Totally Laparoscopic Hysterectomy at Iván Portuondo General Teaching Hospital

Abstract

Introduction: It is necessary to weigh the benefits and risks of the implementation of entire laparoscopic hysterectomy versus abdominal hysterectomy.
Objectives: Describe the behavior of the entire laparoscopic hysterectomy in Iván Portuondo General Teaching Hospital in San Antonio de los Baños.
Methods: A descriptive observational study was conducted in a series of cases, at Iván Portuondo General Teaching Hospital in San Antonio de los Baños, from January 2013 to December 2015. Thirty-six (36) patients formed the sample. Their diagnoses confirmed the need of performing abdominal hysterectomy. The data was collected and processed by using the statistical package SPSS version 21.0 for Windows. The graphs, charts and analyzes corresponding to the variables studied, cause of the operation, estimated weight of the uterus measured in grams, intraoperative and postoperative complications, surgical time, amount of bleeding, hospital stay and time of reintegration into daily life were performed. The quantitative and qualitative variables were expressed in their respective summary measures: percent and the establishment of confidence intervals for the quantitative variables, as well as the possible association between them.
Results: Uterine myoma was the main indication for surgery, as the learning curve progressed, the surgical time and the amount of bleeding decreased. Bleeding of the uterine artery was the main complication, which caused conversion in three of the operated patients. 91.6 % of our patients had a short hospital stay and 80.5 % a rapid reintegration into daily life. These results were related to the introduction of a new procedure.