Campos FN, García RE, Amezcua NE, Oliva CJ, Contreras CNA

Language: Spanish
References: 17
Page: 6-10
PDF size: 113.14 Kb.

ABSTRACT

Introduction. Vaginal hysterectomy by bipolar electrosurgery is an innovative surgical technique for the treatment of uterus without prolapse. In this study, we show the experience in the Woman’s Hospital, SSA. Objective. To investigate, describe and analyze the morbidity associated with vaginal hysterectomy by bipolar electrosurgery to treatment uterus without prolapse. Material and methods. It was performed a prospective, longitudinal, descriptive and analytical study in women with vaginal hysterectomy by bipolar electrosurgery to treatment uterus without prolapse into the period from April 1st 2008 to April 1st 2010 in the Woman’s Hospital, SSA. Followed up during surgery, on discharged and two outpatient visits. Results. The sample included 164 patients. The main indication of surgery was uterine fibroids 87 (n = 143). Surgical time was 49 ± 21 min. The anesthesia time was 71 ± 26 min. Bleeding volume 176 ± 325 mL. Early complications occurred in 7% (n = 12), bladder injury 2% (n = 3) and need for exploratory laparotomy for retraction of the pedicle 2% (n = 3). Late complications occurred in 6% (n = 10), the most frequent was vaginal dome hematoma in 2% (n = 3). Conclusions. Vaginal hysterectomy by bipolar electrosurgery is a safety innovative surgical technique for the treatment of uterus without prolapse. The surgical and anesthesia time are short with minimal bleeding volume and minimal postoperative pain.

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