Objective:

To present the results of a total laparoscopic hysterectomy reverse modified technique.

Material and methods:

This surgical technique was performed on a population of 520 patients with benign uterine pathology in the period of January 2010 and December 2015.

Results:

Of the 520 patients included in the present study, the average time of surgery was 101.7 ± 39.79 min, with a minimum of 30 min and a maximum time of 255 min. The initial diagnosis was uterine myoma (94.2%), abnormal uterine bleeding, and endometriosis in 6.69%. The average trans-surgical hemorrhage was 79.44 ± 115.25 mL, with a minimum of 30 mL and a maximum of 2L. Of the patients with significant trans-surgical hemorrhage, 5 (0.96%) presented hemorrhage above 500 mL and only 1 (0.19%) presented hemorrhage above 2,000 mL. A total of 29 (5.57%) complications were reported, with an incidence of 3.07% of major complications, usually related to a ureteral injury. Average uterine weight was 230.71 g. As for hospital stay, the average was 2.1 ± 1.99 days.

Conclusions:

This technique is able to adapt to multiple clinical contexts in practice, which is why we consider it a valid and safe technique for laparoscopic hysterectomy.