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The aim of this research is to present the surgical technique of vaginal hysterectomy (VH) and discuss its advantages over other techniques. The work method was an integrative literature review, associating “hysterectomy” and “vaginal route/way”. There were included 7 original articles, available in full, in the Portuguese, English and Spanish languages, published between 2000 and 2018, in the PubMed, SciELO and Lilacs databases. The study showed the anatomical characteristics of the uterus and the most used surgical technique in HV. The advantages of vaginal route in relation to other techniques have been described, among which the following should be highlighted: minimal invasion, lower incidence of complications and absence of visible scars. In contrast, also were reported the disadvantages and limitations. In summary, HV is a great option for uterine removal, and should be part of the therapeutic arsenal of gynecological surgeons, since its advantages outweigh the disadvantages described in the literature.
Referências
Gollop TR et al. Histerectomia vaginal em útero sem prolapso – experiência de 6 anos. Einstein. 2012; 10(4); 462-465.
Prota FR, Jorge JPN. Histerectomia vaginal na ausência de prolapso. Campinas: Universidade Estadual de Campinas; 2006.
Falcão F, Carvalho G. Cirurgia por via vaginal. In: Francisco Falcão, Giselda Carvalho. Manual de Ginecologia. Volume 2. Lisboa: Permanyer Portugal; 2011. 557-585.
Caçador VMCC. Funcionamento sexual e qualidade de vida em mulheres submetidas à histerectomia. Lisboa: Faculdade de Medicina de Lisboa; 2013.
Dangelo JG, Fattini CA. Sistema genital feminine. In: José Geraldo Dangelo, Carlo Américo Fattini. Anatomia humana sistêmica e segmentar. São Paulo: Editora Atheneu; 2011. 193-194.
Tonolini M. Multidetector CT of expected findings and complications after hysterectomy. III. 2018.
Guvenal T, Ozsoy AZ, Kilcik MA, Yanik A. The availability of vaginal hysterectomy in benign gynecologic diseases: a prospective, non-randomized trial. JOGR. 2010; 36(4); 832-837.
Akyol D, Esinler I, Guven S, Salman MC, Ayhan A. Vaginal hysterectomy: results and complications of 886 patients. JOG. 2006; 26(8); 777-781.
Barboza LMS. Histerectomia vaginal: uma revisão sobre complicações e métodos profiláticos. Goiânia: Pontifícia Universidade Católica do Goiás; 2011.
Manríquez V et al. Complicaciones intraoperatorias de la histerectomia vaginal por causas benignas. Experiencia de seis años, Hospital Clínico de la Universidad de Chile. RCOG. 2013; 78(6); 432-435.
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