2017, Number 1
Revista Cubana de Cirugía 2017; 56 (1)
Ferrer RH, Clavijo TR, Zayas DL, Rodríguez CY, Mesa IO, Blanco AE
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ABSTRACTIntroduction: 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.