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    Clinical results of laparoscopic hysterectomies: Single center experience
    (2017) İnal, Zeynep Özturk; İnal, Hasan Ali
    Purpose: The aim of this study was to evaluate the clinicalresults of laparoscopic hysterectomy (LH).Materials and Methods: In this retrospective study, theoriginal files of 511 patients who underwent LH betweenJanuary 2010 and December 2016 were analyzed. Thefollowing parameters were recorded and assessedaccording to the years studied: mean age, body mass index(BMI), parity, indications for surgery, uterine weight,operation duration, blood loss, duration of hospitalization,analgesic needs, and intra- and post-operativecomplications.Results: The lowest LH rate was 10.14% in 2012, and thehighest rate was 47.73% in 2016. Uterine myoma (31.51%)and menometrorrhagia (25.63%) resistant to medicaltreatment were the most common indications. There wereno differences in terms of age, BMI, parity, blood loss,analgesic requirements, uterus weight, previous intraabdominalsurgery rate, laparoscopy to laparatomyconversion rate, and intra- or post-operative complicationsduring the period assessed. However, operation time andhospital stay durations were significantly reduced after thefirst 3 years.Conclusion: An emphasis on endoscopy training forgynecological surgeons, along with technological advancesand the use of surgical techniques, has improvedpostoperative LH recovery, and the length of the requiredhospital stay has become shorter. LH should be thepreferred surgical option in hysterectomy indications, as itis effective and safe for the patient.