Outcomes of Total Laparoscopic Hysterectomy: A Single-Surgeon Experience of Initial 50 Cases

Ashfaq, Sana; Samina, Mubashra; Jabeen, Maria; Zafar, Shaheen

doi:10.7759/cureus.12644

Cited by 3 publications

(4 citation statements)

References 16 publications

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“…Leiomyomata uteri, abnormal uterine bleeding, endometrial hyperplasia and adenomyosis were the major indications for total laparoscopic hysterectomy. Ashfaq et al reported that the most common indication for TLH was uterine fibroids (54% ) and AUB (36%) [5]. Bilateral salpingo-oophorectomy was done as an additional procedure in more than half of the patients.…”

Section: Discussionmentioning

confidence: 99%

“…Cystoscopy after total abdominal hysterectomy was performed in the patient to confirm the closure of the repaired defect. In a study, no bladder injury was reported; however, the number of patients who underwent total laparoscopic hysterectomy was very less [5]. Urologic injuries reported by O'Hanlan et al were less than 3% [6].…”

Section: Discussionmentioning

confidence: 99%

“…Different studies have shown that the complication rate of total laparoscopic hysterectomy is up to 10% [5,6]. TLH requires a greater degree of surgical competence and a more elaborate learning curve [7].…”

Section: Introductionmentioning

confidence: 99%

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Complications of Total Laparoscopic Hysterectomy in a Tertiary Care Center

Pande¹,

Pradhan²,

Pradhan³

et al. 2023

Cureus

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IntroductionLaparoscopic hysterectomy is a standard practice in developed countries and corporate setups in India but is a relatively new practice in government institutions; surgical audits are rarely done in our institutions. This study aims to determine the complications of total laparoscopic hysterectomy (TLH) in a tertiary care center in India. MethodsThis was a retrospective record review of patients admitted to the Obstetrics and Gynecology department of Veer Surendra Sai Institute of Medical Sciences and Research (VIMSAR), Odisha, India. Data were collected from case sheets of patients who underwent TLH, operated on between January 2018 and May 2022. Demographic and clinical data were extracted and analyzed. ResultsOf the 223 consecutive patients, 12 (5.3%) were converted to laparotomy. The mean age of patients was 44.34 years (±5.457), with a mean BMI of 24.24 kg/m 2 (±2.181). The mean surgical duration was 1.895 hr (±0.487), with a mean blood loss of 140 ml and an average hospital stay of 3.25 (±0.821) days. Duration of surgery, blood loss, and hospital stay decreased with the surgeon's increasing experience. Reoperation was not needed in any case. Complications were recorded in about 18 (8.07%) cases. Also, major complications were less. ConclusionTotal laparoscopic hysterectomy is a less invasive and safe alternative to total abdominal hysterectomy, offering the benefits of minimally invasive surgery, and is also ideal for candidates unsuitable for vaginal hysterectomy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Complications of Total Laparoscopic Hysterectomy in a Tertiary Care Center

Pande¹,

Pradhan²,

Pradhan³

et al. 2023

Cureus

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“…The major complications comprised ureteric injury at 1.4%, bladder mucosal injury at 0.05%, port site hernia at 0.02%, and port site infection at 0.08% in the TLH group [ Table 2 ] along with a comparative analysis of the results with other studies [ Table 3 ]. [ 3 4 5 6 7 ]…”

Section: R Esultsmentioning

confidence: 99%

Surgical Morbidity of Laparoscopic Hysterectomy versus Abdominal Hysterectomy: A Retrospective Overview

Agarwal

Sinha

Singh

et al. 2023

Gynecology and Minimally Invasive Therapy

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Objectives: Laparoscopic skills are not an innate behavior, nor can they be easily mimicked, and can only be acquired through hands-on training. The need for reliable training and its assessment is becoming increasingly important with the course of time. Materials and Methods: A retrospective comparative study was done in a tertiary care center where all patients undergoing hysterectomy by laparoscopic and abdominal route were included in the study. Objectives: Our study aims to compare the operative and postoperative complications of laparoscopic hysterectomy with abdominal hysterectomy. The study was conducted from June 2016 to October 2022. Results: The mean operative time for uteri size lesser than 12 weeks was found significant in the total laparoscopic hysterectomy (TLH) group (75 ± 25 min) to total abdominal hysterectomy (TAH) (117 ± 28 min, P < 0.001). The mean blood loss in the TLH group was significant (110 ± 30 ml vs. 160 ± 116 ml, P < 0.002). The mean hospital stay was significantly shorter in TLH (4 ± 2.4 days vs. 7 ± 2.41 days, P < 0.002). The operative and postoperative complications observed were 3.1% in the TLH group and 11.7% in the TAH group. Conclusion: TLH when performed efficiently has proved to be a preferable route over other conventional hysterectomies.

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Outcomes of Laproscopic Hysterectomies: An assessment of a learning curve experience of a Gynae laparoscopic surgeries

Fatima¹,

Maqsood²,

Laqa³

et al. 2022

PJHS

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Among the most frequent gynecological operations conducted is the hysterectomy. Objective: To determine the outcome of TLH in benign uterine pathology of up to 12-week size uterus. Methods: It was a prospective case series carried out at Obstetrics and Gynecology department of Memon medical institute hospital, Karachi from January 2019 to January 2021. All patients who underwent laparoscopic hysterectomy secondary to benign utero- ovarian pathology were consecutively enrolled. Demographic characteristics of the patients along with the presence of co-morbidities, hospital admission details, surgical procedure and intra and post-operative complications were noted. The surgery performed with similar technique in all cases. If patients were deemed to be fit for release after 48 hours following surgery, they were discharged. The postoperative follow-ups were performed at 10th, 30th, and 3 months. Results: Of 50 patients, the mean age was 50.5 years. The main indication of hysterectomy is adenomyosis diagnosed in 20 patients. There were 4 laparoscopic assisted vaginal hysterectomies and 46 were total laparoscopic hysterectomies. History of previous laparotomies was observed in 12, previous cesarean and bilateral tubal ligation in 6 each, history of mesh repair of umbilical hernia in 4 while history of VP shunt was observed in 2 patients. Eight patients converted into laparotomy due to technical difficulty in controlling hemorrhage of uterine artery. Total rate of intra and post-operative complications was 40%. Conclusion: Laparoscopic approach for hysterectomy is a safe alternative to conventional hysterectomy for benign uterine pathology of up to 12 weeks size uterus.

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Outcomes of Total Laparoscopic Hysterectomy: A Single-Surgeon Experience of Initial 50 Cases

Cited by 3 publications

References 16 publications

Complications of Total Laparoscopic Hysterectomy in a Tertiary Care Center

Complications of Total Laparoscopic Hysterectomy in a Tertiary Care Center

Surgical Morbidity of Laparoscopic Hysterectomy versus Abdominal Hysterectomy: A Retrospective Overview

Outcomes of Laproscopic Hysterectomies: An assessment of a learning curve experience of a Gynae laparoscopic surgeries

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