Histerectomía laparoscópica tipo IV (Servicio Cirugía II. Hospital Universitario de Caracas)

objective: to evaluate laparoscopic hysterectomy compared with open hysterectomy. methods: prospective descriptive study conducted between 2007-2009, with a population of 32 women that underwent total laparoscopic hysterectomy (type iv according to the of american gynecologists association). the variables assessed were age, body mass index, previous surgeries, preoperative diagnosis, associated surgery, bleeding, surgical time, complications, hospitalization, pain measured by the visual analog scale of pain. setting: hospital universitario de caracas, servicio de cirugi a ii. results: the average age of the population was 47.7 years and body mass index of 25.8 kg/m2, with an average uterine size less than 14 weeks gestation. the preoperative diagnosis was uterine fibroids in 25 patients (78.12 %), two cases had endometrial hyperplasia (6.25 %), endometrial polyp (3.12 %), one patient with cin iii (3.12 % ), 3 cases with hysterocele (9.37 %). surgery was associated in 5 patients. the bleeding was less than 50 ml, with a mean operative time was 84.6 minutes. there were no complications due to surgery and had a mean hospital stay of 33.39 hours. average pain analog scale 3. conclusion: laparoscopic hysterectomy type iv is a safe technique with satisfactory results and in some respects superior compared to conventional open hysterectomy.