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2019, Number 4

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Acta Med 2019; 17 (4)

Comparison of surgical complications in abdominal vs. laparoscopic total hysterectomy in a tertiary-level private hospital

Aguilar VAF, Zavala GA, Arredondo MR
Full text How to cite this article

Language: Spanish
References: 10
Page: 336-339
PDF size: 140.49 Kb.


Key words:

Surgical technique, laparoscopic hysterectomy, hysterectomy.

ABSTRACT

Introduction: Hysterectomy is still the second most frequent gynecological procedure, secondary only to C-section, so a correct approach is of crucial importance. Objective: Compare the differences in the results between laparoscopic and abdominal total hysterectomy in patients with benign uterine pathology. Material and methods: Retrospective, observational, descriptive and case-control type design, in which 1,208 patients were compared in whom the total hysterectomy procedure was carried out by abdominal (n = 880) and laparoscopic (n = 328). In the period from January 2012 to December 2016, in a private third level hospital, Hospital Angeles Pedregal in Mexico City, Mexico. Results: We found that although surgical times and bleeding were similar in both groups, the laparoscopic approach resulted in a shorter statistically significant in-hospital stay. Conclusions: Laparoscopic approach to the hysterectomy procedure has clear advantages over the abdominal approach, demonstrated by the shorter hospital stay and the similar incidence of surgical complications, surgical time and trans-surgical bleeding.


REFERENCES

  1. Committee on Gynecologic Practice. Committee Opinion No 701: Choosing the Route of Hysterectomy for Benign Disease. Obstet Gynecol. 2017; 129 (6): e155-e159.

  2. Kovac SR, Barhan S, Lister M, Tucker L, Bishop M, Das A. Guidelines for the selection of the route of hysterectomy: application in a resident clinic population. Am J Obstet Gynecol. 2002; 187 (6): 1521-1527.

  3. Reich H, DeCaprio J, McGlynn F. Laparoscopic hysterectomy. J Gynecol Surg. 1989; 5: 213-216.

  4. Neis KJ, Zubke W, Fehr M, Römer T, Tamussino K, Nothacker M. Hysterectomy for benign uterine disease. Dtsch Arztebl Int. 2016; 113 (14): 242-249.

  5. Kho RM, Abrão MS. In search for the best minimally invasive hysterectomy approach for the large uterus: a review. Clin Obstet Gynecol. 2017; 60 (2): 286-295.

  6. Uccella S, Casarin J, Marconi N, Cromi A, Morosi C, Gisone B et al. Laparoscopic versus open hysterectomy for benign disease in women with giant uteri (≥1500 g): feasibility and outcomes. J Minim Invasive Gynecol. 2016; 23 (6): 922-927.

  7. Pynnä K, Vuorela P, Lodenius L, Paavonen J, Roine RP, Räsänen P. Cost-effectiveness of hysterectomy for benign gynecological conditions: a systematic review. Acta Obstet Gynecol Scand. 2014; 93 (3): 225-232.

  8. Payá V, Diago VJ, Abad A, Costa S, Coloma F, Martín-Vallejo J et al. Histerectomía laparoscópica frente a histerectomía abdominal: estudio clínico comparativo. Clin Invest Gin Obst. 2002; 29 (8): 284-289.

  9. Molina SA, Calvo AO, Matadamas ZC. Histerectomía total laparoscópica versus histerectomía abdominal en miomatosis uterina con peso mayor de 400 g. Ginecol Obstet Mex. 2011; 79 (10): 613-620.

  10. AAGL Advancing Minimally Invasive Gynecology Worldwide. AAGL Practice Report: Practice guidelines for intraoperative cystoscopy in laparoscopic hysterectomy. J Minim Invasive Gynecol. 2012; 19 (4): 407-411.




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Acta Med. 2019;17