Comparación entre la técnica de Richardson y la técnica con elevador uterino de Boyle para la histerectomía abdominal: ECC

Objective:  to compare the Richardson technique for abdominal hysterectomy with the assistance of a modified version of the Boyle uterine elevator, in order to demonstrate that with the latter, patient’s recover y is much faster and they go through less pain. Methods:  a blind, controlled, randomized clinical trial. Setting: Clinica las Americas, Medellin, Colombia (a private institution). Participants: all patients of one health care regimen (“contributivo”) remitted for abdominal hysterectomy or anexohysterectomy under the age of 60 were eligible to participate in the study. All of them were in good state of health and were able to receive general anaesthesia. There were 36 patients per group and 5 were excluded. A modified version of the Boyle uterine elevator was used in 36 of the cases, whereas the Richardson technique was used in the remaining 36. A visual analogue postoperative pain scale was used two weeks following surgery. Recovery time was measured through a daily questionnaire designed for this study for a one month period. Results:  no major statistical or clinical differences were found between the procedures. Conclusions:  no major differences were found between the two techniques. Subjectively, surgeons think better access to the uterus is achieved with the modified version of the Boyle uterine elevator in many patients.