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2009, Number 2

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Rev Med Inst Mex Seguro Soc 2009; 47 (2)

The Morbidity and Mortality in Vaginal Hysterectomy Performed with Bipolar Electrosurgery

Alaniz-Sánchez A, Pérez-Flores LA, Rodríguez-Morales O, Solís-Medrano J, Oliva-Cristerna J, Hernández-García H, Degollado-Bardales FJ

Language: Spanish
References: 23
Page: 185-188
PDF size: 48.82 Kb.


ABSTRACT

Objective: to know the morbidity and mortality in vaginal hysterectomy (VH) carried out with bipolar electrosurgery (BiClamp).
Methods: a multicentric study with 380 patients who underwent to VH for benign illness, with and without prolapse, with and without abdominal previous surgeries using Biclamp was carried out.
Results: twenty five patients (6.57 %) presented complications. The most frequent were related to the urinal system and infection, when VH was carried out. Bladder injury in five cases (1.31 %), vesicular-vagina fistula in two cases (0.52 %). Vaginal vault abscesses in seven cases (1.84 %). A second surgery due to intra abdominal bleeding in four cases (1.05 %) was carried out. Vaginal vault bleeding was present in two cases (0.52 %); other complications were: hematoma in vaginal vault, thrombophlebitis, sepsis and death with one case (0.26 %) for each one. The injuries were repaired by a gynecologist and the fistulae by an urologist. The bleeding was inmediately remedied and the infection was treated with cephalosporin.
Conclusions: the morbidity and the operative mortality were in the range reported in the literature. This technique is quicker, less invasive, with a prompt patient recovery.


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