medigraphic.com
ISSN 1561-2945 (Print)

2017, Number 1

<< Back Next >>

Revista Cubana de Cirugía 2017; 56 (1)

Laparoscopic hysterectomy

Ferrer RH, Clavijo TR, Zayas DL, Rodríguez CY, Mesa IO, Blanco AE

Language: Spanish
References: 16
Page: 19-26
PDF size: 88.36 Kb.


ABSTRACT

Introduction: The laparoscopic surgery's incorporation represents an indisputable change in the specialty of gynecology, since it permits the realization of diagnostic and therapeutic procedures.
Objective: To evaluate the outcomes from the implementation of the laparoscopic hysterectomy as definitive treatment for surgical gynecological diseases.
Methods: An explanatory and quasiexperimental development investigation was carried out. There were 140 patients with hysterectomy indications who went to the general surgery service at Comandante Pinares General Teaching Hospital from January 2013 to December 2014. Variables were controlled, like operations and previous gynecological diseases, complications during and after operation, as well as surgical time, blood loss, and in-hospital stay and cost.
Results: The cesarean was the most frequent previous operation, and the uterine fibroid was the main disease treated through this method. The postoperative complications were the most common. Variables like blood loss, surgical time and in-hospital cost decreased.
Conclusions: The laparoscopic hysterectomy has proved to have more social, economic and biological advantages.


REFERENCES

  1. Pérez Castro VJA. La enseñanza en el futuro de la cirugía endoscópica. Cirugía endoscópica, estado del arte o el entusiasmo de lo nuevo. Rev Mex Cir Endoscop. 2002;3(2):55-61.

  2. Giday SA, Kantsevoy SV, Kalloo AN. Principle and history of natural orifice translumenal endoscopic surgery (NOTES). Minim Invasive Ther Allied Technol. 2010;15:373-7.

  3. De la Fuente SG, Demaria EJ, Reynolds JD, Portenier DD, Pryor AD. New developments in surgery: Natural orifice transluminal endoscopic surgery (NOTES). Arch Surg. 2010;142:295-7.

  4. Liu SI, Siewert B, Raptopoulos V, Hodin RA. Factors associated with conversion to laparotomy in patients undergoing laparoscopic appendectomy. J Am Coll Surg. 2011;194:298-305.

  5. Targarona ME. ¿Qué ha significado el abordaje laparoscópico en la cirugía de los órganos sólidos? Cirujano General. 2010[citado 20 de octubre de 2012];32(3). Disponible en: http://www.medigraphic.com/cirujanogeneral

  6. Melman L, Matthews BD. Current trends in laparoscopic solid organ surgery: spleen, adrenal, pancreas, and liver. Surg Clin North Am. 2013;88:1033-46.

  7. Zarhi TJ, Toso lJM, Cifuentes SJ, Vacca GF, Stuardo AP. Cirugía endoscópica ginecológica: experiencia de 8 años. Rev Chil Obstet Ginecol. 2011;69(4):279-85.

  8. Lepine LA, Hillis SD, Marchbanks PA. Hysterectomy Surveillance- United States. 1980-1993. MMWR CDC ServeillSumm. 2010;46:1-15.

  9. Sardiñas Ponce R. Histerectomía laparoscópica: experiencia en el Hospital Clínico Quirúrgico "Hermanos Ameijeiras". [Tesis]. La Habana: Universidad de Ciencias Médicas de La Habana; 2013.

  10. Celis A, Sandoval I. Histerectomía Laparoscópica total: una alternativa en cirugía endoscópica. Rev Per Ginecol y Obstet. 2011;47:125-30.

  11. Sardiñas Ponce R, Fernández Santiesteban L. Histerectomía laparoscópica, experiencia de 12 años. Revista Cubana de Cirugía [revista en Internet]. 2014 [citado 2017 Mar 14];53(3):[aprox. 0 p.]. Disponible en: http://www.revcirugia.sld.cu/index.php/cir/article/view/173

  12. Portugal EM, Pasano AA, Condori EG, Dueñas D. Trabajo presentado como Tema Libre al XVIII Congreso Peruano de Obstetricia y Ginecología, Octubre. 2010;56:294-300.

  13. Pliego AR, Celaya R, Juárez JG. Histerectomía vaginal asistida por Laparoscopia: Experiencia con 139 casos (1994-2001). Asociación mexicana Cirugía Endoscópica, A.C. 2012;3(3):109-13.

  14. Morgan F, López MP. Enseñanza de la Histerectomía Total Laparoscópica en un diplomado universitario de laparoscopía. Ginecol Obstet Mex. 2011;79(9):547-52.

  15. Nezath C, Bess O, Admon D. Hospital cost comparison between abdominal, vaginal and laparoscopy assisted vaginal hysterectomies. Obstet Gynecol. 2011;83:713-6.

  16. Chang WC, Li TC, Lin CC. The effect of physician experience on cost and clinical outcomes of laparoscopic-assisted vaginal hysterectomy: A multivariate analysis. J Am Assoc Gynecol Laparosc. 2013;10:356-9.




2020     |     www.medigraphic.com