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Órgano oficial de la Universidad Autónoma de Sinaloa

2019, Number 3

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Rev Med UAS 2019; 9 (3)

Comparison of operative morbidity between laparoscopic and abdominal hysterectomy

Morgan-Ortiz F, Morgan-Ruiz FV, Cervin-Báez C, Báez-Barraza J, Esquivel Leyva BI, López-Manjarrez G, Quevedo-Castro E

Language: Spanish
References: 23
Page: 123-132
PDF size: 90.96 Kb.


ABSTRACT

Objective: To compare the operative morbidity between laparoscopic and abdominal hysterectomy. Material and Methods: 300 patients underwent to hysterectomy were assigned to one of two groups: Laparoscopic (LH) with 141 patients and 159 patients to Abdominal (AH) that were carried out in the Civil Hospital of Culiacan, Sinaloa State, Mexico. Length of procedure, weight of the uterus, operative bleeding, operative and postoperative complications, and conversion rate were analyzed. Results: The length of the procedure was 119.29 min (SD: 50.70) and 91.73 min (SD: 30.74) for laparoscopic and abdominal hysterectomy (p‹0.05). The uterine weight was 191.51gr (SD: 190.09) and 224.43gr (SD: 102.46) for LH and AH respectively (p=0.0657). The operative bleeding was 96.2ml (SD: 94.97) for LH and 343.01ml. (SD: 296.6) for AH (p‹0.05); Total complication rates were similar between the groups (5.67% vs 5.03% for LH and AH; p=0.8051). The postoperative pain in the first 24 hours was lower for the LH group. The conversion rate to abdominal hysterectomy was of 2.43%. Conclusions: LH can be considered like a real and feasible option to patients candidates to AH, with a similar major and minor complication rates, but with de benefits of recovery more early and lower postope rative pain for the LH.


REFERENCES

  1. Farquhar CM, Steiner CA. Hysterectomy rates inthe United States 1900-1997. Obstet Gynecol 2002; 99: 229-234.

  2. Bachman GA. Hysterectomy: a critical review. JReprod Med 1990; 35: 839-862.

  3. Broder MS, Kanouse DE, Mittman BS, et al. Theappropriateness of recommendations for hysterectomy.Obstet Gynecol 2000; 95: 199-205.

  4. Reich H, DeCaprio J, McGlynn F. Laparoscopichysterectomy. J Gynecol Surg 1989; 5: 213-216.

  5. Saavedra J. Laparoscopia quirúrgica en ginecología:Entrenamiento, certificación y acreditación.Rev Colomb Obstet Ginecol 2000; 51: 12-18.

  6. Nezhat F, Nezhat C, Gordon S, et al. Laparoscopicversus abdominal hysterectomy. J ReprodMed 1992; 37: 247-250.

  7. Robertson EA, Blok S. Decrease in the numberof abdominal hysterectomies after introduction oflaparoscopic hysterectomy. J Am Assoc GynecolLaparosc 2000; 7: 523-525.

  8. Shen CC, Wu MP, Lu CH, et al. Short- and longtermclinical result of laparoscopic-assisted vaginalhysterectomy and total abdominal hysterectomy.J Am Assoc Gynecol Laparosc 2003; 10:49-54.

  9. Chang WC, Li TC, Lin CC. The effect of physicianexperience on cost and clinical outcomes oflaparoscopic-assisted vaginal hysterectomy: Amultivariate analysis. J Am Assoc Gynecol Laparosc2003; 10: 356-359.

  10. Kives SL, Levy BS, Levine RL. Laparoscopic-assistedvaginal hysterectomy: American Associationof Gynecologic Laparosc 2000 membershipsurvey. J Am Assoc Gynecol Laparosc 2003; 10:135-138.

  11. Meikle SF, Nugent EW, Orleans M. Complicationsand recovery from laparoscopy-assistedvaginal hysterectomy compared with abdominaland vaginal hysterectomy. Obstet Gynecol1997;89 (2):304-311.

  12. Olsson JH, Ellstrom M, Hahlin M. A randomisedprospective trial comparing laparoscopic andabdominal hysterectomy. Br J Obstet Gynaecol1996;103(4): 345-350.

  13. Laveran RL, Simon NV, Gerlach DH, JacksonJR. Cost analysis of laparoscopic hysterectomyand abdominal hysterectomy. J Am Assoc GynecolLaparosc 1996;103(4):345-350.

  14. Garry R, Fountain J; Mason S, Hawe J, Napp V,Abbott J, et al. The eVALuate study: two parallelrandomized trials, one comparing laparoscopicwith abdominal hysterectomy, the other comparinglaparoscopic with vaginal hysterectomy.BMJ 2004;328(7432):129–33

  15. Kadar N. Implementation of laparoscopic hysterectomyin community hospitals. J Am Assoc GynecolLaparosc 1995;2(4, suppl):S21

  16. Saidi MH, Sadler RK, Vancaillie TG, et al. Diagnosisand management of serious urinary complicationsafter major operative laparoscopy. ObstetGynecol 1996;87(2):272-276.).

  17. O'Shea RT, Petrucco O. Complications of laparoscopic-assisted vaginal hysterectomy. J AmAssoc Gynecol Laparosc 1995;2 (4, suppl):S38.

  18. Meikle SF, Nugent EW, Orleans M. Complicationsand recovery from laparoscopy-assistedvaginal hysterectomy compared with abdominaland vaginal hysterectomy. Obstet Gynecol

  19. 1997;89(2):304-311.19. Harkki-Siren P, Sjoberg J, Tiitinen A. Urinarytract injuries after hysterectomy. Obstet Gynecol1998;92(1):113-118.

  20. Johnson N, Barlow D, Lethaby A, Tavender E,Curr E, Garry R. Abordajes quirúrgicos para lahisterectomía por enfermedades ginecológicasbenignas (Revisión Cochrane traducida). En: LaBiblioteca Cochrane Plus, número 3, 2005. Oxford,Update Software Ltd. Disponible en:http://www.update.com.

  21. O´Hanlan KA, Lopez L, Dibble SL, Garnier AC,Huang GS, Leuchtenberger M. Total laparoscopichysterectomy: Body mass index and outcomes.Obstet Gynecol 2003;102:1384-92.

  22. Garry R, Fountain J, Mason S, Hawe J, Napp V,Brown J, et al. The evaluate study: two parallelrandomized trials, one comparing laparoscopicwith abdominal hysterectomy, the other comparinglaparoscopic with vaginal hysterectomy.BMJ, doi:10.1136/bmj.37984.623889.F6 (published7 January 2004).

  23. Morgan OF, López ZMA, Elorriaga GE, Soto PM,Lelevier RH. Histerectomía laparoscópica: complicacionesy evolución clínica en una serie de87 casos. Ginecol Obstet Mex 2008;76(9):520-5.




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