Background: In this study, we aimed to retrospectively investigate the
effects of patients’ age, body mass index (BMI), uterine size, presence of
fibroids, previous surgery, and the experience of surgeons on blood loss during
total laparoscopic hysterectomy. Methods: Data of 416 patients who underwent
total laparoscopic hysterectomy in our gynecology clinic were retrospectively
evaluated. Several factors that may be correlated with blood loss were
investigated based on the changes in their hemoglobin levels. Results: In this
study, BMI (under 30: 1.25 g/dL and over 30: 1.10 g/dL, p = 0.140), age (over 50
years: 1.05 g/dL and under 50 years: 1.20 g/dL, p = 0.196), uterus size (above
500 cm: 1.00 g/dL and below 500 cm: 1.20 g/dL, p = 0.227), presence
of fibroids (fibroids: 1.20 g/dL and without fibroids: 1.10 g/dL) mg/dL, p =
0.843), previous operation history (surgical history: 0.90 g/dL and no surgical
history: 1.00 g/dL, p = 0.631) were not correlated with blood loss. Case
experience (inexperienced period: 1.10 g/dL and experienced period: 1.20 g/dL, p
= 0.185) of each surgeon was not correlated with blood loss. When we examined the
blood loss of 11 surgeons separately, it ranged from 0.75 g/dL (0.4–1.9 g/dL) to
1.65 g/dL (0.83–2.15 g/dL). Correlation of the individual surgeon factor with
blood loss was statistically significant (p = 0.041). Discussion: Age, BMI,
uterine size, presence of fibroids and previous operation history were not
correlated with blood loss during total laparoscopic hysterectomy. We determined
the individual surgeon as the only aspect affecting blood loss.