Total laparoscopic hysterectomy: an experience at a tertiary care hospital

Fatma M. Rentiya, Ajesh Desai
In: International Journal of Reproduction, Contraception, Obstetrics and Gynecology · 2019 · vol. 8(11) , pp. 4341 · doi:10.18203/2320-1770.ijrcog20194854 · W2981590628
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⚙ AI-generated summary by claude@2026-06, 2026-06-13 ⓘ

This prospective observational study analyzed 150 total laparoscopic hysterectomies, finding it a safe procedure with minimal blood loss and complications for indications like adenomyosis.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-13 · read from full text ⓘ

This prospective observational study reviewed indications, demographics, and clinical outcomes of 150 patients undergoing total laparoscopic hysterectomy at a tertiary care hospital between June 2017 and November 2018. The authors report that symptomatic adenomyosis was the most common indication, most patients had uterine size up to 6 weeks, surgery duration was under 120 minutes in about 91% of cases, and intraoperative blood loss was under 200 ml in all cases. They state that no intra-operative or postoperative complications were encountered, and draw conclusions about minimal pain/discomfort and shorter hospital stay, though outcomes were based on a single-center experience and there was no comparative group reported. Relevance to endometriosis: symptomatic adenomyosis is the most common indication, though the paper does not explicitly discuss endometriosis.

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Abstract

Background: This study is aimed to review indications, demographic data of patients, clinical outcomes and safety of total laparoscopic hysterectomy.Methods: 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.Results: ~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.Conclusions: TLH is safe procedure with minimal blood loss, minimal postoperative pain and discomfort and shorter duration of hospital stay when performed via expert hands.
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Background

This study is aimed to review indications, demographic data of patients, clinical outcomes and safety of total laparoscopic hysterectomy.

Methods

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.

Results

~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.

Conclusions

TLH is safe procedure with minimal blood loss, minimal postoperative pain and discomfort and shorter duration of hospital stay when performed via expert hands. Metrics

References

Millar WJ. Hysterectomy, 1981/82 to 1996/97. Statistics Canada. Health Reports. 2001;12:9-22. Olive 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. Reich H, Dicaprio J, McGlynn F. Laparoscopic Hysterectomy. J Gynecol Surg. 1989;5:213-6. Lassen PD, Moeller-Larsen H, De Nully P. Same day discharge after laparoscopic hysterectomy. Acta Obstet Gynaecol Scand. 2012;91(11):1339-41. Olsson JH, Ellstrom M, Hahlin M. A randomized prospective trial comparing laparoscopic and abdominal hysterectomy. Br J Obstet Gynaecol. 1996;103:345-50. Ottosen C, Lingman G, Ottosen L. Three methods for hysterectomy: a randomized, prospective study of short-term outcome. BJOG. 2000;107:1380-5. Cheung VYT, Rosenthal DM. Laparoscopic versus abdominal supracervical hysterectomy. J Am Assoc Gynecol Laparosc. 2002;9(Suppl):S68. Garry 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. Lefebvre G, Allaire C, Jeffrey J, Vilos G. SOGC Clinical Practice Guidelines No 109. Hysterectomy. J Obstet Gynaecol Can. 2002;24:37-48. Garry R. The future of hysterectomy. BJOG. 2005;112:133-9. Soriano 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. Richardson R, Bournas N, Magos A. Is laparoscopic hysterectomy a waste of time? Lancet. 1995;345:36-41. Garry R. Toward evidence-based hysterectomy. Gynaecol Endosc. 1998;7:225-33.

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adenomyosis

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