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  • Title: [Total laparoscopic hysterectomy: complications and clinical evolution in an 87 cases series].
    Author: Ortiz FM, Zepeda MA, García EE, Pineda JM, Rico HB.
    Journal: Ginecol Obstet Mex; 2008 Sep; 76(9):520-5. PubMed ID: 18798458.
    Abstract:
    BACKGROUND: Laparoscopic hysterectomy is a frequent non-obstetrical surgical technique. Its main benefits are less hospital stay and complications, and better surgical results. OBJECTIVE: To describe complications and clinical evolution of patients underwent to total laparoscopic hysterectomy. MATERIAL AND METHOD: Retrospective study. We review files of 87 patients with total laparoscopic hysterectomy since 2003 to 2006. General characteristics, indications, anesthetic technique, pneumoperitoneum means, trans- and post-operatory complications, procedure length, uterine size and weight, and conversion rate were examined. RESULTS: Average length of the procedure was 123.01 minutes, uterine size: 14.54 cm, uterine weight: 387 g (DE: 57.43). Trans-operatory bleeding was 151.01 mL, and hospital stay was 19.45 h (DE: 3.21). Trans-operatory complications were: bladder (1.14%), ureter (1.14%), small bowel (1.14%) and epigastric vessels (1.14%) injuries. Three patients had post-operatory complications: fever syndrome (3.4%) and sacral region burn injury (1.14%). Conversion rate to abdominal hysterectomy was 2.29%. CONCLUSION: Total laparoscopic hysterectomy is a feasible and safe procedure with complications rate similar to that reported in literature, and it in an option for candidates to abdominal hysterectomy.
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