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Medicina (Buenos Aires)

Print version ISSN 0025-7680On-line version ISSN 1669-9106


NAESSENS ASPIAZU, Agustina S. et al. Single-center cohort study of perioperative outcomes on total laparoscopic hysterectomy (TLH): a 10-year experience. Medicina (B. Aires) [online]. 2023, vol.83, n.5, pp.727-736. ISSN 0025-7680.


: The removal of the uterus, (hysterec tomy), is the most frequent surgery in gynecology. In Argentina there are few publications on the periopera tive results of this type of procedure, and even less on minimally invasive hysterectomy. The objective of this study was to determine the rate of perioperative compli cations in patients with total laparoscopic hysterectomy performed at Hospital Italiano de Buenos Aires, from January 7, 2010 to December 22, 2020.


: retrospective cohort study where electronic medical records were reviewed. Intrasurgical and postop erative complications were evaluated using the validated Clavien-Dindo’s classification.


: 1014 patients were included. The rate of intra-surgical complications was 4.5%. In respect to postoperative complications, there was found a rate of 16.6% (n=168), being 12.3% (n=125) Clavien-Dindo ≤ 2, and 4.2% (n=43) Clavien-Dindo ≥ 3. In a multivariable analysis that adjusted for uterine weight > 170g, age, body mass index, and more than two previous abdomi nal surgeries, an association was found between uterine weight >170g and postoperative complications OR 1.49, 95% CI 1.04- 2.14, p=0.03.


: When evaluating the percentage of mi nor and major complications, our findings are within the acceptable parameters for performing this type of surgery, even though the evaluation was carried out in an educational setting.

Keywords : Hysterectomy; Laparoscopy; Intraoperative complications; Postoperative complications.

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