Total Laparoscopic Hysterectomy Experience Within Time Period

INTRODUCTION: The aim of this study was to evaluate the incidence of total laparoscopic hysterectomy (TLH) in our clinic during the first 6 months and the last 6 months by a single surgeon.
METHODS: Eighty-one patients who underwent TLH between January 2016 and December 2016 due to benign diseases were evaluated retrospectively using age, parity, BMI, indications, length of hospitalization, blood loss, and duration of operation time. The cases were examined in 2 groups as the first 6 months (Group 1) and the last 6 months (Group 2). Analysis of the data was done using t test.
RESULTS: The mean age for Group 1 was 50,676,60 years, parity 2,291,37, and BMI 31,993,84 kg/m2. The mean age for Group 2
was 53,88.49 years, parity 2,691,44, and BMI 31,863,57 kg/m2. Endometrial hyperplasia (n=42, 51.8%) was the most common
indication for hysterectomy in 81 cases included in the study. The mean length of hospitalization for Group 1 was 2.410.56 days, blood loss was 1.070.37 g/dl. The mean length of hospitalization for Group 2 was 2.360.56 days and blood loss was 1.050.44 g/dl. There was no significant difference in age, parity, BMI, length of hospitalization, and blood loss between the two groups as Group 1 and Group 2 (p> 0,05). The operation time for Group 1 was calculated as 100,2216,64 minutes and the operation time for Group 2 was calculated as 75,8118,45 minutes. When the operation times of Group 1 and Group 2 total laparoscopic hysterectomies performed by a single surgeon were compared, it was observed that the operations performed in Group 2 were significantly decreased in duration (p <0,05). Just intraoperative complications developed in group 2. Bladder injury was repaired as a primer.
DISCUSSION AND CONCLUSION: Total laparoscopic hysterectomy is a safe and convenient method for gynecological diseases. Total laparoscopic hysterectomy seems safe and effective for many patients after adequate training. After a certain learning curve, the duration of the operation is shortened.