Abstract

HERNANDEZ DURAN, Daisy et al. Some results from the abdominal total and subtotal hysterectomy in patients diagnosed with uteri myoma. Rev Cubana Obstet Ginecol [online]. 2010, vol.36, n.4, pp. 0-0. ISSN 1561-3062.

Controversy among all the ways of hysterectomies and the different approaches has increased is known by patients that frequently request information to gynecologists on their criterion of an abdominal subtotal hysterectomy (ASTH) due its advantages of this technique. OBJECTIVE: To analyze comparatively the results obtained among the abdominal total hysterectomies (ATH) and the ASTH according the variables selected. METHODS: A cross-sectional, retrospective and descriptive was conducted from January, 2002 to December, 2004 in the "Ramón Pando Ferrer" Genecology-Obstetricts Hospital. Sample included 310 patients with hysterectomy diagnosed with a uterine myoma divided into two groups. To research the possible association among qualitative variable the chi² test was used with significant differences en those groups where (p =0.05). RESULTS: The ASTH had less surgical time for a 83.9 % (p = 0,000), as well as a lower hospital stay for 58.1 %; moderate bleeding was of a 5.1 % in the ASTH without lesions of surrounding organs in both groups and febrile and infectious morbidity was greater for the ATH group for a 22.4 % and 5.7/5, respectively. CONCLUSIONS: In our study the abdominal subtotal hysterectomy (ASBH) compared with the abdominal total hysterectomy (ATH) has less surgical time, hospital stay and a lesser number of transoperative and postoperative complications.

Keywords : Abdominal total hysterectomy; abdominal subtotal hysterectomy; transoperative and postoperative complications.

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