HISTERECTOMÍA: UNA MIRADA DESDE EL SUELO PÉLVICO.

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    • Abstract:
      Hysterectomy is the second most frequent surgical procedure performed on women of reproductive age. For this reason every day more gynecologists are interested in performing minimally invasive techniques. In this concept and with the objective to preserve the pelvic floor, we propose that the laparoscopic supracervical hysterectomy is a surgical technique that should be utilized much more often, being characterized by markedly lower intra or post-operative complications, shorter operative and recovery room time and overall reduction in hospital stay. In patients who do not fulfill the requirements previously for a laparoscopic supracervical hysterectomy, the vaginal via is the best alternative. Even more, we think that McCall technique must accompany laparoscopic supracervical hysterectomy always in order to prevent future vaginal cuff prolapses; in addition, uretheral indemnity must be checked with an intraoperative cystoscopy with indigo carmin. [ABSTRACT FROM AUTHOR]
    • Abstract:
      La histerectomía constituye la segunda cirugía más efectuada en mujeres en edad fértil. Por esto cada día más ginecólogos se interesan en buscar técnicas de menor invasión. Dentro de este concepto y con el objetivo de preservar la indemnidad del suelo pélvico, muchos hemos propuesto a histerectomía supracervical por laparoscopía, como una de las técnicas quirúrgicas que más auge debiera tener. Se trata de una cirugía con menor nümero de complicaciones tarito intra como postoperatorias, menor estadía hospitalaria y mejor recuperación. En aquellas pacientes que no cumplen los requisitos para una histerectomía supracervical por laparoscopia, la vía vaginal es a mejor alternativa al compararla con a abdominal. Sin embargo, proponemos que debiera realizarse agregando puntos de McCall para prevenir prolapsos futuros; para asegurar la indemnidad ureteral debemos realizar una cistoscopia intraoperatoria con índigo carmín. [ABSTRACT FROM AUTHOR]
    • Abstract:
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