OBJECTIVE: Hysterectomy is a frequently performed surgery, but national literature gives limited information regarding indications, technique and complications. The aim of this study is to evaluate our results with this operation performed by the Discipline of Gynecology and Obstetrics of the Faculty of Medicine of "Triângulo Mineiro". METHODS: A retrospective study of 470 abdominal and 84 vaginal hysterectomies was conducted in which the indications, operation time, abdominal approach, hospitalization time, and morbidity were analyzed. RESULTS: Uterine myoma and uterine prolapse were the most frequent indications for abdominal and vaginal hysterectomies, respectively. Intra-operative (3.4%) and postoperative (2.4%) complications occurred in abdominal hysterectomies, with no significant statistical difference in the incidence of complications related to the type of incision (transverse or vertical). Operative time and hospital stay were significantly increased with the vertical incision. Hemorrhage was the major intra-operative complication and wound infection in postoperative complications. CONCLUSIONS: We concluded that hysterectomy is a low risk procedure although improvements in surgical technique and continued research are needed for a even safer procedure.
Abdominal hysterectomy; Vaginal hysterectomy; Indication; Complication; Abdominal incision
