Retrospective, Observational, Pilot Study to Assess the Safety and Efficacy of Goel's Technique of Laparoscopic Hysterectomy in Endometrial Carcinoma.

Background Laparoscopic hysterectomy is a substitute for the abdominal hysterectomy technique for endometrial carcinoma. Goel's technique is a unique laparoscopic hysterectomy. The main feature of Goel's technique is that vaginal manipulators or myoma screws are not used in the procedure as vaginal manipulators or myoma screws contribute to an increased risk of spread of malignancy in the systemic circulation. Methods In this retrospective, observational, pilot, single-centre study, the patient's baseline demographics, clinical characteristics, and assessment and outcome measures of Goel's technique of laparoscopic hysterectomy were recorded. The following metrics were used to assess the postoperative recovery: average time to discharge the patients after the surgery; postoperative complications/pain assessment; correlation between pain and day of hospital discharge; association between the day of discharge and postoperative pain assessment; association between operation time and complications. Results A total of 35 female patients with early-stage endometrial cancer were included, their mean age being 56.29 years. The mean time to hospital discharge of the patients was 2.94 days. Of the cases, 2.9% had a ureteral injury and ureterovaginal fistula as complications, which were resolved during the follow-up period. On day one, the mean pain score decreased significantly to 50% from day zero (D0), and on day two, the mean pain score showed a significant fall of 91.5% from D0. Ten patients with a mean pain assessment score of 3.60 at D0 were released on the second day, 20 patients with a mean score of 3.80 at D0 were released on the second day, and five patients with a mean score of 5.60 at D0 were released at ≥ four days. Not a single patient developed any wound infection, dehiscence, or herniation for six months. Conclusion Goel's technique helped patients with endometrial carcinoma to recover faster and it reduced hospital stays with fewer postoperative complications.