García BLG, Barreras GJE, Días OI, Castillo SY, Pereira FJG, López MAB

Language: Spanish
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ABSTRACT

Introduction: One of the factors that have influenced for achieving greater acceptance of the fully laparoscopic hysterectomy is the introduction of devices that allow to improve the mobilization of the uterus during surgery.
Objective: To assess the uterine manipulator "KD" of domestic production, in the totally laparoscopic hysterectomy.
Method: Longitudinal prospective study in an initial series in humans. The total sample was made up by patients with uterine pathologies and who were candidates for surgical treatment. The sample consisted of 50 patients who met the inclusion criteria. The variables under study were hysterectomy, adverse effects of the rigid system on the designed manipulator, pneumo-occlusion system, indication of the operation, uterine weight, intraoperative bleeding, body mass index, surgical time, intraoperative and postoperative morbidity. The statistical analysis was carried out by a specialist in Biostatistics, using the statistical program IBM-SPSS version 21 for Windows in Spanish. As summary measures, we used absolute frequencies, relative frequencies such as the percentage, the mean and the range, as well as the Spearman association.
Results: There was only an adverse effect with the uterine manipulator, which was the perforation of a 55-gr uterus. The uterine myoma was the main indication for hysterectomy; the surgical time, as well as intraoperative bleeding, were consistent with other results. There was a correlation between uterine weight, bleeding and surgical time.
Conclusions: The fully laparoscopic hysterectomy with the use of the designed uterine manipulator was performed in all of the patients and with acceptable results.