Outcome of Total laparoscopic hysterectomy in Qena University Hospital | ||||
| SVU-International Journal of Medical Sciences | ||||
| Article 4, Volume 2, Issue 2, July 2019, Page 17-22 PDF (163.01 K) | ||||
| Document Type: Original research articles | ||||
| DOI: 10.21608/svuijm.2019.122248 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Hazem H. Ahmed; Sayed A. Taha; Mostafa M. Khodry; Ahmed D. Abdel-Lateif* | ||||
| Department of Obstetrics & Gynecology, Qena Faculty of Medicine, South Valley University, Qena, Egypt | ||||
| Abstract | ||||
| Background: Worldwide hysterectomy is the most commonly performed major gynecological surgical procedure. Benign diseases are responsible for more than 70% of the indications for hysterectomy include menstrual disorders, myomas, pelvic pain, and uterine prolapse. Objectives: to determine outcomes of total laparoscopic hysterectomy in Qena University Hospital as regard of operative time, hospital stay and complications. Patients and Methods: This was a descriptive observational clinical study. It was conducted on 50 cases in the period between April 2016 to march 2019 (3 years). Patients with different indications for hysterectomy were recruited from the outpatient clinic of department of obstetrics and gynecology, Qena University hospital, South Valley University, Egypt after complete evaluation. Results: it was clear that (40%) heavy menstrual bleeding/ fibroid; (50%) had endometrial hyperplasia and (10%) had other diagnosis. Regarding operative time distribution, our results showed that (70%) had operative time <90 min; (28%) were 90-120 min and (2%) were >120 min.In our study there were no operative complications. Regarding estimated blood loss, (24%) had estimated blood loss <120 ml, (22%) had estimated blood loss 170 ml and (54%) had estimated blood loss >170 ml. Regarding post-operative complications , our results showed that that (4%) had fever more than 38 degree after the first 24h, (4%) had reactionary hemorrhage (vaginal or internal) and (2%) had wound infection. In our study, it was obvious that the conversion to laparotomy was (0%). post-operative pain was recognized by VAS. (70%) of the study group had mild, (26%) had moderate, and (4%) had severe post-operative pain. Regarding the hospital stay distribution of the study group, it was found that (90%) stayed <48h, (6%) stayed 48-72 hrs and (4%) stayed >72 hrs. Conclusion: Total laparoscopic hysterectomy is safe and feasible method for gynecological diseases. TLH may offer specific benefits for properly selected patients. Its advantages are lower post-operative complications, less postoperative pain, shorter hospital stay and faster return to activity. | ||||
| Keywords | ||||
| total laparoscopic hysterectomy; outcome; operative time; hospital stay; complications | ||||
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