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Background: Laparoscopic hysterectomy has emerged as a preferred surgical option for managing various gynecological conditions due to its minimally invasive nature and favorable outcomes. This study aimed to evaluate the demographics, indications, complications, and recovery outcomes associated with laparoscopic hysterectomy in a cohort of patients.
Methods: A retrospective analysis was conducted on 117 patients who underwent laparoscopic hysterectomy at a single institution. Data were collected regarding patient demographics, surgical indications, intraoperative and postoperative complications, and discharge timing. Statistical analyses were performed to assess the relationships between these variables.
Results: Most patients were between 41 and 50 years (58.1%), with a significant proportion being multiparous (47.9%). The primary indications for surgery included fibroids (42.7%) and abnormal uterine bleeding (35.0%). Intraoperative complications were low, with bladder injury occurring in 2.6% and bowel injury in 0.85% of cases. The conversion rate to open surgery was 5.1%. Postoperatively, complications such as intestinal obstruction, paralytic ileus, peritonitis, and port-site infection were reported in 0.85% of patients each, while 96.6% experienced no complications. Most patients (89.75%) were discharged within 48 hours after surgery.
Conclusion: The findings of this study support the effectiveness and safety of laparoscopic hysterectomy as a surgical option for women with gynecological conditions. Despite some patients requiring extended hospitalization, the overall hospital stay and complication rates were low, reinforcing the viability of laparoscopic techniques in clinical practice. Future research should focus on larger, prospective, or randomized multicenter studies with extended follow-up periods to validate these results and assess long-term outcomes of laparoscopic hysterectomy.
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http://dx.doi.org/10.7759/cureus.83636 | DOI Listing |
Front Oncol
August 2025
Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Background: Low-grade endometrial stromal sarcoma (LG-ESS) is a rare malignant tumor of the female reproductive system with atypical clinical symptoms and slow progression.
Case: A 44-year-old female with a history of intermittent severe dysmenorrhea, previous laparoscopic myomectomy, and uterine artery embolization (UAE) presented with rapidly enlarging pelvic masses. Imaging revealed uterine masses suggestive of leiomyomas, although an adnexal origin could not be excluded.
J Robot Surg
September 2025
Department of Gynecologic Oncology, Moffitt Cancer Center, 12902 USF Magnolia Drive, Tampa, FL, 33612, USA.
This study was conducted to investigate the techniques and complications of enlarged uterine extraction during minimally invasive surgery for uterine malignancy. The electronic medical record was queried for patients with uterine malignancy and enlarged uterus (≥ 250 g) who underwent primary hysterectomy with laparoscopic or robotic approach. Statistical analysis was performed using Fisher's exact test for categorical variables and Kruskal-Wallis test for continuous variables.
View Article and Find Full Text PDFJ Robot Surg
September 2025
D.G Khan Medical College, Dera Ghazi Khan, Pakistan.
Pain Manag
September 2025
Minimally Invasive Gynecologic Surgery, Walter Reed National Military Medical Center, Bethesda, MD, USA.
Background: Gynecologic enhanced recovery after surgery (ERAS) pathways have been developed to reduce postoperative narcotic use through multimodal pain management. While incisional injection of local anesthetic is standard practice, regional nerve blockades using liposomal agents are emerging as a promising adjunct technique for post-laparoscopy pain. Current data are conflicting regarding the benefits of regional nerve blocks on postoperative pain after laparoscopic hysterectomy.
View Article and Find Full Text PDFMedicine (Baltimore)
September 2025
Department of Obstetrics and Gynecology, Ondokuz Mayis University Faculty of Medicine, Samsun, Turkey.
This study aimed to compare different hysterectomy techniques regarding postsurgical pain. Women who underwent hysterectomy for nonmalignant etiologies between January 2019 and March 2023 were included in this retrospective study. The participants were divided into 4 groups based on the surgical techniques performed: abdominal hysterectomy (AH), laparoscopic hysterectomy, vaginal hysterectomy, and vaginal natural orifice transluminal endoscopic surgery (vNOTES).
View Article and Find Full Text PDF