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.