Journal of obstetrics and women's diseasesJournal of obstetrics and women's diseases1684-04611683-9366Eco-Vector8722710.17816/JOWD87227Review ArticleThe total laparoscopic hysterectomy - a modern route of hysterectomy. Is there a benefit?HolthausВ.<p>Clinik of Obstetrics & Gynaecology</p>info@eco-vector.comKletselA.<p>Clinik of Obstetrics & Gynaecology</p>info@eco-vector.comMoselА.<p>Clinik of Obstetrics & Gynaecology</p>info@eco-vector.comRegidorR. A.<p>Clinik of Obstetrics & Gynaecology</p>info@eco-vector.comKlinikum Osnabrueck, University of Muenster15112005545S15112005Copyright © 2005, Eсо-Vector2005<p><strong>Objective: </strong>Total laparoscopic hysterectomy - a suitable approach to hysterectomy compared to the abdominal way.</p>
<p><strong>Introduction.</strong>Hysterectomy is the most frequent surgery performed on female patients (approximately 70,000 per year in Germany). In more than 90% of the cases, it is indicated for benign disorders. In 1996 about 8% of the operation were done by laparoscopy, in 2002 it was done in about 12% of the cases. Only a very few recent publications focuses on per- and postoperative complications of the total laparoscopic hysterectomy. The advantage of the laparoscopic approach has been mainly associated with a short hospital stay and a quick convalescence. The object of this study was to list the advantage and the complications of the laparoscopic hysterectomy.</p>total laparoscopic hysterectomyhysterectomyтотальная лапароскопическая гистерэктомиягистерэктомия<p><strong>Objective: </strong>Total laparoscopic hysterectomy - a suitable approach to hysterectomy compared to the abdominal way. The aim of this retrospective study is to document the advantage of this technique and to show the complications.</p>
<p><strong>Introduction. </strong>Hysterectomy is the most frequent surgery performed on female patients (approximately 70,000 per year in Germany). In more than 90% of the cases, it is indicated for benign disorders. In 1996 about 8% of the operation were done by laparoscopy, in 2002 it was done in about 12% of the cases. Only a very few recent publications focuses on per- and postoperative complications of the total laparoscopic hysterectomy. The advantage of the laparoscopic approach has been mainly associated with a short hospital stay and a quick convalescence. The object of this study was to list the advantage and the complications of the laparoscopic hysterectomy.</p>
<p><strong>Materials and methods. </strong>We retrospectively studiedmore than 200 cases of laparoscopic hysterectomies for benign disorders between January 2003 and May 2005 in the Klinikum Osnabrueck - Germany. The procedures performed with 110mm trocar subumbilical and 25 mm trocars in the area of Mons pubis. Additionaly the manipulator for the uterus (Hohl - Karl Storz) was used.</p>
<p><strong>Results. </strong>Due to the total laparoscopic hysterectomy the hospital stay, the operation time, the intraoperative bleeding and rate of complications were reduced compared with the abdominal approach. There were 2 bladder injuries, 1 intestinal injurie, 1 injurie of the ureter and 1 vesico-vaginal fistula. There was 1 deep venous thrombosis. There was no case of blood transfusion.</p>
<p><strong>Conclusion. </strong>The total laparoscopic hysterectomy is a real alternative approach for the hysterectomy. Due to this technique the hospital stay was reduced and the complications are as high as in the other techniques.</p>