Analysis of total laparoscopic hysterectomies for benign disease: The experience of a tertiary center: A retrospective cross-sectional study

Aim: To present the analysis of pre-, intra- and postoperative outcomes of total laparoscopic hysterectomy (TLH) cases performed in our hospital, a tertiary referral center, over a 5-year period. Materials and method: This retrospective cross-sectional study was conducted in the Gynecology Department of an Education and Research Hospital between January 01, 2017 and December 31, 2021. Clinical data and laboratory results were obtained from medical and hospital records. After analyzing these patients, the patients were divided into two groups based on their body mass index and the pre-, intra- and postoperative results were also compared. Results: The mean age of 516 patients included in the study was 47.4 ± 8.94 years. The most common indication for hysterectomy was endometrial premalignant lesions (23.9%). The overall intra-operative complication rate was 0.78%. Conclusion: TLH is now a minimally invasive surgical procedure which can be performed safely and with very few complications as surgical experience and technical equipment improves. A higher complication rate has been reported in earlier cases, but both in the present study and in more recent studies, a very low complication rate was found with the procedure. Therefore, as recommended by the ACOG, this procedure can be used as the preferred method for patients in whom hysterectomy is planned primarily for benign conditions.