OPERATIVE surgery; LAPAROSCOPIC surgery; DYSMENORRHEA; DISEASES in women; PATIENTS

Objective: To verify the feasibility, efficacy and safety of uterine laparoscopic suspension using three-stitch technique in symptomatic uterine retroversion. Method: Between April 2001 and May 2006 three laparoscopic uterine suspensions were made in patients of Clínica Las Condes. The ages were 29, 34 and 35 years old; they presented severe dysmenorrhea, collision dyspareunia and/or chronic pelvic pain. Each round ligament was plicated and sutured to the anterior wall of the uterine fundus at the level of the uterine horns. A third suture approximates the uterosacral ligaments behind the cervix. Results: In all cases the surgical technique corrected the uterine position. A follow up of five and four years was completed in the first two patients. Of the three patients two related the complete remission of her symptoms; the other remained with very mild dispareunia (severe before surgery). There were no intra or post-operative complications. Conclusion: This technique is simple, safe and effective in the correction of symptomatic uterine retroversion. [ABSTRACT FROM AUTHOR]

Objetivo: Evaluar la factibilidad, eficacia y seguridad de la suspensión uterina por vía laparoscópica, con la técnica de tres puntos, en la corrección de la retroversión sintomática. Método: Entre abril de 2001 y mayo de 2006 se realizaron tres suspensiones uterinas laparoscópicas en pacientes de la Unidad de Ginecología de Clínica Las Condes. Las edades de las pacientes eran 29, 34 y 35 años, presentaban dismenorrea, dispareunia y/o dolor pélvico crónico. Se realizó un punto de plegamiento del ligamento redondo a la cara anterior del fondo uterino a ambos lados y un tercer punto de aproximación de los ligamentos úterosacros. Resultados: En todos los casos la técnica quirúrgica corrigió la posición uterina. Se completó un seguimiento de 5 y 4 años en los dos primeros casos. Las tres pacientes relataron la remisión o disminución de los síntomas que motivaron la consulta. Conclusiones: Se trata de una técnica factible, eficaz y segura en la corrección de la retroversión uterina sintomática. [ABSTRACT FROM AUTHOR]

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