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Human Reproduction, Vol. 11, No. 11, pp. 2422-2424, 1996
© 1996 European Society of Human Reproduction and Embryology

research-article

Surgery: Is total laparoscopic hysterectomy a safe surgical procedure?

Charles M. Chapron1, Dubuisson Jean-Bernard and Yann Ansquer

Service de Chirurgie Gynécologique (Pr Dubuisson), Clinique Universitaire Baudelocque CHU Cochin Port-Royal 123, Boulevard Port-Royal, 75014 Paris, France

Correspondence: 1To whom correspondence should be addressed

Total hysterectomy via laparoscopy is a recently developed technique. Assessment of a new surgical technique, once the operation has been shown to be feasible, requires an evaluation of the risks of complications. Here we report our cumulative 3 year experience with laparoscopic hysterectomy in a total of 222 patients. The overall complication rate was 10.0%. We did not observe any haemorrhage complications requiring another operation. Four patients (1.8%) were re-admitted to hospital but only two of them (0.9%) had to be operated upon again (one veslco-vaginal fistula and one vaginal cuff wound separation). These encouraging results mean that, provided the surgeons are experienced in laparoscopic surgery, total laparoscopic hysterectomy technique would appear not to have a higher rate of complications than hysterectomy via laparotomy or the vaginal route.

Key words: complications/laparoscopic hysterectomy/total hysterectomy


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