Histerectomía total laparoscópica: estudio descriptivo de la experiencia en el Hospital Universitario General de Castellón

Abstract

Objective

To describe complications and clinical evolution of patients underwent to total laparoscopic hysterectomy.

Material and method

A retrospective study was performed after reviewing 120 patients who were subjected to laparoscopic hysterectomy in the period between January 2012 and December 2014. Medium age was 54 years (23-94) and BMI 27.6. The general characteristics, indications, presence of previous surgery, perioperative complications were analyzed and postoperative duration of the procedure and rate of conversion to laparotomy.

Results

The intraoperative complications were bladder injury (0.8%) and ureteral injury (1.7%). There were postoperative complications in 6 patients (three febrile syndrome, fistula ureterovaginal, two vaginal cuff dehiscence, two vaginal bleeding and hemoperitoneum). The conversion rate to abdominal hysterectomy was 1.6%.

Conclusion

Laparoscopic hysterectomy is a reproducible process with a low complication rate accepted by the patients quality of life, and with rapid postoperative recovery.