Durán-Colín AZ, Ponce-Escobar LF, Silvestri-Tomassoni JR, Olguín-Ortega AA

Language: Spanish
References: 0
Page: 639-644
PDF size: 272.29 Kb.

ABSTRACT

Objetive: To compare the outcomes of two groups of patients in which a total laparoscopic hysterectomy were performed: group A were the patients with a uterine weight more or less than 500 g, and group B patients with a uterine weight less than 500 g.
Material and Method: Comparative and retrospective study was conducted at the Instituto Nacional de Perinatología from January 2009 to June 2015. We obtained the files of the patients with a total laparoscopic hysterectomy. Also registered general data, surgical procedure and postsurgical complications. The variables were compared using Student’s t test, Mann-Withney U test, χ² and Fisher exact test, according to the variable type and its distribution. We considered a pvalue ‹ 0.05 as statistically significant.
Results: We included 635 patient, 24 into the group A and 611 patients into the group B. We found statistically significant differences in the uterine weight (group A: 678 ± 132 g; group B: 180 ± 93 g; p=0.001), surgical time (group A: 190 ± 90 min; group B: 151 ± 46 min; p=0.001), and amount of blood loss (group A: 302 ± 188 mL; group B: 199 43 mL; p=0.04). Morcelation was more frequently used into the group A for the extraction of the surgical piece (80.8 vs 6.9%, p= 0.01). The rest of comparisons between groups were very similar.
Conclusions: Total laparoscopic hysterectomy is a good option for the surgical management of large uterus.