[The morbidity and mortality in vaginal hysterectomy performed with bipolar electrosurgery].
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.
Alaniz-Sánchez
Alfredo
A
Hospital de Ginecología y Obstetricia Tlatelolco, Instituto Mexicano del Seguro Social, Distrito Federal, México. alfredoalanizsanchez@prodigy.net.mx
Pérez-Flores
Luis Alberto
LA
Rodríguez-Morales
Olegario
O
Solís-Medrano
Juan
J
Oliva-Cristerna
Joaquín
J
Degollado-Bardales
Francisco Javier
FJ
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