Resumen

ARMAS PEREZ, Bárbaro Agustín et al. Variations of the conventional technique of total abdominal hysterectomy. Rev Cubana Cir [online]. 2008, vol.47, n.4. ISSN 0034-7493.

INTRODUCTION. Total abadominal histerectomy is a common surgical procedure. The objective of the present study was to show and propose at the same time a modification to the conventional technique of total abdominal hysterectomy at different moments of the technique, including the opening and closure of the abdominal cavity, the suture and fixation of the vaginal cupule and the ligature of the vascular pedicles. METHODS. A descriptive study was undertaken aimed at exposing the modifications introduced in the traditional technique of Richardson's total abdominal hysterectomy in 155 female patients operated on at «Amalia Simoni» Clinical and Surgical Teaching Hospital (Camagüey) from 2002 to 2007. The primary source of information was a survey, and the data collected were processed by automated means through the Microstat statistical package. RESULTS. Average age was 42.35 years old. The most used anesthesia was the regional spinal (75.48 %). The mean surgical time was 56.15 minutes, whereas postoperative complications accounted for 7.74 %. Hemorrhages (3.23 %) and infections (2.58 %). were among the most frequent. No case was reoperated on and excellent results were attained as regards aesthetics, reduction of surgical time, decrease of postoperative pain and hospital stay. CONCLUSIONS.The complications found were not related to the variations of the technique applied. The operations were less painful and more aesthetic than the conventional ones.

Palabras clave : Modified abdominal hysterectomy; surgical time; postoperative stay; postoperative pain and aesthetic results.

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