2019, Number 4
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Acta Med 2019; 17 (4)
Comparison of surgical complications in abdominal vs. laparoscopic total hysterectomy in a tertiary-level private hospital
Aguilar VAF, Zavala GA, Arredondo MR
Language: Spanish
References: 10
Page: 336-339
PDF size: 140.49 Kb.
ABSTRACT
Introduction: Hysterectomy is still the second most frequent gynecological procedure, secondary only to C-section, so a correct approach is of crucial importance.
Objective: Compare the differences in the results between laparoscopic and abdominal total hysterectomy in patients with benign uterine pathology.
Material and methods: Retrospective, observational, descriptive and case-control type design, in which 1,208 patients were compared in whom the total hysterectomy procedure was carried out by abdominal (n = 880) and laparoscopic (n = 328). In the period from January 2012 to December 2016, in a private third level hospital, Hospital Angeles Pedregal in Mexico City, Mexico.
Results: We found that although surgical times and bleeding were similar in both groups, the laparoscopic approach resulted in a shorter statistically significant in-hospital stay.
Conclusions: Laparoscopic approach to the hysterectomy procedure has clear advantages over the abdominal approach, demonstrated by the shorter hospital stay and the similar incidence of surgical complications, surgical time and trans-surgical bleeding.
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