الفهرس 
Title: Total Laparoscopic Hysterectomy (TLH) with bilateral ligation of Uterine Artery at its origin from the Internal Iliac versus TLH with ligation of Uterine Artery at the cervix: A comparative study as regards blood loss
List of ContantOnly 14 pages are availabe for public view
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Abstract
Background:Hysterectomy is a common gynecological procedure worldwide for benign uterine disease.Traditionally, this has been via the abdominal or vaginal routes. In the present era, hysterectomies are undertaken using minimal access techniques.Total laparoscopic hysterectomy (TLH) is performed entirely by the laparoscopic route, including closure of the vaginal vault.Today, lap hysterectomy is a safe and feasible technique to manage benign uterine pathology as it offers minimal postoperative discomfort, shorter hospital stay, rapid convalescence, and early return to the activities of daily living. Considerable technical advances in this procedure have occurred during the last few years.Major blood loss is one of the possible complications during Total laparoscopic hysterectomy and is significantly associated with longer operating time and need for blood transfusion. In our study, we have started with the ligation of the uterine artery at its origin from the internal iliac artery on both sides as major blood supply to the uterus is through these vessels especially its ascending branch.Objectives: cBilateral uterine artery ligation will be done during laparoscopic total hysterectomy.The outcome (Blood loss, need for blood transfusion, febrile morbidity, operating time, discharge time) will be compared to conventional laparoscopic total hysterectomy. Methods:This study is a prospective randomized controlled study conducted at The Cairo University Hospital at the department of obstetrics &gynecology.Inclusion criteria:Patients to be recruited into this study will be those presenting to the department of obstetrics & gynecology for consultation for hysterectomy