Arcos VB, Arcos VD, Flores RGA

Language: Spanish
References: 15
Page: 29-36
PDF size: 306.91 Kb.

ABSTRACT

Introduction: The first reports of a hysterectomy go back to the year 120 BC, but it was not until 1988 that the first laparoscopic hysterectomy was performed by H. Reich. The first indications for surgery were: endometriosis, abnormal uterine bleeding, benign adnexal masses, chronic pelvic pain in relation to adhesions, secondary to inflammatory disease or previous disease,, cancer of the endometrium, ovary and cervix stage l.
Clinical case: a 44-year-old female patient who started her illness four months before the surgery with intermittent heavy bleeding using 6 sanitary towels per day with a 15 x 15 menstrual cycle accompanied by colic pain. It was referred with injectable hormones and non-steroidal anti-inflammatory drugs. A pelvic ultrasound was performed with a report of uterine myomatosis. She passed to the operating room where a uterus of 10x7x7cm with myomatosis of large subserosal elements was found, The largest was of 7x7x7cm in the posterior wall of the uterus. She left on the third day of hospitalization without any data of active bleeding, tolerating the oral route, and channeling gases.
Justification: A laparoscopic hysterectomy allows a better visualization by magnifying the anatomy and the existing pathology, a better access to Douglas fundus and ovarian fossae, a better hemostatic control as well as a diminished abdominal incision pain.
Conclusion: This technique has shown a decrease in hospital stay, a faster return to normal activities, as well as a reduction of the risk of infection in the surgical wound area.

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