Molina SA, Calvo AO, Matadamas ZC

Language: Spanish
References: 10
Page: 613-620
PDF size: 243.13 Kb.

ABSTRACT

Background: The enlarged uterus is the main contraindication for laparoscopic hysterectomy due to technical difficulties and complications.
Objective: compare hospitalization time, blood loss, operating time and anesthesia, postoperative pain and complications of laparoscopic hysterectomy performed versus abdominal in cases of uterine fibroids weighing more than 400 grams.
Patients and methods: We conducted a clinical prospective, observational, longitudinal and randomized trial including 47 patients randomly assigned who met the inclusión criteria for total abdominal hysterectomy or laparoscopic hysterectomy. The groups were compared in means and proportions, quantitative variables by Mann Whitney test and qualitative variables by Fisher exact test, results were considered significant with p value less than 0.05.
Results: We observed that the patients of the laparoscopic hysterectomy group had less need for transfusions, less postoperative pain, less bleeding and early resumption of activities than the abdominal hysterectomy patients.Significant difference was found only for surgical and anesthetic times. Procedural complications were similar in both groups.
Conclusion: The laparoscopic procedure improves outcomes of radical hysterectomy by reducing bleeding and transfusión requirements and less postoperative pain, with early return to activities without increasing the risk of complications.

REFERENCES

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