Clampless abdominal hysterectomy: a case series at Teaching Hospital Peradeniya

Objective: To evaluate the Clampless Abdominal Hysterectomy (CAH) technique with regard to its complications, analgesic requirement and average duration taken to mobilize. Materials and method: This case series included 51 consecutive open abdominal hysterectomies done with the Clampless Abdominal Hysterectomy technique between May 2017 and May 2018. Patient’s age, Body Mass Index (BMI), duration of surgery, preoperative and post-operative hemoglobin, pain score on post-operative day 1 and day 2, time to mobilize to chair, time taken for full mobilization and the analgesic requirements of the patients were taken into consideration. Results: The mean age of the patient population was 53±4.69 years, the mean BMI was 23.7±3.54 kg/m2. The mean duration of the surgery was 50.7±7.03 minutes, and it ranged from 75 minutes (maximum) to 40 minutes (minimum). The mean pre-operative hemoglobin (Hb) was 10.6±0.69 g/dl, while the mean post-operative Hb was 9.8±0.66 g/dl. The mean pain score on day one was 6, which ranged from 8 (maximum) to 5 (minimum), while on the day two it was 4, which ranged from 6 (maximum) to 3 (minimum). The mean time duration taken to mobilize to chair was 16±2.10 hours while the mean time taken for full mobilization was 22.3±2.39 hours. Conclusion: The Clampless Abdominal Hysterectomy is an extremely safe procedure with less complications that may be employed as an alternative to the conventional open abdominal hysterectomy.