Total laparoscopic hysterectomy: why surgeon teachers must learn and train residents

Abstract

Indeed, it has been reported that in these cases there is an increased chance of conversion to laparotomy whereas the morbidity and hospital stay were similar between lean and obese patients. 2 Total laparoscopic hysterectomy is the removal of uterus and cervix through four small abdominal incisions. Removal of ovaries and tubes depends on the patient. Number of provider barriers had been identified, ABSTRACT Background: The purpose of the present study is to demonstrate the feasibility of laparoscopic surgery for hysterectomy and elaborate our experience. Methods: Between September 2017 and April 2018, 15 patients who were counselled for and opted for total laparoscopic hysterectomy our hospital enrolled in this study. Surgeons used a four-port system with, one 10mm and three 5-mm trocars. All surgical procedures were performed with 30°, 10-mm laparoscope and conventional laparoscopic instruments including monopolar and bipolar cautery system and the LigaSure system. Patient's history, clinical findings and surgical outcomes were prospectively tabulated, evaluated and analyzed. Results: Out of 15 patients under the study with age range of 40-55years, only 2 patients had hypertension and diabetes mellitus and 2 had anaemia. All 15 patients underwent conventional laparoscopic surgery. Operative time was in a range of 6O-240 min. There were no intra operative complications in 6 patients (40%) and no post op complications in 11 women (73%). Conclusions:The results from our 15 women show that, in experienced hands, laparoscopic hysterectomy is not associated with any increase in major complication rates.