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Revista chilena de obstetricia y ginecología

On-line version ISSN 0717-7526


MANRIQUEZ G, Valentín; NASER N, Michel  and  GOMEZ L, Mauricio. Complicaciones intraoperatorias de la histerectomía vaginal por causas benignas: Experiencia de seis años, Hospital Clínico de la Universidad de Chile. Rev. chil. obstet. ginecol. [online]. 2013, vol.78, n.6, pp.432-435. ISSN 0717-7526.

Background: Hysterectomy is the surgery most frequently in women after caesarean section performed worldwide. Most often, this procedure can be carried out vaginally. Objective: To perform a retrospective analysis of vaginal hysterectomies performed in Pelvic Floor Unit, Clinical Hospital of the University of Chile, the main indications and intraoperative complications (2006-2012). Results: We analyzed 379 hysterectomies for benign causes, 17% (n = 64) for abdominal and 83% (n = 315) vaginally. The major intraoperative complications in vaginal hysterectomies were vascular (1.2%) and bladder lesions (0.6 %). Infectious complications occurred in 1.2% of patients (4 vaginal vault abscess), which decreased with the use of prophylactic antibiotics. Conclusions: Vaginal hysterectomy is the ideal way of surgical approach for benign disease of the uterus, fewer complications, faster recovery, cost-effectiveness and reimbursement of patients to their activities. Our results and complications are similar to those reported by national and international literature.

Keywords : Vaginal hysterectomy; intraoperative complications.

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