Vaginal hysterectomy in a 95-year-old woman a case report/ Histerectomia vaginal em mulher de 95 anos relato de caso

Authors

  • Raquel de Moura Rogenski Brazilian Journals Publicações de Periódicos, São José dos Pinhais, Paraná
  • João Paulo Costa Braga
  • Carolina Oderich

DOI:

https://doi.org/10.34119/bjhrv5n2-169

Keywords:

vaginal hysterectomy, quality of life, elderly, life style.

Abstract

M.M, 95-year-old Japanese woman, 6 vaginal deliveries, presented a 20 days fetid vaginal smell/5 months mild vaginal bleeding. Well appearing, oriented and coherent. Physically active, having a controlled mild hypertension as the only comorbidity. Vaginal exame, identified a foul smelling from the cervix. A transvaginal ultrasound revealed anteverted/flexed uterus, and the endometrial cavity had cystic/solid content, without vascularity in doppler. Endometrial biopsy was performed and the hypothesis of neoplastic cells was discharged. It was indicated a total vaginal hysterectomy.  There were no complications. The correct anesthetic dose provided lower risk and a better outcome. In the first 12 hours, a pre-renal acute renal failure was reversed. The hospital discharge was after 2 days, when the patient had no pain, was walking and urinating.  Only dipyrone was used as analgesic and 14 days of clindamycin was prescribed. After a month, no complaints/pain were reported. The patient returned to her daily habits and to social contact in a short time, indicating a good evolution. The surgery highly improved the patient’s quality of life.

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Published

2022-04-04

How to Cite

ROGENSKI, R. de M.; BRAGA, J. P. C.; ODERICH, C. Vaginal hysterectomy in a 95-year-old woman a case report/ Histerectomia vaginal em mulher de 95 anos relato de caso. Brazilian Journal of Health Review, [S. l.], v. 5, n. 2, p. 5935–5943, 2022. DOI: 10.34119/bjhrv5n2-169. Disponível em: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/46044. Acesso em: 28 mar. 2024.

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Original Papers