A novel approach to minimally invasive hysterectomy without the use of a uterine manipulator: Kamran’s TLH

Abstract Background Hysterectomy remains one of the most common major gynaecological procedures, with total laparoscopic hysterectomy (TLH) now established as technique choice over conventional open approaches. This approach depends on use a uterine manipulator to facilitate retraction and colpotomy. study describes novel in performing without or vaginal tubes reports intra- postoperative outcome this technique. Methods A single-centre retrospective analysis patients who underwent TLH tube “Kamran’s TLH” for benign conditions was performed from January 2017 October 2019. Data collected included patients’ demographics, intraoperative finding course. Results eighty-six hysterectomies were utilizing Kamran’s (KTLH) approach. Mean age 52.2 (± 11) years old BMI 28.2 7). bilateral salpingo-oophorectomy 63 (73.3%) preservation ovaries 23 (26.7%) patients. operative time 64.7 27.9) min estimated bloods loss 46.2 54.6) ml. No complications recorded there no conversion surgery. Only patient required readmission surgery vault dehiscence during their Conclusion Uterine is key component hysterectomy. However, our demonstrated that can be safely any manipulation.