Resultados de la Histerectomía laparoscópica versus Histerectomía abdominal, en una institución especializada de la ciudad de Barranquilla, período enero de 2022 – junio de 2023
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Fecha
2023
Autores
Bossa García, Maria Alejandra
Guerrero Bolaño, Keila Esther
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Ediciones Universidad Simón Bolívar
Facultad de Ciencias de la Salud
Facultad de Ciencias de la Salud
Resumen
La histerectomía es definitivamente uno de los procedimientos que se realiza con mayor frecuencia en el área de la ginecología. Sin embargo, y muy a pesar que hoy por hoy la cirugía mínimamente invasiva (laparoscópica) ha demostrado diversas ventajas y ha sido catalogada como la vía de elección para la extirpación del útero, aun en el ámbito local no se evidencia el crecimiento exponencial que debería tener dicha técnica, siendo una de las razones la falta de evidencia propia, por lo que se planteó en esta serie mediante un estudio analítico de cohortes retrospectivo comparar los resultados de la histerectomía abdominal versus histerectomía laparoscópica, en una institución local; pudiéndose evidenciar que la histerectomía laparoscópica en comparación con la histerectomía abdominal es superior en términos de disminución de complicaciones intraoperatorias, complicaciones postoperatorias, requerimiento de transfusión sanguínea, uso de analgesia de rescate y estancia hospitalaria.
Hysterectomy is definitely one of the most frequently performed procedures in the area of gynecology. However, and despite the fact that today minimally invasive surgery (laparoscopic) has demonstrated various advantages and has been classified as the route of choice for removing the uterus, even at the local level the exponential growth that should be evident is not evident. have this technique, one of the reasons being the lack of own evidence, so it was proposed in this series through a retrospective cohort analytical study to compare the results of abdominal hysterectomy versus laparoscopic hysterectomy, in a local institution; it can be seen that laparoscopic hysterectomy compared to abdominal hysterectomy is superior in terms of reducing intraoperative complications, postoperative complications, requirement for blood transfusion, use of rescue analgesia and hospital stay.
Hysterectomy is definitely one of the most frequently performed procedures in the area of gynecology. However, and despite the fact that today minimally invasive surgery (laparoscopic) has demonstrated various advantages and has been classified as the route of choice for removing the uterus, even at the local level the exponential growth that should be evident is not evident. have this technique, one of the reasons being the lack of own evidence, so it was proposed in this series through a retrospective cohort analytical study to compare the results of abdominal hysterectomy versus laparoscopic hysterectomy, in a local institution; it can be seen that laparoscopic hysterectomy compared to abdominal hysterectomy is superior in terms of reducing intraoperative complications, postoperative complications, requirement for blood transfusion, use of rescue analgesia and hospital stay.
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Palabras clave
Histerectomía, Laparoscopia, Mínimamente invasiva, Histerectomía abdominal (HA), Histerectomía laparoscópica (HL), Hysterectomy, Laparoscopy, Minimally invasive, Abdominal hysterectomy (HA), Laparoscopic hysterectomy (HL)
