Clinical results of laparoscopic hysterectomies: single center experience
Abstract
Purpose: The aim of this study was to evaluate the clinical results of laparoscopic hysterectomy (LH).
Materials and Methods: In this retrospective study, the original files of 511 patients who underwent LH between January 2010 and December 2016 were analyzed. The following parameters were recorded and assessed according to the years studied: mean age, body mass index (BMI), parity, indications for surgery, uterine weight, operation duration, blood loss, duration of hospitalization, analgesic needs, and intra- and post-operative complications.
Results: The lowest LH rate was 10.14% in 2012, and the highest rate was 47.73% in 2016. Uterine myoma (31.51%) and menometrorrhagia (25.63%) resistant to medical treatment were the most common indications. There were no differences in terms of age, BMI, parity, blood loss, analgesic requirements, uterus weight, previous intra-abdominal surgery rate, laparoscopy to laparatomy conversion rate, and intra- or post-operative complications during the period assessed. However, operation time and hospital stay durations were significantly reduced after the first 3 years.
Conclusion: An emphasis on endoscopy training for gynecological surgeons, along with technological advances and the use of surgical techniques, has improved postoperative LH recovery, and the length of the required hospital stay has become shorter. LH should be the preferred surgical option in hysterectomy indications, as it is effective and safe for the patient.
Keywords
Laparoscopic hysterectomy,operation duration,duration of hospitalization,complications
Kaynakça
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