La histerectomía del milenio: técnica de Misgav Ladach modificada

We performed a prospective case-control study of the results of abdominal hysterectomy using a modified Misgav-Ladach procedure at the Provincial Teaching Hospital of Camagüey (Cuba) over a 4-year period. There were two groups of 176 patients each. Information was processed electronically with EPINFO version V. Odds ratios (OR) and probability with 95% confidence intervals were determined. The most frequent indication was uterine leiomyoma. The main surgical risk was hypertension, although no significant difference was found between the two groups. Surgical time was reduced by an average of 17 minutes. Vaginal cuff abscess (OR: 0.00; P < .05) and surgical site infection were significantly more frequent in the control group. Length of hospital stay was 3 to 4 days in the study group and 5 to 6 days in the control group, with substantial cost reduction in the former group. We believe this technique is useful in improving the postoperative period and in achieving faster recovery and significant cost reductions.