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2015, Number 1

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Evid Med Invest Salud 2015; 8 (1)

Abdominal hysterectomy with heat fusion technique. A case report

Punaro-Esquivel JH, Ramírez-Lozada T, Luna-Navarro R

Language: Spanish
References: 17
Page: 41-47
PDF size: 432.25 Kb.


ABSTRACT

Thermofusion being the optimum sealing system for both elastic and connective tissue and muscle tissue of the blood vessels up to a diameter of 7 mm, and having vaginal hysterectomy reports with good national and international results and considering that there are patients in which is required to perform abdominal hysterectomy, we present a case. Patient 28 years of age diagnosed with uterine myomatosis of large elements. With the following antecedents: Menarca 12 years, menstrual period 30 X 5, Two pregnancies, the first finish in miscarriage, the second in cesarean at 40 weeks. Reason for consultation hiperpoliproiomenorrea three months duration. Diagnostic is confirmed by ultrasound examinations, performed generals and due to the volume of the tumor, CT scan and endometrial biopsy was requested. Confirmed the diagnosis, was planned to perform abdominal total hysterectomy with preservation of annexes using thermofusion for sealing vessels and ligaments. Closed with suture material the vaginal vault and pelvic peritoneum. In the discussion are found the advantages of the procedure in the case, the results of the review of the literature regarding the procedure and concludes with decreased morbidity of open abdominal surgery, cost reduction and early incorporation of patients into working life.


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