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Total laparoscopic hysterectomy: our experience from 2008 to 2012
Annali Italiani Di Chirurgia
|February 19, 2014
Summary
Total laparoscopic hysterectomy (TLH) is a safe and effective surgical option for uterine conditions. Our experience shows low complication rates, supporting its increasing adoption in gynecologic surgery.
Area of Science:
- Gynecologic Surgery
- Minimally Invasive Procedures
Background:
- Total laparoscopic hysterectomy (TLH) is gaining prominence for treating uterine diseases.
- This study reviews recent clinical experience with TLH.
Purpose of the Study:
- To evaluate the safety and efficacy of TLH based on recent clinical experience.
- To analyze outcomes for patients undergoing TLH for benign and early-stage malignant uterine conditions.
Main Methods:
- Retrospective observational study of 101 patients (2008-2012).
- Standardized surgical technique performed by a single surgeon.
- Inclusion criteria: benign disease and FIGO stage I-II endometrial cancer.
Main Results:
- TLH performed in 101 patients; 80 for benign conditions (42 uterine fibroids).
- Mean surgical times: 81 minutes (benign), 112 minutes (malignant).
- Low complication rate: 1 conversion to laparotomy, 5 post-surgical fevers, 1 vaginal vault dehiscence. No significant association between patient factors and complications.
Conclusions:
- TLH experience is growing, with outcomes comparable to other centers.
- Vaginal vault closure via vaginal access is recommended, aligning with current data.
