Evaluation of Total Laparoscopic Hysterectomy Operations in Benign Indications

Purpose: The aim of this study is to retrospectively evaluate the results of patients who underwent total laparoscopic hysterectomy with benign indications, in the light of the literature. Material method: The results of 158 Total laparoscopic hysterectomy cases performed with benign indications in Serik State Hospital between July 2015 and October 2020 were evaluated retrospectively.In this study, patients' age, number of births, body mass indexes, hysterectomy indications, intraoperative and postoperative complications, operation times, uterine weight, hospital stay, preoperative and postoperative hematocrit changes were obtained from the records. Mean, standard deviation and ratio values were used in the descriptive statistics of the data. Results: The mean age of the 158 patients included in the study was 48.15 ± 7.96 years. 51 (32.28%) patients with myoma uteri, 40 (25.32%) patients) abnormal uterine bleeding, 18 (11.40%) patients with adenomyosis, 8 (5.06%) patients with descensus uteri, 12 (7.60%) patients with adnexial mass, 8 (5.06%) patients were operated for endometrial hyperplasia, 10 (6.33%) patients for endometrial polyps, 6 (3.79%) patients for cervical intraepithelial neoplasia, and 5 (3.16%) patients for chronic pelvic pain. The mean operation time of the patients was 105±22 minutes. The mean duration of hospitalization was 2.53 ± 1.25, and 3 (1.8%) patients had blood transfusion. The overall complication rate was found to be 8.86%. Conclusion: Similar to the literature, our results have shown that laparoscopic hysterectomy is a safe, feasible minimally invasive surgical procedure with faster recovery, earlier discharge, earlier return to work and social life, better cosmetic results and higher patient satisfaction.