Outcome of Total Laparoscopic Hysterectomy.

Objective: To determine the surgical outcomes of total laparoscopic hysterectomy performed.

Study Design: Case series.

Place And Duration Of Study: Obstetrics and Gynecologic Endoscopic Unit of Patel Hospital, Karachi, from February 2013 till February 2016.

Methodology: The study included all patients on whom total laparoscopic hysterectomy was performed during the study period. Patients with malignancy were excluded from the study, except those with suspected stage 1 and 2 endometrial carcinoma. The procedures were performed by two gynecologists keeping rest of the team constant, with similar technique. The reviewed outcome measures were duration of surgery, and intraoperative and postoperative complications.

Results: Out of 209 patients, majority were multiparous with median age and weight of 45 (50-40) years and 69 (80-60) Kgs, respectively. Previous history of abdominopelvic surgery was present in 33%. Heavy menstrual bleeding was the leading indication. Median and interquartile value of operative time was 175 (225-120) minutes. Total rate of intraoperative and postoperative complications was 12.9% and major complications were 3.8%. All postoperative complications were minor. Of all, 3.3% of patients were converted to open surgery; there was no vascular injury or re-operation.

Conclusion: Total laparoscopic hysterectomy is safe, acceptable, and doable alternative to conventional standard hysterectomy.