Clinical audit on laparoscopic hysterectomies in a single institute performed by a single surgeon during the duration of four years

Background and aim: This audit was done on 72 patients who booked themselves for laparoscopic hysterectomy and had the surgery performed during the duration of almost four years (November 2013 to September 2017) at Pushpawati Singhania Research Hospital, New Delhi, India. Our aim was to adhere to recent evidence produced by the literature showing significant benefits of laparoscopic techniques for hysterectomy compared to the conventional ‘open’ approach. Benefits include decreased blood loss, shorter hospital stay, improved recovery and earlier return to normal activities with less abdominal wall infections.
With regard to NICE (National Institute for Clinical Excellence) guidelines 20071 our aim is:
1. All surgeons should have advanced laparoscopic skills – target 100%
2. Conversion to laparotomy should be <7%
3. Urinary tract injuries should be less than 1%
4. Duration of post-operative stay should be less than 2 days