LAPAROSCOPIC HYSTERECTOMY

Abstract

Introduction: In current era, the trend for minimal invasive surgery is increased
due to its established advantages. With the same, there increasing trend for laparoscopic
hysterectomy. But it carries certain risks in certain situations. Objectives: The study was
conducted to see the outcome of laparoscopic hysterectomies. Study Design: Retrospective,
analytic study. Study Period: June 2012 to May, 2015. Method: A study was conducted to review
the outcome of Laparoscopic hysterectomy over a period of three years from June 2012 to May
2015. Total one hundred cases were included in the study. These patients had hysterectomy
either total laparoscopic hysterectomy or laparoscopic assisted vaginal hysterectomy. After
preoperative evaluation, hysterectomy was done either total laparoscopic or laparoscopic
assisted vaginal hysterectomy. Data was collected regarding patients profile variables,
indications for hysterectomy, intraoperative findings, intraoperative time, postoperative recovery
findings, analgesia requirements and discharge time from the hospital. Results: Results of the
study showed that there was no significant increase in complication of urinary tract or bowel
injury. Operative time was decreased with time. Most common indication for hysterectomy
was fibroid uterus or dysfunctional uterine bleeding. Patient recovery was smooth and postoperative
analgesia was much less as compared to the routine. Patient hospital stay was less
as compared to the routine procedures for hysterectomy. Conclusion: It is concluded from
the study that laparoscopic hysterectomy is safe procedure with the clear advantages for the
patient. In the study complication rate, operating time was comparable to the already published
studies. With proper training it is acceptable alternate to abdominal hysterectomy with clear
advantages for the patient.