Rodríguez MO, Solís MJ, Oliva CJ, Pérez FLA, Hernández GH, Alaniz SA, Degollado BJ

Language: Spanish
References: 16
Page: 8-11
PDF size: 192.92 Kb.

ABSTRACT

Objective: To report the advantages of vaginal hysterectomy with bipolar electrosurgery using a biclamp forceps in non-prolapsing uterus.
Material and methods: Multicentric, prospective, transverse study of 380 patients who underwent a vaginal hysterectomy with a Biclamp for the following conditions: uterine myomatosis (34%); abnormal uterine hemorrhage (11%); endometrial hyperplasia (8%); adenomyositis (6%); uterine prolapse (4%); human papilloma virus plus an added infection (2%); in situ uterine cervical cancer (0.5%). The age of the patients ranged from 26 to 69 years; mean age, 42 years. The Biclamp (VIO 300 ERBE) kit and a bipolar electric clamp were used.
Results: Vaginal hysterectomy was performed in 380 patients. Almost 70% of them had uterine myomatosis. Morbidity and mortality was 6.5%. Duration of the surgical procedure was 45 minutes. Average lenght of hospitalization, 1.5 days. Average blood loss was 150 mL. Weight of the uterus ranged from 70 to 960 grams. Absenteeism of working patients was reduced by 50%.
Conclusions: This is an easily reproducible technique for gynecologist trained in hysterectomy traditional techniques. It is also a non-invasive procedure and short hospital stay that avoids big dissections. It is an aesthetic surgery reducing psychological trauma to patient and the stress of surgical team.

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