Abstract

ARGUELLO ARGUELLO, Ramiro; HOYOS USTA, Edwin Alberto; ARGUELLO ARGUELLO, Rodrigo  and  PERDOMO TEJADA, Pedro Wilfredo. Total laparoscopic hysterectomy in 202 patients. Rev Colomb Obstet Ginecol [online]. 2003, vol.54, n.4, pp.258-264. ISSN 0034-7434.

Total laparoscopic hysterectomy (type IV - E) was performed in 202 patients from December 7/1999 to April 30/2003. The average age was 46 years, the average surgical time was 100 minutes, and the mean uterine weight was 170 grs. The three leading clinical diagnosis were uterine leiomyomas (51%), high level cervical squamous intraepithelial lesions (21%), and chronic pelvic pain (9%). The main pathological diagnosis was uterine leiomyomas with or without uterine adenomyosis in 79,2% of the cases (160 patients). There were complications in 16 patients (7,9%): 5 patients (2,5%) with infection, 4 patients (2%) with hemorrhagic complication, 3 with bladder trauma (1,5%) and 4 with other complications (2%). We did not have any ureteral, vascular or intestinal complications. We recommend total laparoscopic hysterectomy as the first surgical choice in surgical units with adequate experience in laparoscopic surgery.

Keywords : laparoscopic hysterectomy; total laparoscopic hysterectomy.

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