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Analysis of Total Laparoscopic Hysterectomy Performed in Our Clinic
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Original Investigation
VOLUME: 5 ISSUE: 1
P: 10-13
April 2015

Analysis of Total Laparoscopic Hysterectomy Performed in Our Clinic

J Acad Res Med 2015;5(1):10-13
DOI: 10.5152/jarem.2015.598
Süleyman Salman 1
Yavuz Tahsin Ayanoğlu 1
Murat Bozkurt 2
Serkan Kumbasar 3
Berker Kavşi 1
Erkin Sertoğlu 1
Refika Genç Koyucu 1
1. Clinic of Obstetrics and Gynecology, Gaziosmanpaşa Taksim Training and Research Hospital, İstanbul, Turkey
2. Department of Obstetrics and Gynecology, Kafkas University Faculty of Medicine, Kars, Turkey
3. Clinic of Obstetrics and Gynecology, Sakarya Training and Research Hospital, Sakarya, Turkey
No information available.
No information available
Received Date: 06.11.2014
Accepted Date: 29.01.2015
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ABSTRACT

Objective:

The purpose of this study was to evaluate the results of our experience with 83 patients who underwent total laparoscopic hysterectomy (TLH).

Methods:

The subjects included 83 patients operated in Gaziosmanpaşa Taksim Training and Research Hospital, Department of Obstetrics and Gynecology. Total laparoscopic hysterectomies were performed for various indications between January 2013 and October 2014. Indications of total laparoscopic hysterectomy, method of operation, intraoperative and postoperative complications, duration of the operation, length of hospital stay, and blood loss in patients who underwent total laparoscopic hysterectomies were retrospectively evaluated.

Results:

In total, 83 patients were included in our study. The mean age was 49.3 years. The most common indication for total laparoscopic hysterectomy was menorrhagia. The mean body mass index (BMI) was 28.7±4.3. The mean operation time was 132.16±48.5 min, mean hospital stay was 3.38±1.6 days, and mean blood loss was 2 g/dL. The overall complication rate was 6%.

Conclusion:

Total laparoscopic hysterectomy is a preferred method to abdominal hysterectomy because it is associated with a more favorable surgical outcome. The laparoscopic approach is an acceptable treatment modality in the current gynecological practice. Total laparoscopic hysterectomy is more beneficial to patients because of low estimated blood loss, less analgesia use, low intraoperative and postoperative complication rates, less postoperative pain, more rapid recovery, and short hospital stays. However, the percentage of total laparoscopic hysterectomies is still very low. The longer operation time in total laparoscopic hysterectomy, an unfavorable learning curve, and extensive training of surgeons and the whole surgical team are often cited as reasons. (JAREM 2015; 5: 10-3)