Total Laparoscopic Hysterectomy: Technique and Complications of 830 Cases

Overview

Journal JSLS

Specialty General Surgery

Date 2007 Jul 27

PMID 17651556

Citations 21

Authors

Katherine A OHanlan

Suzanne L Dibble

Anne-Caroline Garnier

Mirjam Leuchtenberger Reuland

Affiliations

Soon will be listed here.

Abstract

Objective: This study analyses the technique and complications from total laparoscopic hysterectomy.

Methods: Retrospective chart abstraction was performed on 830 consecutive patients operated on between 1996 and 2006. Demographic and surgical data were analyzed by ANOVA, chi-square, and Spearman and Pearson correlation techniques were used with significance set at P<0.05.

Results: Of 830 consecutive patients, 5 (0.6%) were converted to laparotomy. Patients had a mean age of 50 (+/-11) years, a mean of 1.3 (+/-1.3) pregnancies, and a mean BMI of 27.6 (+/-6.8) kg/m(2). The mean surgical duration was 132 (+/-55) minutes, with mean blood loss of 130 (+/-189) mL and average hospital stay of 1.4 (+/-0.9) days. Duration of surgery, blood loss, and hospital stay all decreased with the surgeon's increasing experience. Reoperative complications occurred in 38 patients (4.7%). Urologic injuries were observed in 23 patients (2.6%), with 9 (1.1%) requiring reoperation.

Conclusions: This technique for TLH offers the benefits of minimally invasive surgery for patients needing hysterectomy, even those without vaginal capacity and uterine prolapse.

Citing Articles

Complications of total laparoscopic hysterectomy: A retrospective study of cases performed by a single surgeon.

Choudhary A, Palaskar P, Bhivsane V J Minim Access Surg. 2023; 19(4):473-477.

PMID: 37282419 PMC: 10695312. DOI: 10.4103/jmas.jmas_148_22.

Complications of Total Laparoscopic Hysterectomy in a Tertiary Care Center.

Pande B, Pradhan P, Pradhan S, Mansingh S, Mishra S Cureus. 2023; 15(3):e36510.

PMID: 37090350 PMC: 10120273. DOI: 10.7759/cureus.36510.

Systematic review of urological injury during caesarean section and hysterectomy.

Wei G, Harley F, OCallaghan M, Adshead J, Hennessey D, Kinnear N Int Urogynecol J. 2022; 34(2):371-389.

PMID: 36251061 PMC: 9870963. DOI: 10.1007/s00192-022-05339-7.

Exploring Adverse Events and Utilization of Topical Hemostatic Agents in Surgery.

OHanlan K, Bassett P JSLS. 2022; 26(3).

PMID: 36071989 PMC: 9439288. DOI: 10.4293/JSLS.2022.00033.

Does laparoscopic hysterectomy + bilateral salpingectomy decrease the ovarian reserve more than total abdominal hysterectomy? A cohort study, measuring anti-Müllerian hormone before and after surgery.

Tavana Z, Askary E, Poordast T, Soltani M, Vaziri F BMC Womens Health. 2021; 21(1):329.

PMID: 34507569 PMC: 8434747. DOI: 10.1186/s12905-021-01472-5.

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