Abstract

GARCIA RODRIGUEZ, Miguel Emilio  and  ROMERO SANCHEZ, Ramón Ezequiel. Vaginal hysterectomy in patients with uterus prolapse. Rev Cubana Cir [online]. 2011, vol.50, n.2, pp. 155-163. ISSN 1561-2945.

INTRODUCTION. In the medical literature is quoted the nulliparity, the existence of previous operations and the uterus size as exclusion factors to choice the hysterectomy technique. The aim of present research was to determine the effectiveness and feasibility of vaginal hysterectomy by Heaney's technique, carried out in patients without uterus prolapse even in presence of the above mentioned factors. METHODS. A multivariate, descriptive and observational study was conducted in a sample including 1 000 patients operated on in the General Surgery service of the "Martín Chang Puga" University Hospital in Nuevitas municipality (Camagüey province, between May, 1994 and December, 2006. A database was designed in Excel transferred to SPSS professional statistical package to carry out univaried, bivaried and multivariate analyses, which finally were represented in frequency and percentages tables. A significance of p = 0.05 was used. RESULTS. The 6% of patients were nulliparous and the 23,5% had previous surgeries of pelvis. A 82,6% of patients had uteri with no more than an approximate value of 12 weeks of pregnancy and the uterine fibroma was the leading cause (88,5%) of intervention. Only a 4,1% of patients need blood transfusion. The perioperative and postoperative complications accounted for the 1,7% and the 19,3%, respectively. The 97,2% of patients stayed less than 48 hours in the hospital and the 99,4% go back to normal life. CONCLUSIONS. The nulliparity, the uterus size and the previous operations were not considered like isolated and excluding factors for the vaginal route. However, the type of hysterectomy will depends of the decision of the attending physician and the patient, according the costs and benefits involved in each case.

Keywords : Vaginal hysterectomy; uterine fibroma; complications.

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