Related Experiment Video
Updated: Jun 20, 2026
Laparoscopic Extracorporeal Knot-Tying for Uterine Vessel Occlusion during Hysterectomy with Cervical Cerclage in Large Uteri
Published on: September 12, 2025
[The morbidity and mortality in vaginal hysterectomy performed with bipolar electrosurgery]
Alfredo Alaniz-Sánchez1, Luis Alberto Pérez-Flores, Olegario Rodríguez-Morales
1Hospital de Ginecología y Obstetricia Tlatelolco, Instituto Mexicano del Seguro Social, Distrito Federal, México. alfredoalanizsanchez@prodigy.net.mx
Objective:
to know the morbidity and mortality in vaginal hysterectomy (VH) carried out with bipolar electrosurgery (BiClamp).
Methods:
a multicentric study with 380 patients who underwent to VH for benign illness, with and without prolapse, with and without abdominal previous surgeries using Biclamp was carried out.
Results:
twenty five patients (6.57 %) presented complications. The most frequent were related to the urinal system and infection, when VH was carried out. Bladder injury in five cases (1.31 %), vesicular-vagina fistula in two cases (0.52 %). Vaginal vault abscesses in seven cases (1.84 %). A second surgery due to intra abdominal bleeding in four cases (1.05 %) was carried out. Vaginal vault bleeding was present in two cases (0.52 %); other complications were: hematoma in vaginal vault, thrombophlebitis, sepsis and death with one case (0.26 %) for each one. The injuries were repaired by a gynecologist and the fistulae by an urologist. The bleeding was inmediately remedied and the infection was treated with cephalosporin.
Conclusions:
the morbidity and the operative mortality were in the range reported in the literature. This technique is quicker, less invasive, with a prompt patient recovery.
