Is total laparoscopic hysterectomy a safe surgical procedure?

Hum Reprod. 1996 Nov;11(11):2422-4. doi: 10.1093/oxfordjournals.humrep.a019128.


Total hysterectomy via laparoscopy is a recently developed technique. Assessment of a new surgical technique, once the operation has been shown to be feasible, requires an evaluation of the risks of complications. Here we report our cumulative 3 year experience with laparoscopic hysterectomy in a total of 222 patients. The overall complication rate was 10.0%. We did not observe any haemorrhage complications requiring another operation. Four patients (1.8%) were re-admitted to hospital but only two of them (0.9%) had to be operated upon again (one vesico-vaginal fistula and one vaginal cuff wound separation). These encouraging results mean that, provided the surgeons are experienced in laparoscopic surgery, total laparoscopic hysterectomy technique would appear not to have a higher rate of complications than hysterectomy via laparotomy or the vaginal route.

MeSH terms

  • Female
  • Humans
  • Hysterectomy / adverse effects*
  • Hysterectomy / methods*
  • Laparoscopy / adverse effects*
  • Urinary Bladder / injuries
  • Vagina / injuries
  • Vesicovaginal Fistula / etiology