Histerectomía, complicaciones y factores de riesgo en mujeres multíparas de 30 a 50 años en el Hospital León Becerra de Milagro en el período 2014-2015
Fecha
2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Medicina
Resumen
La histerectomía es el procedimiento quirúrgico que consiste en la extirpación del útero
que según la condición puede ser parcial o total, cuyo objetivo principal es el de
preservar la vida, teniendo en consideración las condiciones hemodinámicas de la
paciente.
Por medio de la investigación realizada se puede llegar a la conclusión de que Las vías
de abordaje son: abdominal, vaginal y asistida por vía laparoscópica, las cuales se
realizaran de acuerdo a las manifestaciones clínicas subjetivas por la paciente.
Según el estudio demostrado las complicaciones mas frecuentes en las histerectomías de
mujeres multíparas entre los 30 a 50 años son las infecciones con un porcentaje de 48%
seguidas de las hemorragias con un 32% y por ultimo las lesiones de órganos
adyacentes con un 20%.
Con el estudio realizado se pudo comprobar que entre los factores de riesgo que se
presentan mas son la adherencia con 40% el prolapso vaginal con un 30% la
hemorragia uterina con 20% y el fibroma uterina con un 10%.
Según la investigación demostrada el abordaje mas utilizado es el transvaginal con un
porcentaje del 50% seguida de la abdominal con un porcentaje del 30% para finalizar
con la laparascopica con un 20%.
Hysterectomy is the surgical procedure that involves removal of the uterus that as the condition may be partial or total , whose main objective is to preserve life, taking into account the hemodynamic conditions of the patient. Through research we can conclude that pathways approach are : abdominal , vaginal and laparoscopic assisted , which were carried out according to the subjective clinical manifestations by the patient. According to the study demonstrated the most frequent complications in hysterectomies multiparous women aged 30 to 50 years are infections with a percentage of 48 % followed by bleeding with 32% and finally lesions adjacent organs with 20%. In the study it was found that among the risk factors are presented more with 40 % adherence vaginal prolapse with 30% uterine bleeding with 20 % and uterine fibroid 10%. According to research demonstrated the approach most commonly used is the transvaginal with a percentage of 50 % followed by abdominal with a percentage of 30 % to end the laparoscopic with 20%
Hysterectomy is the surgical procedure that involves removal of the uterus that as the condition may be partial or total , whose main objective is to preserve life, taking into account the hemodynamic conditions of the patient. Through research we can conclude that pathways approach are : abdominal , vaginal and laparoscopic assisted , which were carried out according to the subjective clinical manifestations by the patient. According to the study demonstrated the most frequent complications in hysterectomies multiparous women aged 30 to 50 years are infections with a percentage of 48 % followed by bleeding with 32% and finally lesions adjacent organs with 20%. In the study it was found that among the risk factors are presented more with 40 % adherence vaginal prolapse with 30% uterine bleeding with 20 % and uterine fibroid 10%. According to research demonstrated the approach most commonly used is the transvaginal with a percentage of 50 % followed by abdominal with a percentage of 30 % to end the laparoscopic with 20%
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Histerectomía, Factores de riesgo, Hospital General Dr. León Becerra Camacho, Cantón Milagro, Ecuador, Paridad, Epidemiología descriptiva, Adulto