Abstract
ObjectiveTo analyze surgical outcomes of total laparoscopic hysterectomy (TLH) for benign disease.MethodsRetrospective analysis of 361 consecutive cases, prospectively collected from January 2012 to June 2016, of women who underwent TLH in St. Chiara Hospital in Trento, Italy. Clinical, demographic, surgical, and intra and perioperative data were recorded. Complications were graded on the Clavien-Dindo morbidity scale. Data were compared with literature. Statistical analysis was performed with SPSS (SPSS Chicago, IL).FindingsMain indication for TLH was uterine fibromatosis (78.6%). Mean uterine size was 327 ± 249 g (range 30–1800 g). Mean operating time was 115 ± 36 min. No laparotomy conversion occurred. Mean length of hospital stay was 2.6 ± 1.1 days (range 1–12 days).Complications requiring surgical intervention in general anesthesia occurred in 3 patients (0.8%): 1 (0.3%) hydroureteronephrosis, 1 (0.3%) bowel adhesions, and 1 (0.3%) port side hernia; complication requiring surgical intervention without general anesthesia occurred in 6 patients (1.6%): 2 (0.6%) hydroureteronephrosis, 1 (0.3%) vaginal cuff dehiscence, and 3 (0.8%) vaginal cuff bleeding.ConclusionsTotal laparoscopic hysterectomy is a procedure with a low incidence of complications. Our data compare favorably with the data of the other listed studies.
Highlights
Hysterectomy is the most frequent gynecological procedure performed, and in most cases, the laparoscopic approach may avoid the need for laparotomy.The benefits of laparoscopic hysterectomy (LH) versus abdominal hysterectomy (AH) are a quicker return to normal activities, a lower intraoperative blood loss, a smaller drop in hemoglobin, a shorter hospitalization, and less infections
Total laparoscopic hysterectomy is a procedure with a low incidence of complications
The purpose of this study is to evaluate our total laparoscopic hysterectomy (TLH) surgical technique, analyzing the intra and postoperative surgical results and complications with a simple and
Summary
Hysterectomy is the most frequent gynecological procedure performed, and in most cases, the laparoscopic approach may avoid the need for laparotomy. The benefits of laparoscopic hysterectomy (LH) versus abdominal hysterectomy (AH) are a quicker return to normal activities, a lower intraoperative blood loss, a smaller drop in hemoglobin, a shorter hospitalization, and less infections. The drawbacks are more injuries to the urinary tract and longer operation time [1]. The wider use of the laparoscopic approach and the improvement of surgeons’ skills can decrease the incidence of complications [2]. The purpose of this study is to evaluate our total laparoscopic hysterectomy (TLH) surgical technique, analyzing the intra and postoperative surgical results and complications with a simple and
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