Masas anexiales en ginecología, complicaciones, estudio laparoscópico en mujeres de 20 a 50 años en la Unidad de Ginecología del Hospital Dr. Teodoro Maldonado Carbo en el período de enero del 2014 a diciembre del 2015
Fecha
2016
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
Actualmente la presencia de masas anexiales ginecológicas son frecuentes al igual que sus complicaciones cuando son tratadas tardíamente o simplemente ignoradas. La cirugía laparoscópica es un recurso terapéutico y de diagnóstico ampliamente utilizado a nivel mundial y que cuenta para este propósito con sofisticados y modernos equipos. A pesar de lo expuesto, procedimientos como la laparotomía que es un método tradicional de abordaje quirúrgico sigue siendo un importante recurso para el diagnóstico y tratamiento de procesos abdominopelvicos.
Para el conocimiento del método quirúrgico utilizado en el servicio de ginecología del Hospital del IESS “Dr. Teodoro Maldonado Carbo” en el tratamiento de pacientes diagnosticadas con tumor anexial benigno se realiza el presente estudio de tipo observacional transversal. Para el efecto se seleccionaron de forma aleatoria 70 pacientes atendidas en este servicio con diagnóstico de tumor de ovario (D27 según la CIE 10) y que fueron programadas para cirugía durante el periodo comprendido entre enero de 2014 a diciembre del 2015.
Se pudo observar que del total de las pacientes, el 34% son atendidas por las complicaciones producidas por las masas anexiales, mientras que el 66% acuden por sintomatología propia de la patología. En el 59% de las pacientes se realizó laparotomía exploradora y en el 41% laparoscopia. En los estudios anatomopatologicos de las piezas quirúrgicas obtenidas el 89% correspondieron a procesos benignos y apenas el 11% a cáncer de ovario. En todas se utilizaron previamente recursos diagnósticos adicionales de imágenes y laboratorio.
Finalmente se concluyó que laparotomía como laparoscopia se utilizaron como métodos quirúrgicos importantes.
Currently the presence of adnexal masses are frequent gynecologic like complications when treated late or simply ignored. Laparoscopic surgery is a therapeutic and diagnostic widely used worldwide and has for this purpose with sophisticated and modern equipment. Despite the above, procedures such as laparotomy is a traditional method of surgical approach remains an important resource for the diagnostic and treatment of abdominopelvic processes. To the knowledge of the surgical method used in the service of Hospital del IESS Gynecology "Dr. Teodoro Maldonado Carbo "in the treatment of patients diagnosed with benign adnexal tumor is performed this observational, cross sectional study. For this purpose we selected at random 70 patients treated in this service with a diagnosis of ovarian tumor (D27 according to ICD 10) and who were scheduled for surgery during the period from January 2014 to December 2015. It was observed that the total patients, 34% are served by the complications of adnexal masses, while 66 % go on their own symptoms of the disease. In 59% of patients underwent exploratory laparotomy and laparoscopy in 41%. In pathological studies of surgical specimens obtained 89 % were benign and only 11% for ovarian cancer. All resources previously used additional diagnostic imaging and laboratory. Finally it was concluded that laparotomy and laparoscopic surgical methods were used as important and gynecologist adopted and adapted to each particular case.
Currently the presence of adnexal masses are frequent gynecologic like complications when treated late or simply ignored. Laparoscopic surgery is a therapeutic and diagnostic widely used worldwide and has for this purpose with sophisticated and modern equipment. Despite the above, procedures such as laparotomy is a traditional method of surgical approach remains an important resource for the diagnostic and treatment of abdominopelvic processes. To the knowledge of the surgical method used in the service of Hospital del IESS Gynecology "Dr. Teodoro Maldonado Carbo "in the treatment of patients diagnosed with benign adnexal tumor is performed this observational, cross sectional study. For this purpose we selected at random 70 patients treated in this service with a diagnosis of ovarian tumor (D27 according to ICD 10) and who were scheduled for surgery during the period from January 2014 to December 2015. It was observed that the total patients, 34% are served by the complications of adnexal masses, while 66 % go on their own symptoms of the disease. In 59% of patients underwent exploratory laparotomy and laparoscopy in 41%. In pathological studies of surgical specimens obtained 89 % were benign and only 11% for ovarian cancer. All resources previously used additional diagnostic imaging and laboratory. Finally it was concluded that laparotomy and laparoscopic surgical methods were used as important and gynecologist adopted and adapted to each particular case.
Descripción
Palabras clave
Anexos uterinos, Complicaciones, Laparoscopía, Laparotomía, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador