RESUMO
OBJECTIVE: to compare the results of two surgical approaches: one is to apply vaginal hysterectomy (VH) for non-prolapsed uterus respecting classic indications and contraindications and the other is to extend the indications of VH and decrease the contraindications by performing VH for large uterus, in nulliparous and in women with history of C section. STUDY DESIGN: 816 women with benign uterine pathology were included in this prospective study. In 465 were applied classic indications of VH and in 351 VH was applied as first choice, trying to overcome classic contraindications of VH. RESULTS: By extending classic indications of VH important benefits were obtained such as decreasing the operation time and shorter hospital stay. No differences were registered between the two arms of the study regarding intra and postoperative bleeding or major complications. CONCLUSIONS: extending classic indications of VH has important benefits without an increase in major complications occurrence.
Assuntos
Histerectomia Vaginal , Doenças Uterinas/cirurgia , Adulto , Feminino , Humanos , Histerectomia/métodos , Histerectomia Vaginal/métodos , Tempo de Internação , Pessoa de Meia-Idade , Estudos Prospectivos , Fatores de Tempo , Resultado do TratamentoRESUMO
Investigations on the incidence of hepatitis B antigen (HB Ag)-carriers among 1466 patients of 11 various hospitals and departments showed that sources of hepatitis infection were more numerous in hospitals for children than in those for adults. The high-risk departments were those of dialysis (5 out of 12 patients), clinical medicine (6.6%), and obstetrics and gynecology, for adults, and those of neuropsychiatry (17.9%) and clinical medicine (11.2%)for children . The highest incidence of HB Ag-carriers among the medico-sanitary personnel of 5 hospitals (436 sera) was recorded in a hospital of obstetrics and gynecology.