[Laparoscopic hysterectomy--operative technique].

UNLABELLED: There is a great variety of operative techniques for laparoscopic hysterectomy described in scientific literature. MATERIAL AND METHODS: The authors give variants of the laparoscopic hysterectomy technique summarizing their two-year experience (2010-2011). The emphasis is on some peculiarities in CO2 insufflation and placing ports as well as on certain specific steps in the operation stages. RESULTS: The mean operative time of different types of laparoscopic hysterectomy is distributed as follows: laparoscopic hysterectomy with uterine artery ligation--72, 96 +/- 14 min, total laparoscopic hysterectomy--68, 80 +/- 15 min, laparoscopically-assisted vaginal hysterectomy--75, 82 +/- 18 min (p > 0.05). There are no significant differences in mean hospital stay as well as in postoperative hemoglobin and postoperative hematocrite values on the first day after the operation. The total rate of complications is 1.4%. CONCLUSION: The presented laparoscopic hysterectomy technique is safe and feasible for general gynecological surgical practice as long as sufficient experience has been gained and the technical peculiarities at separate stages of the operation are strictly observed.