Total laparoscopic hysterectomy: the new option
DOI:
https://doi.org/10.18597/rcog.701Keywords:
Laparoscopic hysterectomy, total laparoscopic hysterectomy, uterine manipulatorAbstract
Total laparoscopic hysterectomy was done in 6a patients from December 7/1999 to March 24/2001. The average surgical time was 105 minutes. The mean uterine weight was 147 grs with the highest weight being 435 gr. The main clinical diagnosis was uterine leiomyomas (41%), chronic pelvic pain (20%) , cervical squamous intraepithelial lesion (20%) and uterine bleeding (11%). The pathological diagnosis was, principally, uterine leiomyomas (38%), adenomyosis (39%), high-grade and low-grade squamous intraepithelial lesion (16%) and occult infiltrative cancer in one patient (2%). Only in two of the total number of patients was there no uterine histological pathology found (3%). We highlight the use of a uterine manipulator of national invention, and we highly recommend the total laparoscopic hysterectomy as the first option versus the abdominal hysterectomy, in units with enough experience in laparoscopic surgery.Author Biographies
Ramiro Argüello Argüello
Edwin Alberto Hoyos Usta
Rodrigo Argüello Argüello
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