Abstract
INTRODUCTION: Hysterectomy is one of the most common surgeries performed in female of perimenopausal age group. Now days, Laparoscopic hysterectomies are on the rising trend, since it is associated with less post-operative pain, faster recovery and early return to normal activities. Hence, authors are sharing their experience about total laparoscopic hysterectomy (TLH). MATERIAL AND ETHODS: A retrospective observational study was done over 2 years in a tertiary care hospital in rural area. A total of 108 women were included who underwent TLH by same operating surgeon. The complaints were abnormal uterine bleeding followed by abdominal lump/ abdominal pain. Thorough history and examination was done. Ultrasound pelvis was performed. Surgery was done after informed consent.
RESULTS: The mean age of female who underwent TLH was 45.76 ?ñ 6.8 years. All females were multiparous (P?2) with mean parity of 2.55 ?ñ 1.5. The mean BMI was 27.4 ?ñ 5.5 Kg/m 2 . History of previous surgery was found in 38.8% of female. The most common indication of surgery was leiomyoma (55.6%). Mean duration of Hospital stay was 3.77 ?ñ 1.4 days. Among intra-operative complications, 3 cases of bladder injury and 1 ureteric injury was seen. All cases were completed laparoscopically. Among post-operative complications, no major complication was observed.
CONCLUSION: It was concluded that TLH is an upcoming technique in developing countries like India. It is a safe procedure and associated with less intraoperative and
post-operative complications.
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