Total laparoscopic hysterectomy: a single center experience of 20 months

Purpose: the aim of this study was to present the results of our experience with patients who underwent total laparoscopic hysterectomy (tlh).materials and methods: during the time period between january 2013 and september 2014, 96 patients who had undergone total laparoscopic hysterectomy were evaluated retrospectively by reviewing patients’ medical records. patient’s mean age, gravidity, parity, preoperative and postoperative hemoglobin levels, indications of hysterectomy, return rate of laparoscopy to laparotomy, laparoscopic technique (single or multiport), the need of blood transfusion, duration of operation, complications, length of hospital stay and uterine weights were evaluated retrospectively.results: 88 of 96 patients who underwent tlh were operated with multiport technic, while 8 patients were operated with single port technique. 28 patients were evaluated by intraoperative frozen section. pelvic lymph node sampling was performed in 4 of 28 patients since endometrioid endometrium adenocancer at frozen section was detected. mean operation time was observed as 145.9±43.3 (60-260) minute. return rate of laparoscopy to laparotomy was 6.2% (6 patients). complications were as follows: sigmoid colon serosa damage 1 patient (1.0%), sigmoid colon perforation 1 patient (1.0%), vaginal cuff cellulitis 2 patients (2.0%), mild ileus 1 patient (1.0%), vesicovaginal fistula 2 patients (2.0%), hypoesthesia and loss of power at left arm 1 patient (1.0%). total complication rate was detected as 8.3%.conclusion: laparoscopic hysterectomy is a minimally invasive procedure with a shorter postoperative recovery period and better cosmetic results when compared with laparotomy and that can be applied successfully in experienced hands.