Introduction: Cervical cancer is the most common cause of death in Peruvian central highlands. Surgical treatment (hysterectomy and total laparoscopic radical hysterectomy plus pelvic lymphadenectomy) is the best therapeutic resource in the early cancer stage (IA1, IA2 and IB1). One year ago we started laparoscopic surgical treatment in these stages at Hospital IV Huancayo Gynecology Department. Objectives: To review outcomes of laparoscopic hysterectomy for microinvasive cervical cancer. Design: Retrospective study. Setting: Gynecology Service, Hospital IV Huancayo, EsSalud, Junin, Peru. Patients: Twelve women subjected to laparoscopic hysterectomy for cervical microinvasive carcinoma. Interventions: Six women with preoperative diagnosis by cervical conization and clinical stage IA1 underwent laparoscopic hysterectomy with 59.16 minutes operative time and 4.1 days hospital stay. Other s...

Objectives: To determine the feasibility, safety and efficacy of transvaginal surgical repair of total vaginal vault prolapse using polypropylene handicraft mesh. Design: Descriptive, retrospective, transversal study. Setting: Hospital IV Huancayo, EsSalud, Peru. Patients: Patients with diagnosis of total vaginal vault prolapse and previous hysterectomy. Interventions: Between October 2009 and June 2010 medical records of five patients with diagnosis of total vaginal vault prolapse and history of hysterectomy were reviewed. All patients underwent transvaginal surgical correction of total vaginal vault prolapse using polypropylene handicraft prosthetic mesh. Main outcome measures: Successful repair of vaginal vault prolapse. Results: Successful repair was obtained in all cases with no complications during surgery or in the postoperative period. Operative time ranged between 75 and 90 minu...

Estudio retrospectivo que revisa los resultados de histerectomía laparoscópica en cáncer microinvasivo de cuello uterino del Servicio de Ginecología del Hospital IV Huancayo, EsSalud, en Junín, Perú, de octubre 2009 a setiembre del 2010. En seis mujeres con diagnóstico preoperatorio de cáncer de cérvix por conización cervical y estadio clínico Ia1 se les realizó histerectomía laparoscópica, con un tiempo operatorio de 59,16 minutos y tiempo de estancia hospitalaria de 4,1 días. A otras seis mujeres con estadio clínico Ia2-Ib1 se les realizó histerectomía radical más linfadenectomía pélvica laparoscópica, con un tiempo operatorio de 3 horas 58 minutos y tiempo de estancia hospitalaria de 10,1 días. Todos los diagnósticos fueron confirmados con la pieza operatoria, y todas las pacientes estaban teóricamente curadas (márgenes libres, ganglios negativos); una pacien...

Introduction: Cervical cancer is the most common cause of death in Peruvian central highlands. Surgical treatment (hysterectomy and total laparoscopic radical hysterectomy plus pelvic lymphadenectomy) is the best therapeutic resource in the early cancer stage (IA1, IA2 and IB1). One year ago we started laparoscopic surgical treatment in these stages at Hospital IV Huancayo Gynecology Department. Objectives: To review outcomes of laparoscopic hysterectomy for microinvasive cervical cancer. Design: Retrospective study. Setting: Gynecology Service, Hospital IV Huancayo, EsSalud, Junin, Peru. Patients: Twelve women subjected to laparoscopic hysterectomy for cervical microinvasive carcinoma. Interventions: Six women with preoperative diagnosis by cervical conization and clinical stage IA1 underwent laparoscopic hysterectomy with 59.16 minutes operative time and 4.1 days hospital stay. Other s...

Objectives: To determine the feasibility, safety and efficacy of transvaginal surgical repair of total vaginal vault prolapse using polypropylene handicraft mesh. Design: Descriptive, retrospective, transversal study. Setting: Hospital IV Huancayo, EsSalud, Peru. Patients: Patients with diagnosis of total vaginal vault prolapse and previous hysterectomy. Interventions: Between October 2009 and June 2010 medical records of five patients with diagnosis of total vaginal vault prolapse and history of hysterectomy were reviewed. All patients underwent transvaginal surgical correction of total vaginal vault prolapse using polypropylene handicraft prosthetic mesh. Main outcome measures: Successful repair of vaginal vault prolapse. Results: Successful repair was obtained in all cases with no complications during surgery or in the postoperative period. Operative time ranged between 75 and 90 minu...