title: [Total laparoscopic hysterectomy: retrospective analysis of 262 cases].
abstract: BACKGROUND
  Hysterectomy is one of the most common gynecological procedures and may be performed either by vaginal approach, laparotomy or laparoscopy. Although total laparoscopic hysterectomy has multiple advantages, conflicting major complication rates have been previously reported.
  
  
  OBJECTIVE
  To describe our experience performing TLH and to evaluate complication rates.
  
  
  METHODS
  A retrospective observational study of all total laparoscopic hysterectomy performed in our department, by the same surgical team, between April 2009 and March 2013 (n = 262), was conducted. Medical records were reviewed for patient characteristics, operating time, uterine weight, post-operative hemoglobin variation, length of hospital stay, and intra and postoperative complications.
  
  
  RESULTS
  Patient average age was 48.9 ± 9.0 years and 49.2% had previous abdominopelvic surgery. The average body mass index was 26.5 ± 4.5 kg/m(2) and 42% of women were either overweight or obese. The mean operating time during the total study period was 77.7 ± 27.5 minutes, but it decreased significantly as the surgical team's training increased. Average uterine weight was 241.0 ± 168.4 g and average hospital stay was 1.49 ± 0.9 days. The mean postoperative hemoglobin variation was -1.5 ± 0.8 g/dL. The major and minor complication rates were 1.5% (n = 4) and 11.5% (n = 30), respectively. One procedure was converted to laparotomy and two women had a vaginal vault dehiscence. No important urinary tract or bowel injuries occurred.
  
  
  CONCLUSIONS
  This study demonstrates that, in experienced hands, total laparoscopic hysterectomy is safe and with low complications rates.
authors.affiliation: Serviço de Ginecologia e Obstetrícia. Hospital de Braga. Braga. & Instituto de Investigação em Ciências da Vida e da Saúde. Escola de Ciências da Saúde. Universidade do Minho. Braga. Portugal.
authors.forename: Cristina
authors.initials: C
authors.lastname: Nogueira-Silva
authors.affiliation: Departamento de Obstetrícia, Ginecologia e Medicina da Reprodução. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa. & Faculdade de Medicina. Universidade de Lisboa. Lisboa. Portugal.
authors.forename: Samuel
authors.initials: S
authors.lastname: Santos-Ribeiro
authors.affiliation: Departamento de Obstetrícia, Ginecologia e Medicina da Reprodução. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa. & Faculdade de Medicina. Universidade de Lisboa. Lisboa. Portugal.
authors.forename: Sónia
authors.initials: S
authors.lastname: Barata
authors.affiliation: Departamento de Obstetrícia, Ginecologia e Medicina da Reprodução. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa. & Faculdade de Medicina. Universidade de Lisboa. Lisboa. Portugal.
authors.forename: Conceição
authors.initials: C
authors.lastname: Alho
authors.affiliation: Departamento de Obstetrícia, Ginecologia e Medicina da Reprodução. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa. & Faculdade de Medicina. Universidade de Lisboa. Lisboa. Portugal.
authors.forename: Filipa
authors.initials: F
authors.lastname: Osório
authors.affiliation: Departamento de Obstetrícia, Ginecologia e Medicina da Reprodução. Hospital de Santa Maria. Centro Hospitalar Lisboa Norte. Lisboa. & Faculdade de Medicina. Universidade de Lisboa. Lisboa. Portugal.
authors.forename: Carlos
authors.initials: C
authors.lastname: Calhaz-Jorge
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000379:methods*; D010535:Laparoscopy / Q000009:adverse effects; D007902:Length of Stay; D008875:Middle Aged; D012189:Retrospective Studies; D055815:Young Adult