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Updated: Feb 9, 2026

Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
Outcome of Total Laparoscopic Hysterectomy
Samina Saleem Dojki1, Alia Bano1
1Department of Obstetrics and Gynecologic Endoscopic Unit, Patel Hospital, Karachi.
Total laparoscopic hysterectomy (TLH) is a safe and effective surgical option, demonstrating low complication rates and successful outcomes. This minimally invasive approach offers a viable alternative to traditional hysterectomy procedures.
Area of Science:
- Minimally invasive gynecologic surgery
- Surgical outcomes research
- Laparoscopic procedures
Background:
- Hysterectomy remains a common gynecologic procedure.
- Minimally invasive techniques aim to reduce morbidity.
- Total laparoscopic hysterectomy (TLH) offers potential benefits over open surgery.
Purpose of the Study:
- To evaluate the surgical outcomes of total laparoscopic hysterectomy (TLH).
- To assess intraoperative and postoperative complications associated with TLH.
- To determine the safety and feasibility of TLH as an alternative to conventional hysterectomy.
Main Methods:
- A case series study was conducted.
- Included patients undergoing TLH between February 2013 and February 2016.
- Exclusions: patients with advanced malignancy; inclusion: suspected early-stage endometrial carcinoma.
Main Results:
- 209 patients underwent TLH; median age 45 years.
- Leading indication: heavy menstrual bleeding; 33% had prior abdominopelvic surgery.
- Overall complication rate: 12.9% (3.8% major); 3.3% conversion to open surgery; no vascular injury or re-operation.
Conclusions:
- Total laparoscopic hysterectomy (TLH) is a safe and acceptable surgical procedure.
- TLH presents a feasible alternative to conventional hysterectomy.
- The study supports TLH for selected gynecologic conditions.
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