Abstract: Introduction: Leiomyomas are common benign uterine tumors in women that often require surgical intervention when they become symptomatic. Laparoscopic hysterectomy offers a minimally invasive option in such cases.
Objective: This study aims to evaluate the clinical characteristics, surgical outcomes, and complications of patients who underwent laparoscopic hysterectomy due to leiomyoma.
Methods: The study retrospectively analyzed the medical records of 43 patients who underwent laparoscopic hysterectomy with a preliminary diagnosis of leiomyoma between 2021 and 2023. The patient's demographic data, types and numbers of leiomyomas, surgical duration, intraoperative bleeding, postoperative uterine weight, and surgical complications were recorded.
Results: The study included 43 cases. The average age of the patients was 45.6±6.5 years, the average number of myomas was 3.1±1.4, and the average size was 6.2±1.7 cm. The average surgical duration was 78.7±27.1 minutes, and the postoperative uterine weights were 457.1±228.5 grams. The complication rate was determined to be 6.9%, with the most common complications being bladder, ureter, and rectosigmoid injuries.
Conclusion: Laparoscopic hysterectomy provides an effective and safe option for patients requiring surgical intervention due to uterine leiomyoma. Its minimally invasive nature accelerates the recovery process and enhances patients' quality of life. Before laparoscopic surgery, it is crucial to adequately inform patients about the relationship between leiomyoma size and sarcomatous changes. The surgical level of the laparoscopist plays a determining role in the complication rates for these cases.
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