome of the surgery in terms of recovery, morbidity, and cost-effectiveness.