Vaginal hysterectomy without prolapse: a 2008-2010 cohort study in Medellín (Colombia)
DOI:
https://doi.org/10.18597/rcog.232Keywords:
vaginal hysterectomy, uterine prolapse, intra-operation complications, post-operation complicationsAbstract
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.
Author Biographies
José Luis Correa-Ochoa
Jorge Alberto Tirado-Mejía
Juan Fernando Mejía-Zúñiga
Marcela Tirado-Hernández
Edwin Alcides Gómez-Ibarra
Adriana Arango-Martínez
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