Following this, intramuscular Baricitinib Sigma tramadol and diclofenac rectal suppository were administered twice a day on the first postoperative day and then according to the patient’s request. 2.1. Outcome Measures The duration of surgery was calculated from the first surgical incision to the time when the last skin suture was applied. Blood loss during the laparoscopic phase was calculated as the difference between the volume of fluid aspirated and that of the fluid introduced into the pelvic cavity. Blood loss during the vaginal phase of LAVH or during abdominal hysterectomy was determined directly from the aspirated fluid collected in the calibrated container. Sponges used for mopping were also taken into consideration and one fully socked sponge was accounted for 50mL of blood loss.

All intraoperative complications��damage to ureter, urinary bladder, or major vessels and torrential hemorrhage requiring either transfusion or conversion of LAVH to open method��were noted. The specimen weight was obtained immediately after the surgery. Hemoglobin estimation was done for all patients 24 hours after surgery and blood transfusion was given if the hemoglobin was less than 8gm/dL. Postoperative fever was considered as body temperature of more than 38.2��C for two consecutive measurements at least 6 hours apart, excluding the first 24 hours following the surgery. For comparing postoperative pain, we used visual analogue scale (VAS) in our study. Other postoperative complications like wound infection, secondary hemorrhage, or pulmonary embolism were also noted.

For calculation of hospital stay, only days from surgery till discharge from the hospital were taken into account. The patients were discharged once they were able to tolerate oral diet, could void normally, were ambulatory, did not require parenteral medication, and had stable hematocrit. 2.2. Statistical Analysis Statistical Package for the Social Sciences (SPSS 11.5 for Windows) was used for data compilation and statistical analysis. Independent sample t-test was used for discrete and continuous variables. Independent t-test was applied to test the difference between mean values of the variables in the two groups compared. Mann-Whitney test was used when variables had a nonparametric distribution (to compare number of previous surgeries, intraoperative blood loss, and weight of the retrieved specimen).

Chi-square test was applied to those tests that evaluate the possible effect of one variable upon an outcome (postoperative complications). Fischer’s exact test was used to compare the rate of postoperative wound infection, as the frequency GSK-3 was less than five. 3. Results A total of 48 women were enrolled in the study. Out of these only 37 could be included as two were found to have frozen pelvis, one had broad ligament fibroid, and four menopausal women were found to have cervix flushed with vagina. In the remaining four women, their cardiorespiratory status contraindicated laparoscopy.