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TITLE:

A COMPARISON OF TRANSUMBILICAL TRADITIONAL FOUR-PORT TOTAL LAPAROSCOPIC HYSTERECTOMY (TLH) AND SINGLE-PORT LAPAROSCOPIC HYSTERECTOMY (TSPLH)

AUTHORS:

Dr Aneeqa Tassawar, Dr Muhammad Salman Saeed, Dr Tahira Komal

ABSTRACT:

OBJECTIVE: To compare results of transumbilical traditional four-port total laparoscopic hysterectomy (TLH) and single-port laparoscopic hysterectomy (TSPLH). Study Design: A Prospective Randomized Trial. MATERIAL AND METHOD: The individuals with benign uterine disease were planned for either TLH (n = 56) or TSPLH (n = 52). Operation time, conversion rate, immobilization time, intraoperative blood loss, time to first flatus, port site infection, postoperative analgesia requirement, hospitalization time, port hernia, postoperative fever index and patient gratification were documented. RESULTS: TLH and TSPLH were done effectively. Transumbilical single-port laparoscopic hysterectomy had much longer surgery time than TLH, shorter immobilization time, low ratio of infection at port site, and greater satisfaction of patients. There was no substantial difference among the 2 groups. All participants improved completely and no complications postoperatively were perceived throughout the six months follow-up time. CONCLUSIONS: Transumbilical single-port laparoscopic hysterectomy proved to be a safe and practical method for laparoscopic hysterectomy. KEYWORDS: Total laparoscopic hysterectomy, Single -port access system, single–port laparoscopic hysterectomy

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