Abstract :
Background: Hysterectomy is a frequently performed operation for the benign conditions of uterus, but the route of
hysterectomy is always a matter of discussion .Laparoscopic hysterectomy has been criticised many a time regarding its
complication and duration of surgery. But availability of newer machines and techniques has popularised it recently. Most of
the studies regarding this have been done by the single surgeon with expert hand .This study has been conducted in a
university teaching hospital where there are many surgeons with different expertise along with the beginners. Methods: It
is a retrospective observational study conducted in IMS and SUM hospital Bhubaneswar which is an university teaching
hospital.286 Total laparoscopic hysterectomy patients between July 2014 to June 2015 were analysed regarding the
demography, indication of operation ,duration of operation, intra operative blood loss and perioperative complication along
with duration of hospital stay. Result: Major indication of surgery was fibroid uterus accounting for 40.20% followed by AUB
28.32%. Mean time of surgery in TLH is 2.34±0.67hrs and average blood loss is 150.9±58.8ml. 4.54% cases had major
intra operative complications; minor post operative complications were in 14.68% cases. The conversion to laparotomy
rate was 1.39% and 0.68% cases had urinary tract injury. Mean duration of hospital stay was 2.58± 1.98days. Conclusion:
TLH is a safe procedure with minimal blood loss and shorter duration of hospital stay with surgical expertise .we can never
ignore the machine behind the man.
Keyword :
Blood loss, Complication, Hospital stay, Total laparoscopic hysterectomy.