role of laparoscopic hysterectomy in modern gynecologic practice

ABSTRACT

The aim of this study is to evaluate the role of laparoscopic hysterectomy in modern gynecological practice. This study included .124 cases of laparoscopic hysterectomies that were performed using electrosurgical energy [unipolar and bipolar] throughout the procedure. The indications for the operation were the same as conventional hysterectomy. The results were compared with the results of 124 cases of conventional abdominal hysterectomy. Compared to conventional abdominal hysterectomy, laparoscopic hysterectomy showed significantly less intraoperative blood loss [mean 125 +/- 40 ml], less operative time [75 +/- 10 min], less postoperative pain, shorter stay in hospital [1.2 +/- 0.25 days] and shorter convalescence period [5.35 +/- 2.4 day] [P<0.05]. Intraoperative bleeding requiring blood transfusion was significantly higher in conventional abdominal hysterectomy [P<0.05]. Otherwise others intraoperative and postoperative complications were comparable in both procedures. Laparoscopic hysterectomy is a real substitute for abdominal hysterectomy in a good proportion of gynecologic disorders in modern gynecological practice