Özet:

INTRODUCTION: The aim of this study was to present the results of our experience with patients who underwent total laparoscopic hysterectomy (TLH).METHODS: Between January 2013 - September 2014, 96 patients who had undergone total laparoscopic hysterectomy were evaluated retrospectively by reviewing patients' medical records. Patient's average age, pregnancy, parity, preoperative and postoperative hemoglobin levels, indications of hysterectomy, return rate of laparoscopy to laparotomy, laparoscopic technique (single or multiport), the need of blood transfusion, duration of operation, complications, length of hospital stay and uterine weights were evaluated retrospectively. Results: Of the 88 of 96 patients who underwent TLH were operated with multiport technique, while 8 patients were operated with single port technique. 28 patients were evaluated by intraoperative frozen section. Pelvic lymph node sampling was performed 4 of 28 patients because of detecting endometrioid endometrium adenocancer at frozen section. Mean operation time was observed as 145.9±43.3 (60-260) minutes. The return rate of laparoscopy to laparotomy was 6.2% (6 patients). Complications were as follows: sigmoid colon serosa damage 1 patient (1.0%), sigmoid colon perforation 1 patient (1.0%), vaginal cuff cellulitis 2 patient (2.0%), mild ileus 1 patient (1.0%), vesicovaginal fistula 2 patient (2.0%), hypoesthesia and loss of power at left arm 1 patient (1.0%). Total complication rate was detected as 8.3%.DISCUSSION AND CONCLUSION: Laparoscopic hysterectomy is a minimally invasive procedure with a shorter postoperative recovery period and better cosmetic results when compared with laparotomy and that can be applied successfully in experienced hands.

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