title: [The morbidity and mortality in vaginal hysterectomy performed with bipolar electrosurgery].
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 intra abdominal 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 case (0.26 %) for each one. The injuries were repaired by a gynecologist and the fistulae by an urologist. The bleeding was inmediately 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.
authors.affiliation: Hospital de Ginecología y Obstetricia Tlatelolco, Instituto Mexicano del Seguro Social, Distrito Federal, México. alfredoalanizsanchez@prodigy.net.mx
authors.forename: Alfredo
authors.initials: A
authors.lastname: Alaniz-Sánchez
authors.forename: Luis Alberto
authors.initials: LA
authors.lastname: Pérez-Flores
authors.forename: Olegario
authors.initials: O
authors.lastname: Rodríguez-Morales
authors.forename: Juan
authors.initials: J
authors.lastname: Solís-Medrano
authors.forename: Joaquín
authors.initials: J
authors.lastname: Oliva-Cristerna
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Degollado-Bardales
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D004598:Electrosurgery / Q000295:instrumentation; D004867:Equipment Design; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000009:adverse effects* / Q000379:methods / Q000401:mortality*; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D011446:Prospective Studies