Objective: To evaluate perioperative bleeding during laparoscopic hysterectomy Design: Retrospective clinical study Setting: Department Gynaecology and Obstetrics, Baby Friendly Hospital Kladno, Kladno, Czech Republic Methods: Clinical data and cases of perioperative complications and bleeding of patients after laparoscopic hysterectomy were summarized and assessed. The primary hemostatic treatment was electrosurgery. Patients were assessed to efficacy, safety, utility and applicability of vasocon- strictive and local hemostyptic agens. Results: From all laparoscopic procedure were 97,6% successfully completed. There were of nine conversions (2,4%) and twenty six (6,9%) of severe perioperative complications. The total number of perioperative bleeding was 16 (3,7%) from 376 laparoscopic hysterectomies. The mean order of blood loss was 201,6 ml (range 50 - 800 ml). Conclusion: Clinical retrospective study demonstrates that hemorrhage during and after laparos- copic hysterectomy is most perioperative complication. The laparoscopic approach to hysterecto- my appears to be safe and is seen as a good, effective procedure for women with gynaecological conditions of female pelvis organs. Laparoscopic hysterectomy could potentially decrease morbi- dity historically associated with hysterectomy performed abdominally. Large prospective studies are needed to evaluate the surgical trauma and optimal number of perioperative complications. In conclusion, we think the oozing from the damage tissue during laparoscopic surgery can be successfully arrested and controled using the laparoscope to apply of local hemostyptic agent.

        Key words: laparoscopic hysterectomy, complications, bleeding