Özet:

Introduction and Purpose: We intended to present our experience with total laparoscopic hysterectomy operations in the second stage hospital Method and Requirements: 250 total laparoscopic hysterectomy cases in our hospital between January 2012 and November 2017 were examined retrospectively. The difference between patients’ age, parity, body mass index (BMI), causes of hysterectomy, past abdominal surgery history, pre- and post-operative average hemoglobin (Hb) and hemotocrit (Htc) values, the need for blood transfusion during and after the operation, the duration of the operation, the duration of hospitalization, complications, the frequency of transition to laparatomy and the uterus weight were assessed. The average age of patients was 48.01±5.7 years. The average duration of the operation and the average duration of hospitalization were calculated as 156.5±49.4 minutes and 3.75±1.04 days respectively. The transition from laparascopy to laparatom occurred only in one patient (0.4 percent). The average uterus weight was 201.03±107.2 grams. Three patients (1.2%) were suspended by erythrosite due to intraoperative bleeding. During the surgery, 1 (0.4%) patients had rectum serosis damage, 3 (1.2%) patients had mesh perforation, 1 (0.4%) patients had rectum total damage. In the postoperative period, vaginal hematoma and vesicovaginal fistule developed in 1 (%0.4), 1 (%0.4) patients respectively. In four patients (1.6%), postoperative fever and C-reactive protein (CRP) levels were high. Total complication rate is 5%. Total laparoscopic hysterectomy is a minimal invasive process with a shorter period of composition and better cosmetic results, with less morbidity and mortality than laparotomy, which can be successfully applied in experienced hands.

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