Incidencia de histerectomía abdominal por útero miomatosis en el Hospital Enrique C. Sotomayor en el año 2014
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2015
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
La histerectomía es una de las cirugías ginecológicas electivas más comunes, 65% se efectúan en el grupo de edad reproductiva, alrededor del 30% en mujeres peri menopáusicas y el resto en mayores de 65 años. La indicación más frecuente a través de la vía abdominal es la leiomiomatosis,. El objetivo de este estudio es evaluar el total de histerectomías abdominales por útero miomatosis en el Hospital Gineco-Obstétrico Enrique C. Sotomayor, durante el los meses de enero a junio del 2014. Mediante un estudio de tipo descriptivo, correlacional; de diseño no experimental, longitudinal y retrospectivo. Donde se analizaron 152 historias clínicas, obtenidas al azar; de todas la histerectomías. Los resultados obtenidos presentaron, una edad promedio entre 40- 49 años. La causa más frecuente para realizar histerectomía, es el útero miomatoso, en un 70.38%; el abordaje quirúrgico fue realizado por vía abdominal total en 95,39%. Entre las los antecedentes gineco-obstetricos tenemos partos 57.24 Aborto 15.79, cesárea 25.66 %; nuligesta 1.32% de las pacientes estudiadas. Con los datos evaluados se espera mejorar los protocolos y procedimientos quirúrgicos que implican a la histerectomía, para tener una mejor calidad de atención en esta importante Institución de Salud.
Hysterectomy is one of the most common elective gynecological surgeries, 65% are made in the reproductive age group, about 30% in peri-menopausal women and the rest over 65 years. The most common indication through the abdominal approach is the leiomyomatosis,. The aim of this study is to evaluate the total abdominal hysterectomy for uterine fibroids in Obstetric-Gynecologic Hospital Enrique C. Sotomayor, during the months of January to June 2014. Through a study of descriptive, correlational; design not experimental, longitudinal and retrospective. Where 152 medical records, taken at random were analyzed; of all hysterectomies. The results showed a mean age of 46.5 years. The most common reason for hysterectomy is the fibroid uterus, in 70.38%; the surgical approach was made through the abdomen into a 84.46%. Among the antecedents gynecological and obstetric we births: 2.91%; 0.24 abortion, Caesarean 2.48%; nuligesta 1.69% of the patients studied. With the evaluated data is expected to improve the protocols and procedures involving surgical hysterectomy, for better quality of care in this important institution Health. Keywords: Hysterectomy, Abdominal Hysterectomy, Fibroids.
Hysterectomy is one of the most common elective gynecological surgeries, 65% are made in the reproductive age group, about 30% in peri-menopausal women and the rest over 65 years. The most common indication through the abdominal approach is the leiomyomatosis,. The aim of this study is to evaluate the total abdominal hysterectomy for uterine fibroids in Obstetric-Gynecologic Hospital Enrique C. Sotomayor, during the months of January to June 2014. Through a study of descriptive, correlational; design not experimental, longitudinal and retrospective. Where 152 medical records, taken at random were analyzed; of all hysterectomies. The results showed a mean age of 46.5 years. The most common reason for hysterectomy is the fibroid uterus, in 70.38%; the surgical approach was made through the abdomen into a 84.46%. Among the antecedents gynecological and obstetric we births: 2.91%; 0.24 abortion, Caesarean 2.48%; nuligesta 1.69% of the patients studied. With the evaluated data is expected to improve the protocols and procedures involving surgical hysterectomy, for better quality of care in this important institution Health. Keywords: Hysterectomy, Abdominal Hysterectomy, Fibroids.
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Histerectomia abdominal, Mioma, Hospital Gineco-Obstétrico Enrique C. Sotomayor, Cantón Guayaquil, Ecuador, Utero