Zohra Kahnum, Amna Kahnum, Aman-ur Rehman, Liaqat Ali.
Laparoscopic hysterectomy.
Professional Med J Jan ;23(2):166-70.

In current era, the trend for minimal invasive surgery is increased due to its established advantages. With the same, there increasing trend for laparoscopic hysterectomy. But it carries certain risks in certain situations. Objectives: The study was conducted to see the outcome of laparoscopic hysterectomies. Study Design: Retrospective, analytic study. Study Period: June 2012 to May, 2015. Method: A study was conducted to review the outcome of Laparoscopic hysterectomy over a period of three years from June 2012 to May 2015. Total one hundred cases were included in the study. These patients had hysterectomy either total laparoscopic hysterectomy or laparoscopic assisted vaginal hysterectomy. After preoperative evaluation, hysterectomy was done either total laparoscopic or laparoscopic assisted vaginal hysterectomy. Data was collected regarding patients profile variables, indications for hysterectomy, intraoperative findings, intraoperative time, postoperative recovery findings, analgesia requirements and discharge time from the hospital. Results: Results of the study showed that there was no significant increase in complication of urinary tract or bowel injury. Operative time was decreased with time. Most common indication for hysterectomy was fibroid uterus or dysfunctional uterine bleeding. Patient recovery was smooth and postoperative analgesia was much less as compared to the routine. Patient hospital stay was less as compared to the routine procedures for hysterectomy. Conclusion: It is concluded from the study that laparoscopic hysterectomy is safe procedure with the clear advantages for the patient. In the study complication rate, operating time was comparable to the already published studies. With proper training it is acceptable alternate to abdominal hysterectomy with clear advantages for the patient

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