Even lengthy laparoscopic surgery beats laparotomy for hysterectomy: study

US research confirms better recovery with the less invasive technique even when operating times are longer

Total laparoscopic hysterectomy is linked to lower morbidity than laparotomy regardless of surgery duration, an analysis of more than 120,000 procedures shows.

US gynaecologists say their findings confirm women undergoing total abdominal hysterectomy have higher complication rates and longer hospital stays than those operated on laparoscopically.

Although their study was limited to surgeries lasting up to six hours, they add these results would persist “well beyond this time point”.

“There is no time threshold beyond which laparoscopy would not remain beneficial to laparotomy,” the researchers wrote in the American Journal of Obstetrics and Gynecology.