Author's Reply : A series of 400 laparoscopic hysterectomies for benign disease : a single center, single surgeon prospective study of complications confirming previous retrospective study

The aim of this study was to evaluate the complication rate after total and subtotal laparoscopic hysterectomy for benign disease performed by the same surgeon after an adequate learning curve. We conducted a prospective evaluation of complications in a continuous series of 400 women undergoing laparoscopic subtotal hysterectomy (LASH) or total laparoscopic hysterectomy (TLH) between October 2005 and January 2009. In the LASH group (n = 148), both the minor and major complication rates were 1.35% (n = 2; n = 2), whereas in the TLH group (n = 252), the rate was 1.59% for major complications (n = 4) and 0% for minor complications, clearly confirming that laparoscopic hysterectomy is safe in experienced hands, especially in terms of urinary tract injuries.