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Related Experiment Video

Updated: Jul 14, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
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Total laparoscopic hysterectomy: a 5-year experience.

Christopher Chee Mun Ng1, Bernard Su Min Chern

  • 1General Obstetrics and Gynaecology, KK Hospital, 100 Bukit Timah Road, Singapore, Singapore 229899. drchrisng@hotmail.com

Archives of Gynecology and Obstetrics
|May 18, 2007
PubMed
Summary

Total laparoscopic hysterectomy (TLH) demonstrates a high success rate (98.2%) with low morbidity and few complications when performed with adequate training. This surgical technique effectively removes the uterus, offering favorable outcomes compared to other centers.

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Area of Science:

  • Gynecology
  • Minimally Invasive Surgery
  • Surgical Outcomes

Background:

  • Total laparoscopic hysterectomy (TLH) is an advanced surgical procedure for uterine removal.
  • Evaluating surgical techniques is crucial for improving patient outcomes and reducing complications.

Purpose of the Study:

  • To assess the efficacy and safety of a specific surgical technique for total laparoscopic hysterectomy (TLH).
  • To analyze intra-operative and post-operative outcomes and complications associated with TLH.
  • To identify opportunities for reducing complication rates in TLH procedures.

Main Methods:

  • Retrospective analysis of TLH operations conducted between January 2001 and December 2005.
  • Utilized the KOH Colpotomizer System and RUMI Uterine Manipulator.
  • Evaluated operative time, blood loss, conversion rates, and complication incidence.

Main Results:

  • A high success rate of 98.2% was achieved in 503 out of 512 patients undergoing TLH.
  • Mean operating time was 133 minutes, with a mean blood loss of 309 ml.
  • Major complications occurred in 4.5% of patients, comparable to other centers, with low rates of specific injuries and post-operative issues.

Conclusions:

  • Total laparoscopic hysterectomy (TLH), when performed with adequate training, is associated with low morbidity.
  • The technique offers a high success rate and a manageable complication profile.
  • Continuous evaluation of surgical techniques can lead to improved patient safety and outcomes in gynecological surgery.