title: Does previous abdominal surgery effect the feasibility of total laparoscopic hysterectomy?
abstract: OBJECTIVE
  The primary aim of this study is to evaluate the effects of previous abdominal surgery on the feasibility of performing and the safety of total laparoscopic hysterectomy (TLH).
  
  
  METHODS
  In this retrospective study, we analysed 62 laparoscopic hysterectomies which were performed at our institute between February 2011 and January 2013. We chose to perform laparoscopic surgery for all patients, including those who had previously undergone abdominal surgery. The patients were classified into two groups: Group 1 included patients with a history of abdominal surgery (n=24) and Group 2 included patients without a history of abdominal surgery (n=38).
  
  
  RESULTS
  THE OPERATING PERIOD WAS COMPARED IN BOTH GROUPS: 184.43±51.0 min. for Group 1 and 195.41±64.1 min. for Group 2 (p=0.471). Postoperative hospital stay and blood loss was also compared. There was just 1 conversion from TLH to a laparotomy in both groups. None of the patients in Group 1 needed a blood transfusion, whereas 1 in Group 2 did.
  
  
  CONCLUSIONS
  We found that operation time, postoperative hospital stay, blood loss, rate of operative complications or conversion rate to open surgery between patients with and without a history of abdominal surgery were comparable. Therefore, it appears that a history of abdominal surgery does not adversely affect the safety of TLH.
authors.affiliation: Department of Obstetrics and Gynecology, Namık Kemal University Faculty of Medicine, Tekirdağ, Turkey.
authors.forename: Cem
authors.initials: C
authors.lastname: Celik
authors.affiliation: Department of Obstetrics and Gynecology, Namık Kemal University Faculty of Medicine, Tekirdağ, Turkey.
authors.forename: Remzi
authors.initials: R
authors.lastname: Abalı
authors.affiliation: Department of Obstetrics and Gynecology, Namık Kemal University Faculty of Medicine, Tekirdağ, Turkey.
authors.forename: Nicel
authors.initials: N
authors.lastname: Taşdemir
authors.affiliation: Department of Obstetrics and Gynecology, Namık Kemal University Faculty of Medicine, Tekirdağ, Turkey.
authors.forename: Erson
authors.initials: E
authors.lastname: Aksu
authors.affiliation: Department of Obstetrics and Gynecology, Namık Kemal University Faculty of Medicine, Tekirdağ, Turkey.
authors.forename: Didem
authors.initials: D
authors.lastname: Akkuş
authors.affiliation: Department of Obstetrics and Gynecology, Namık Kemal University Faculty of Medicine, Tekirdağ, Turkey.
authors.forename: Abdülaziz
authors.initials: A
authors.lastname: Gül
keywords: Laparoscopic hysterectomy; complications; previous surgery