Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board

>Journals >MediSan >Year 2012, Issue 04

Toirac LAS, Pascual LV, Moya RN
Vaginal hysterectomy without genital prolapse
MediSan 2012; 16 (04)

Language: Español
References: 20
Page: 504-511
PDF: 163.92 Kb.

Full text


An analytic, longitudinal and retrospective investigation was carried out in a sample of 110 women from a total of 639 with different disorders of the genitals, excluding the septic ones. The former group had surgeries through vagina during the five year period 2005-2009, and were assigned to 2 groups: group A, formed by 37 women without genital prolapse (Peham-Amreich technique); and group B, formed by 73 women with this disorder (Heany technique) in clinical stages I and II-III, who were regrouped in subgroups of 32 and 41 patients, respectively. Variables such as: age, peroperative bleeding, surgical time, postoperative stay, peroperative and postoperative complications, as well as ambulatory control (thirtieth day) were considered in the series. The members of group A were adjusted to previously selected clinical and echographic requirements: mobile uterus and equivalent in volume to the fist of an adult man of average biotype, adequate operative field and normality in the adnexa examination. For the statistical analysis the Pearson test was applied, with significance values considered in 3 categories, that is: I, p≤0.05 (standard); II, p≤0.01 (high) and III, p≤0.001 (very high). It was significantively demonstrated, that genital prolapse is an exclusive disorder of women over 50 years old. The rest of the chosen variables lacked statistical value in this study.

Key words: woman, genital prolapse, vaginal hysterectomy, Peham Amreich technique, Heany technique.


  1. American College of Obstetrics and Gynecologists. Choosing the route of hysterectomy for benign diseases. Obstet Gynecol. 2009;114:1156-8.

  2. Nieboer T, Johnson N, Lethaby A, Tavender A, Curr E, Garry R, et al. Surgical approach to hysterectomy for benign gynaecological diseases. Cochrane Database Syst Rev. 2009;(3):003677.

  3. Correa Ochoa JL, Tirado Mejía JA, Mejía Zúñiga JF, Tirado Hernández M, Gómez Ibarra EA, Arango Martínez A. Histerectomía vaginal sin prolapso: Estudio de cohorte. Medellín (Colombia) 2008-2010. Rev Colomb Obstet Ginecol. 2011;62:45-50.

  4. Nielsen SL, Daugbjerg SB, Gimbel H, Settnes A. Use of vaginal hysterectomy in Denmark: rates, indications and patient characteristics. Acta Obstet Gynecol Scand. 2011;90(9):978-84.

  5. Song T, Kim TJ, Kang H, Lee YY, Choi CH, Lee JW, et al. A review of the technique and complications from 2012 cases of laparoscopically assisted vaginal hysterectomy at a single institution. Aust N Z J Obstet Gynaecol. 2011;51(3):239-43.

  6. Sola V, Ricci P, Pardo J, Guillof E. Histerectomía: una mirada desde el suelo pélvico. Rev Chil Obstet Ginecol. 2006;71(5):364-72.

  7. Candiani M, Izzo S. Laparoscopic versus vaginal hysterectomy for benign pathology. Curr Opin Obst Gynecol. 2010;22(4):304-8.

  8. Advincula AP, Song A. The role of robotic surgery in gynecology. Curr Opin Obst Gynecol. 2007;19(4):331-6.

  9. Holloway RW, Patel SD, Ahmad S. Robotic surgery in Gynecology. Scand J Surg. 2009;98(2):96-109.

  10. Sotero-Salgueiro GA. Técnica de Peham Amreicht modificada para la histerectomía vaginal en útero sin prolapso. Ginecol Obstet. 2002 [citado 5 jul 2011];48(3). Disponible en: http://www.tecnicasquirurgicas2.ecaths.com/ver-trabajospracticos/4753/tecnica-de-peham-amreicht-modificada-para-la-histerectomiavaginal-en-utero-sin-prolapso/

  11. Sheth SS. Paghdiwalla KP, Hajari AR. Vaginal route: a gynaecological route for much more than hysterotomy. Best Pract Res Clin Obstet Gynecol. 2011;25(2):115-32.

  12. Rodríguez Hidalgo N. La histerectomía vaginal en pacientes sin prolapso: indicaciones, técnica y recomendaciones. Rev Cubana Obstet Ginecol. 1995 [citado 5 jul 2011];21(1). Disponible en: http://bvs.sld.cu/revistas/gin/vol21_1_95/gin02195.htm

  13. 13.Castillo Morales F. La histerectomía vaginal en Pinar del Río. Experiencias en su aplicación. [citado 5 jul 2011] Disponible en: http://www.monografias.com/trabajos38/histerectomia-vaginal/histerectomiavaginal.shtml

  14. 14.García Rodríguez ME, Romero Sánchez RE. Histerectomía vaginal en úteros no prolapsados. A propósito de 300 casos. Rev Cubana Obstet Ginecol. 2008 [citado 5 jul 2011];34(1). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-600X2008000100006

  15. Müller A, Thief FC, Renner SP, Winkler M, Häberle L, Beckmann MW. Hysterectomy. A comparison of approaches. Dtsch Arztebl Int. 2010;107(20):353–9.

  16. Jahan S, Das T, Mahmud N, Mondol SK, Habib SH, Saha S, et al. A comparative study among laparoscopically assisted vaginal hysterectomy, vaginal hysterectomy and abdominal hysterectomy: experience in a tertiary care hospital in Bangladesh. J Obstet Gynaecol. 2011;31(3):254-7.

  17. Landeen LB, Bell MC, Hubert HB, Bennis LY, Knutsen-Larson SS, Seshadri-Kreaden U. Clinical and cost comparisons for hysterectomy via abdominal, standard laparoscopic, vaginal and robot-assisted approaches. S D Med. 2011;64(6):197-9.

  18. Matthews CA, Reid N, Ramakrishnan V, Hull K, Cohen S. Evaluation of the introduction of robotic technology on route of hysterectomy and complications in the first year of use. Am J Obstet Gynecol. 2010;203(5):499.

  19. 19.Brummer TH, Jalkenen J, Fraser J, Heikkinen AM, Kauko M, Mäkinen J, et al. FINHYST, a prospective study of 5279 hysterectomies: complications and their risk factors. Hum Reprod. 2011;26(7):1741-51.

  20. 20.García Rodríguez ME, Romero Sánchez RE. Histerectomía. Evaluación de dos técnicas quirúrgicas. Rev Cubana Obstet Ginecol. 2009 [citado 5 jul 2011];35(2). Disponible en: http://scielo.sld.cu/scielo.php?pid=S0138-600X2009000200006&script=sci_arttext

>Journals >MediSan >Year 2012, Issue 04

· Journal Index 
· Links 

Copyright 2019