Objetivo: Describir las complicaciones transoperatorias y posoperatorias en pacientes operadas de histerectomía total laparoscópica.

Objective: Describe the intraoperative and postoperative complications in patients undergoing total laparoscopic hysterectomy (TLH). Method: Cases series carried out in the gynecology service of Hospital de Centro Medico Nacional La Raza, Instituto Mexicano del Seguro Social, of all patients undergoing total laparoscopic hysterectomy from December 2015 to December 2018. Uterine weight, body mass index, age, comorbidities, CO 2 use, and complications were documented. Frequencies, proportions, central tendency, and dispersion measures were used. Results: 79 patients are reported. Mean age was 44.2 ± 7.5 years. Surgery time was 104.3 ± 32.7 minutes, and bleeding 102.8 ± 62.3 mL. Six (7.6%) had intraoperative complications: two (2.5%) bladder injury, one (1.3%) bowel injury, one (1.3%) stump hemorrhage, and two(2.6%) were converted to exploratory laparotomy: one for uterine size > 14 cm, and one because malignant ovarian tumor was suspected. Seven patients (8.8%) had postoperative complications: four (5.1%) were re-operated: 3 due to hemorrhage and 1 due to vaginal dome dehiscence; three (3.7%) had vaginal collection. Conclusions: The rate of perioperative complications reported in this series coincides with that reported in other studies. Surgery time and bleeding were slightly minor regardless of program's youth.