%0 Journal Article
%T Validaci¨®n de la histerectom¨ªa laparosc¨®pica por un solo puerto quir¨²rgico como una nueva t¨¦cnica en Cuba
%A Barreras Gonz¨¢lez
%A Javier Ernesto
%A Torres Pe£¿a
%A Rafael
%A Faife Faife
%A B¨¢rbara
%A L¨®pez Milhet
%A Ana Bertha
%A Torres Mora
%A Rosa Mar¨ªa
%A Campillo Dono
%A Orlando
%J Revista Cubana de Cirug£¿-a
%D 2011
%I Scientific Electronic Library Online
%X introduction: to decrease the act of aggression to patient's biology and to minimize the access to surgical area has been a concern and also a permanent ambition of surgeon. surgery thorough natural orifices involves to access to abdominal cavity through stomach, colon, vagina, uterus or bladder and in fact eliminates the approaches to abdominal wall including it in a new surgical paradigm: the "surgery without traces". in 2007, it was proposed a new technique of trans-umbilical endoscopic surgery in keeping with the technical principles of surgery through natural orifices. its use in gynecology begins from the decade of 70s when the tubal ligatures and recently the only approach innovative techniques of one only port have been introduced in procedures more complex. objectives: to demonstrate the feasibility and safety of the laparoscopic hysterectomy through an only approach by means of a new technique. methods: a prospective study of cases-series was conducted as well as a hysterectomy technique completely laparoscopic by means of an only approach and using instruments designed to that end. results: this technique was applied in 10 patients diagnosed with uterine fibroma. the surgical time was of 115 min (75-160) and bleeding mean was of 75 ml (20-400); there were not intraoperative and postoperative complications in study cases. conclusions: laparoscopic hysterectomy through an only approach is a feasible, safe and reproducible technique for other minimal access surgery services of our country.
%K laparoscopic hysterectomy
%K trans-umbilical endoscopic surgery
%K notes
%K tues.
%U http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S0034-74932011000400013&lng=en&nrm=iso&tlng=en