Total laparoscopic hysterectomy in 202 patients
DOI:
https://doi.org/10.18597/rcog.573Keywords:
laparoscopic hysterectomy, total laparoscopic hysterectomyAbstract
Total laparoscopic hysterectomy (type IV - E) was performed in 202 patients from December 7/1999 to April 30/2003. The average age was 46 years, the average surgical time was 100 minutes, and the mean uterine weight was 170 grs. The three leading clinical diagnosis were uterine leiomyomas (51%), high level cervical squamous intraepithelial lesions (21%), and chronic pelvic pain (9%). The main pathological diagnosis was uterine leiomyomas with or without uterine adenomyosis in 79,2% of the cases (160 patients). There were complications in 16 patients (7,9%):
5 patients (2,5%) with infection, 4 patients (2%) with hemorrhagic complication, 3 with bladder trauma (1,5%) and 4 with other complications (2%). We did not have any ureteral, vascular or intestinal complications. We recommend total laparoscopic hysterectomy as the first surgical choice in surgical units with adequate experience in laparoscopic surgery.
Author Biographies
Ramiro Argüello Argüello
Edwin Alberto Hoyos Usta
Rodrigo Argüello Argüello
Pedro Wilfredo Perdomo Tejada
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