title: [Total laparoscopic hysterectomy (TLH): results at a tertiary referral hospital].
abstract: BACKGROUND
  The laparoscopic total hysterectomy is an increasingly applied alternative in the surgical management of uterine pathology.
  
  
  OBJECTIVE
  To describe the results obtained in patients that underwent total laparoscopic hysterectomy for the management of benign uterine pathology.
  
  
  METHODS
  We performed a descriptive, longitudinal and retrospective study in which results on 151 patients who underwent total laparoscopic hysterectomy between October 2008 and July 2011 are reported.
  
  
  RESULTS
  The average age of the population was 42.5 years (30-56 years); body mass index averaged 25.8 kg/m2 (18-37 kg/m2). The most common surgical indication was uterine fibroids in 121 cases (80.1%). Among the surgical outcomes, the average operative time was 140.3 minutes (70-275 minutes); average total bleeding, 131 mL (50-400 mL); 3 cases (1.98%) of bladder injury were reported. The immediate postoperative evolution was hospitalization of 1.4 days (1-7 days). Late postoperative complications were fistulas of the urinary tract in 7 cases (4.63%), and in 1 case (0.66%) infection of the vaginal vault. The average weight of surgical specimens was 210 g (50-650 g).
  
  
  CONCLUSIONS
  Total laparoscopic hysterectomy is an appropriate therapeutic option We believe that careful selection of patients is critical to providing the best results.
authors.affiliation: Unidad Médica de Alta Especialidad número 23, Instituto Mexicano del Seguro Social, Monterrey, Nuevo León, México. drcortesgyn@yahoo.com.mx
authors.forename: René
authors.initials: R
authors.lastname: Cortés Flores
authors.forename: Ernesto Arnoldo
authors.initials: EA
authors.lastname: López Vera
authors.forename: Oscar Ignacio
authors.initials: OI
authors.lastname: Hortiales Laguna
authors.forename: José Luis
authors.initials: JL
authors.lastname: Ramírez Reyna
authors.forename: Oscar Armando
authors.initials: OA
authors.lastname: González Díaz
authors.forename: Luis Fernando
authors.initials: LF
authors.lastname: Ramírez Sáchez
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D010535:Laparoscopy / Q000379:methods*; D008137:Longitudinal Studies; D008875:Middle Aged; D012189:Retrospective Studies; D062606:Tertiary Care Centers; D014591:Uterine Diseases / Q000601:surgery*