Total laparoscopic hysterectomy: an experience at a tertiary care hospital

Fatma M. Rentiya; Ajesh N. Desai

doi:10.18203/2320-1770.ijrcog20194854

Authors

Fatma M. Rentiya Department of Obstetrics and Gynecology, GMERS Medical College and Civil Hospital, Sola, Gujarat, India
Ajesh N. Desai Department of Obstetrics and Gynecology, GMERS Medical College and Civil Hospital, Sola, Gujarat, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20194854

Keywords:

Complications, Gynaecological surgery, Hysterectomy, Laparoscopy, Minimally invasive, Outcome, Safety, Total laparoscopic hysterectomy

Abstract

Background: This study is aimed to review indications, demographic data of patients, clinical outcomes and safety of total laparoscopic hysterectomy.

Methods: This is a prospective observational study of total 150 patients who underwent total laparoscopic hysterectomy (TLH) from 1^st June 2017 to 30^th November 2018 in GMERS Civil Hospital Sola.

Results: ~45% patients were between 40-50 years age group; 60% patients had 2 or more deliveries; commonest indication was symptomatic adenomyosis ; uterine size in ~57% of patients were up to 6 weeks; duration of surgery in ~91% of patients <120 minutes; intraoperative blood loss in all cases <200ml; no intra-operative and postoperative complications were encountered.

Conclusions: TLH is safe procedure with minimal blood loss, minimal postoperative pain and discomfort and shorter duration of hospital stay when performed via expert hands.

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