The morbidity and mortality in vaginal hysterectomy performed with bipolar electrosurgery
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Keywords
Hysterectomy, Vaginal, Electrosurgery, Surgical Instruments
Abstract
Objective: to know the morbidity and mortality in vaginal hysterectomy (VH) carried out with bipolar electrosurgery (BiClamp).
Methods: a multicentric study with 380 patients who underwent to VH for benign illness, with and without prolapse, with and without abdominal previous surgeries using Biclamp was carried out.
Results: twenty five patients (6.57%) presented complications. The most frequent were related to the urinal system and infection, when VH was carried out. Bladder injury in five cases (1.31%), vesicular-vagina fistula in two cases (0.52%). Vaginal vault abscesses in seven cases (1.84%). A second surgery due to intraabdominal bleeding in four cases (1.05 %) was carried out. Vaginal vault bleeding was present in two cases (0.52%); other complications were: hematoma in vaginal vault, thrombophlebitis, sepsis and death with one (0.26%) for each one. The injuries were repaired by a gynecologist and the fistulae by an urologist. The bleeding was immediately remedied and the infection was treated with cephalosporin.
Conclusions: the morbidity and the operative mortality were in the range reported in the literature. This technique is quicker, less invasive, with a prompt patient recovery.
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