title: [Total laparoscopic hysterectomy: complications and clinical evolution in an 87 cases series].
abstract: BACKGROUND
  Laparoscopic hysterectomy is a frequent non-obstetrical surgical technique. Its main benefits are less hospital stay and complications, and better surgical results.
  
  
  OBJECTIVE
  To describe complications and clinical evolution of patients underwent to total laparoscopic hysterectomy.
  
  
  METHODS
  Retrospective study. We review files of 87 patients with total laparoscopic hysterectomy since 2003 to 2006. General characteristics, indications, anesthetic technique, pneumoperitoneum means, trans- and post-operatory complications, procedure length, uterine size and weight, and conversion rate were examined.
  
  
  RESULTS
  Average length of the procedure was 123.01 minutes, uterine size: 14.54 cm, uterine weight: 387 g (DE: 57.43). Trans-operatory bleeding was 151.01 mL, and hospital stay was 19.45 h (DE: 3.21). Trans-operatory complications were: bladder (1.14%), ureter (1.14%), small bowel (1.14%) and epigastric vessels (1.14%) injuries. Three patients had post-operatory complications: fever syndrome (3.4%) and sacral region burn injury (1.14%). Conversion rate to abdominal hysterectomy was 2.29%.
  
  
  CONCLUSIONS
  Total laparoscopic hysterectomy is a feasible and safe procedure with complications rate similar to that reported in literature, and it in an option for candidates to abdominal hysterectomy.
authors.affiliation: Departamento de Ginecología y Obstetricia, Coordinación Universitaria del Hospital Civil de Culiacán, Universidad Autónoma de Sinaloa, Culiacán, Sinaloa, México. fmorganortiz@hotmail.com
authors.forename: Fred Morgan
authors.initials: FM
authors.lastname: Ortiz
authors.forename: Marco Antonio López
authors.initials: MA
authors.lastname: Zepeda
authors.forename: Enrique Elorriaga
authors.initials: EE
authors.lastname: García
authors.forename: Juan Manuel Soto
authors.initials: JM
authors.lastname: Pineda
authors.forename: Humberto B Lelevier
authors.initials: HB
authors.lastname: Rico
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects* / Q000379:methods*; D010535:Laparoscopy / Q000009:adverse effects*; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology; D012189:Retrospective Studies