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Year 2019

Volume: 6 , Issue: 3

Print ISSN:-2394-2746

Online ISSN:-2394-2754

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Indian Journal of Obstetrics and Gynecology Research


Feasibility of total laparoscopic hysterectomy for benign pathology in large uteri (≥ 300 Grams)


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Author Details: D. Kavitha Yogini, B. Devi, C. Palanivelu, P. Kodeeswari

Volume : 4

Issue : 2

Online ISSN : 2394-2754

Print ISSN : 2394-2746

Article First Page : 193

Article End Page : 197


Abstract

The aim of this study was to analyze retrospectively and present our experience in the feasibility of total laparoscopic hysterectomy for large uteri with benign pathology. 111 patients who had symptoms with myoma uterus, Abnormal uterine bleeding who underwent Total laparoscopic hysterectomy(TLH) in our hospital. All cases of myoma uterus irrespective of size, number & location of myoma were included in the study. Standard techniques of TLH and it modifications, like prior uterine artery ligation, morcellation after uterine artery ligation. 72% of patients had previous vaginal deliveries and 25.2% had previous cesarean section. 32% of patients had family history of fibroid. Average duration of surgery was 136min (40-300). Average weight of specimen was 457grams (300- 1500). Average blood loss was 46ml (10-500). We conclude that TLH is technically feasible irrespective of the size of the uterus in the hands of an experienced gynecologic laparoscopic surgeon.

Keywords:
Laparoscopic Hysterectomy, Leiomyoma, Large uterus