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Vaginal hysterectomy in non-prolapsed uteruses: 6-year experience

机译：非脱垂子宫阴道子宫切除术：6年经验

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OBJECTIVE: To evaluate the applicability of the technique of vaginal hysterectomy in non-prolapsed uterus. METHODS: A retrospective cohort study with 220 patients submitted to vaginal hysterectomy from January 2004 to July 2010 by the Vaginal Surgery and Pelvic Floor Team. Patients mean age was 44.4 years and they had on average three births (0-10 deliveries). The surgery was performed even in cases of previous abdominal surgery, and cesarean section was prevalent in 54.6% of patients. RESULTS: The mean uterus weight was 278.9g. The mean operative time was 93 minutes, and length of hospital stay was 24 hours after surgery in 65% of cases. There were no cases of visceral injury. The mean postoperative complication was cellulitis of the vaginal vault that occurred in 11 cases (5%) that received antibiotics. Mean blood loss corresponded to 1.4g/dL hemoglobin. From the analyzed sample, vaginal hysterectomy by vaginal route was feasible in 96.8% of patients, and abdominal conversion was necessary in 3.2%. CONCLUSION: Vaginal hysterectomy is a minimally invasive surgery, with fewer complications, and low morbidity. We believe that this procedure should be indicated to treat gynecological benign diseases.
机译：目的：探讨阴道子宫切除术在非脱垂子宫中的适用性。方法：一项回顾性队列研究，从2004年1月至2010年7月，由阴道外科和骨盆底手术组对220例接受阴道子宫切除术的患者进行了研究。患者平均年龄为44.4岁，平均三胎（0-10分娩）。即使在先前的腹部手术中也进行了手术，剖宫产在54.6％的患者中普遍存在。结果：平均子宫重量为278.9g。 65％的患者平均手术时间为93分钟，住院时间为术后24小时。没有内脏损伤的病例。术后平均并发症为阴道结膜蜂窝织炎，发生在11例（5％）接受抗生素治疗的患者中。平均失血量相当于1.4g / dL血红蛋白。从分析的样本中，经阴道途径进行子宫全子宫切除术在96.8％的患者中是可行的，而需要进行腹部转换的患者为3.2％。结论：阴道子宫切除术是一种微创手术，并发症少，发病率低。我们认为，这种方法应被指示为治疗妇科良性疾病。

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