Publication:

Demographic, clinical and operative profile of patients undergoing total laparoscopic hysterectomy for complex pathologies: a single centre retrospective analysis

Background Total laparoscopic hysterectomy (TLH) is a gold standard for managing complex gynecological pathologies due to its minimally invasive nature and faster recovery. This study analyzes demographic, clinical, and operative profiles of patients undergoing TLH to optimize outcomes. The objectives were to evaluate the demographic, clinical, and operative characteristics of patients undergoing TLH for complex gynecological pathologies and assess surgical outcomes.

Methods A retrospective observational study was conducted at a tertiary care center in Central India from January to December 2024. Data from 84 patients who underwent TLH for benign or complex indications were analyzed. Variables included age, body mass index (BMI), obstetric history, comorbidities, surgical indications, operative details, and histopathological findings. Statistical analysis identified trends in patient profiles and outcomes.

Results The majority of patients were aged 41-50 years (64.3%), overweight (82.1%), and multiparous (59.5%). Common comorbidities were hypothyroidism (19%) and hypertension (11.9%). Abnormal uterine bleeding (AUB) was the primary indication (89.3%). Most surgeries (91.7%) were completed within 60 minutes using a 4-port technique, with minimal blood loss (94%). Endometrial biopsy revealed benign findings in most cases (45.2% secretory, 36.9% proliferative endometrium). The KMH technique was effective for large pathologies.

Conclusion TLH is safe and effective for complex gynecological pathologies, particularly in perimenopausal women with AUB. Preoperative optimization and standardized techniques enhance outcomes.