The three day all India Congress on Clinical Gynecology concluded here on Sunday, emphasized the need for newer and refined techniques of hysterectomy, the most common operation accounting for more than 80 per cent of surgeries performed by gynecologists.

The experts who participated the conference said that new techniques need to be developed to provide utmost safety, simplicity, comfort and convenience to the patients. And total laproscopic hysterectomy (TLH) is pointed out as the only true intrafacial hysterectomy by avoiding injury to ligaments and ensuring minimal tissue damage. Until recently, most gynecologists have shied away from performing TLH because of the technical challenges and prolonged operating times that were associated with it.

Instead they had preferred to perform laproscopically-assisted vaginal hysterectomy (LAVH), a comparatively inefficient three-part technique phase, followed by a vaginal phase and finally another laproscopic phase.

However in recent years of refined technological advancement of instrumentations and equipment, the laproscopic surgeon is able to offer the least morbid, most reliable, comfortable and safe total laproscopic hysterectomy. "TLH is a simple elegant and less time consuming intrafacial hysterectomy and it is least traumatic to pelvic organs," said Dr. Rajan, consultant infertility specialist and laproscopic surgeon. "It is more suitable to patients as they are discharged from the hospital within 12-24 hours of surgery. They can be back to their normal routine immediately after the operation" says Dr. Rajan.

As laproscopy avoids opening of the stomach, the complications are lesser and wound is healed very soon. In the traditional operations, the patient needed nearly three months rest which is not necessary for the TLH patients.

Experts from all over the country participated in the conference, which also dealt with topics like management of urinary tract injuries, ultrasound in gynecological tumors and the latest drugs in this field.