From open hysterectomy to total laparoscopic hysterectomy: a case series

Abstract

There is a global trend to move towards laparoscopic surgery in hysterectomies. We describe our experience in initiating laparoscopic hysterectomy in this article. We conducted 21 laparoscopic hysterectomies from February 2016 to January 2017 with one case needing conversion to vaginal hysterectomy. The mean time taken for surgery was 85.6 minutes and the range was from 60 minutes to 121 minutes. The mean drop of haemoglobin following surgery was 0.71g/dL. One patient developed acute retention of urine and one suffered a urinary tract infection following surgery. No surgical complications were noted. We conclude that despite initial difficulties, laparoscopic hysterectomies could be carried out in centers with reasonable facilities.

Keywords

• hysterectomy
• laparoscopic hysterectomy