Mini-lap hysterectomy revisited with new concepts and technical modifications

Abstract

Aim: To introduce technical modifications in the performance of mini-lap hysterectomy and report our experience.

Patients and methods: Between March 2006 and March 2008, two hundred patients with benign uterine disorders requiring hysterectomy underwent mini-lap hysterectomy in a prospective study. The surgical approach was carried out via a 4-5 cm midline incision 1.5 cms above the symphysis pubis. The mean (range) age was 46 (39-66) years. All procedures were completed successfully without any major complications, though three patients needed extension of the incision as in conventional open total abdominal hysterectomy.

Conclusions: The mean (range) operative time was 30 (20-63) min and the average blood loss was 20 ml. The mean (range) hospital stay was 30 (20-50) h. All patients returned back to routine work within 1 week of surgery. The mean (range) follow-up was 10 (7-20) months.