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Revista de Especialidades Médico-Quirúrgicas

Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado
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2009, Number 3

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Rev Esp Med Quir 2009; 14 (3)

Short hospitalization gynecological surgery and minimally invasive: vaginal hysterectomy with bipolar electrosurgery in patients without uterine descent vs total abdominal hysterectomy

Rodríguez MO, Castro AHR, Pascual SF, Juárez BCR, Solís MJ, Blanco CN, Juárez SPB, González BA
Full text How to cite this article

Language: Spanish
References: 5
Page: 121-124
PDF size: 481.32 Kb.


Key words:

abdominal hysterectomy, vaginal hysterectomy, uterine descent, bipolar electrosurgery (Biclamp).

ABSTRACT

Objective: To present the benefits of vaginal Biclamp hysterectomy, in comparison with abdominal hysterectomy.
Patients and methods: We performed 250 vaginal hysterectomies with Biclamp and 250 abdominal hysterectomies, from October 2005 to December 2007. We used the equipment Biclamp available in the Hospital General José María Morelos y Pavón, ISSSTE. The surgery was performed by gynecologists trained in the basic surgical technique.
Results: Different variables were assessed such as surgical time, hospital stay, transoperative bleeding and medical license. We observed reduction in all parameters by more than 50% for the vaginal surgery.
Conclusions: We conclude that vaginal hysterectomy with Biclamp reduces the cost in approximately 36% of the cost of the abdominal hysterectomy. It is a highly reproducible technique for the gynecologist who performed the surgery. Vaginal cosmetic should be considered by the absence of scares, with a spectacular recovery.


REFERENCES

  1. Clavé H, Nicolaï P. [Painless hysterectomy: an innovative technique]. J Gynecol Obstet Biol Reprod (Paris) 2003;32:375-80.

  2. Clavé H. Vaginal hysterectomy in the absence of uterine prolapse. Gynaecological Endoscopy and Vaginal Surgery Workshops 2006:87-88.

  3. Zubke W. Vaginal hysterectomy under local anesthesia using a surgical technique called Erbe Biclamp. Painless Vaginal Hysterectomy.

  4. Clavé H. Vaginal hysterectomy: a new approach using bicoagulation forceps. Laparoscopy Review 2003;6(11):10-12.

  5. Zubke W. Vaginal hysterectomy where the uterus is under local anesthesia using a surgical technique called Erbe Biclamp. Acta Obstet Gynecol 2001:45-49.




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Rev Esp Med Quir. 2009;14