Revista Colombiana de Obstetricia y Ginecología
versión impresa ISSN 0034-7434
CORREA-OCHOA, José Luis et al. Vaginal hysterectomy without prolapse: a 2008-2010 cohort study in Medellín (Colombia). Rev Colomb Obstet Ginecol [online]. 2011, vol.62, n.1, pp. 45-50. ISSN 0034-7434.
Objective: describing the post-surgical results of vaginal hysterectomy (VH) without uterine prolapse. Materials and methods: this was a cohort study of patients who had undergone vaginal hysterectomy withoutprolapse(VHWP) forbenignuterinepathology using a modified Heaney technique and uterine morcellationtechniquesintheClínicaMedellínbetween September 2008 and February 2010. Strict sequential sampling was done. Patient sample size was estimated at 84. Socio-demographic characteristics, uttering characteristics,pre-operationdiagnosis,timeinsurgery, comorbidities and complications were measured. Results: 84 patients were operated on; complications occurred in 8.33% of them (n: 7/84), 3.6% were intra-operation (2 vesical lesions and 1 rectal lesion) and 4.76% were post-operation (1 pelvic abscess with secondary dehiscence of the wound, 1 sepsis, 2 granulomas of the vaginal cuff). There were 9 cases of urinary tract infection (UTI) (10.71%). Conclusion: VHWP emerges as an alternative for surgical treatment of benign uterine diseases when performed by expert hands and with the appropriate surgical instrumentals.
Palabras llave : vaginal hysterectomy; uterine prolapse; intra-operation complications; post-operation complications.