{"paper_id":"c717791e-7791-42fc-9b84-4abb433a5376","body_text":"Total laparoscopic hysterectomy: an experience at a tertiary care hospital\nDOI:\nhttps://doi.org/10.18203/2320-1770.ijrcog20194854Keywords:\nComplications, Gynaecological surgery, Hysterectomy, Laparoscopy, Minimally invasive, Outcome, Safety, Total laparoscopic hysterectomyAbstract\nBackground: This study is aimed to review indications, demographic data of patients, clinical outcomes and safety of total laparoscopic hysterectomy.\nMethods: This is a prospective observational study of total 150 patients who underwent total laparoscopic hysterectomy (TLH) from 1st June 2017 to 30th November 2018 in GMERS Civil Hospital Sola.\nResults: ~45% patients were between 40-50 years age group; 60% patients had 2 or more deliveries; commonest indication was symptomatic adenomyosis ; uterine size in ~57% of patients were up to 6 weeks; duration of surgery in ~91% of patients <120 minutes; intraoperative blood loss in all cases <200ml; no intra-operative and postoperative complications were encountered.\nConclusions: TLH is safe procedure with minimal blood loss, minimal postoperative pain and discomfort and shorter duration of hospital stay when performed via expert hands.\nMetrics\nReferences\nMillar WJ. Hysterectomy, 1981/82 to 1996/97. Statistics Canada. Health Reports. 2001;12:9-22.\nOlive DL, Parker WH, Cooper JM, Levine RL. The AAGL classification system for laparoscopic hysterectomy. Classification committee of the American Association of Gynecologic Laparoscopists. J Am Assoc Gynecol Laparosc. 2000;7:9-15.\nReich H, Dicaprio J, McGlynn F. Laparoscopic Hysterectomy. J Gynecol Surg. 1989;5:213-6.\nLassen PD, Moeller-Larsen H, De Nully P. Same day discharge after laparoscopic hysterectomy. Acta Obstet Gynaecol Scand. 2012;91(11):1339-41.\nOlsson JH, Ellstrom M, Hahlin M. A randomized prospective trial comparing laparoscopic and abdominal hysterectomy. Br J Obstet Gynaecol. 1996;103:345-50.\nOttosen C, Lingman G, Ottosen L. Three methods for hysterectomy: a randomized, prospective study of short-term outcome. BJOG. 2000;107:1380-5.\nCheung VYT, Rosenthal DM. Laparoscopic versus abdominal supracervical hysterectomy. J Am Assoc Gynecol Laparosc. 2002;9(Suppl):S68.\nGarry R, Fountain J, Mason S, Napp V, Brown J, Hawe J, et al. The eVALuate study: two parallel randomized trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomy. BMJ. 2004;328:129-36.\nLefebvre G, Allaire C, Jeffrey J, Vilos G. SOGC Clinical Practice Guidelines No 109. Hysterectomy. J Obstet Gynaecol Can. 2002;24:37-48.\nGarry R. The future of hysterectomy. BJOG. 2005;112:133-9.\nSoriano D, Goldstein A, Lecuru F, Darai E. Recovery from vaginal hysterectomy compared with laparoscopic vaginal hysterectomy: a prospective, randomised, multicentre study. Acta Obstet Gynaecol Scand. 2001;80:337-1.\nRichardson R, Bournas N, Magos A. Is laparoscopic hysterectomy a waste of time? Lancet. 1995;345:36-41.\nGarry R. Toward evidence-based hysterectomy. Gynaecol Endosc. 1998;7:225-33.","source_license":"CC0","license_restricted":false}