Complications after a total laparoscopic hysterectomy: a study in tertiary care unit in Telangana, India

G. Suneel Kumar; Swapna Lekkala

doi:10.18203/2349-2902.isj20162416

Authors

G. Suneel Kumar Department of Traumatology and surgery, Nizams institute of Medical Sciences, Telangana, Hyderabad
Swapna Lekkala Department of Obstetrics and Gynaecology, Apollo Institute of Medical Sciences, Telangana, Hyderabad

DOI:

https://doi.org/10.18203/2349-2902.isj20162416

Keywords:

Laparoscopy, Hysterectomy, Complications

Abstract

Background:Total laparoscopic hysterectomy (TLH) is a procedure in which removal of the uterus and cervix through four small abdominal incisions occurs. The total laparoscopic hysterectomy has been described as potentially quicker, more efficient and associated with less blood loss than LAVH4 and is also more achievable in nulliparous and obese women.

Methods: This observational study was performed on 121 patients after taking medical and surgical details. Routine blood tests were performed one day prior to the surgery. Total laparoscopic surgery was performed with 4 trocars under general anaesthesia. All the patients were followed up for 6 months.

Results:The mean age observed among the 121 patients who underwent total laparoscopic hysterectomy were 58.2. years and the age for attaining menarche was 12.1 years. Only 13.2% of the women were nulliparous while 86.8% of them were multiparous. The most common diagnosis preoperatively was myomatous uterus (31.4%), pelvic mass (19.8%) and pelvic pains (14.9%). Adhesiolysis (27.3%) and cytoscopy (19.8%) were the most common additional procedures which were done during the laparoscopy. The numbers of complications observed were 24 (19.8%), with urinary tract infection and urinay incontinence being the most common (5% each).

Conclusions:With experienced surgeons, this procedure is extremely safe with minimum post-operative complications.