Prolapso de cúpula vaginal, posterior a histerectomía vaginal, Hospital Nacional de Especialidades Guayaquil Dr. Abel Gilbert Pontón 2008 - 2010
Fecha
2013
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
El prolapso genital, asociado con molestias y limitación de la actividad normal, es el resultado de múltiples defectos de soporte estructural. La protrusión parece producirse como consecuencia de la ruptura o de la atenuación de las estructuras conectivas endopélvicas junto con la debilidad inherente de los tejidos. También se asocian con el prolapso genital los traumas obstétricos, partos prolongados, incrementos de la presión abdominal. Después de una histerectomía la porción superior de la vagina puede caerse o desplazarse hacia abajo como la punta de una media que sale de dentro afuera cayendo en la vagina o saliendo a través de la vulva. El objetivo principal es conocer la incidencia del prolapso de la cúpula vaginal posterior a histerectomía vaginal en el Hospital Nacional de Especialidades Guayaquil ¨Dr. Abel Gilbert Pontón¨.Se realizo un estudio de tipo descriptivo y correlacional, de diseño no experimental y retrospectivo mediante la revisión de historias clínicas desde Enero 2008 a Diciembre 2010.Encontrándose 99 casos las cuales se sometieron a la cirugía correctora de prolapso de cúpula vaginal siendo las edades de40-49 años con 3 %, 50-59 con 4%, 60-69 con 45 %, 70-79 con 40 %, 80-89 con 8 %.Con relación a la paridad se pudo observar en las gran multíparas 45 casos con el 31 %. En cuanto a las complicaciones quirúrgicas intraoperatorias hemorragia 81 casos con el 50 %. postoperatorias12 casos con el 20 %.La corrección de la cúpula vaginal no es una causa de mortalidad pero si afecta la calidad de vida, suele estar acompañado de enterocele y en ocasiones de cistocele o rectocele. Siempre que nos enfrentemos a una paciente con prolapso de cúpula vaginal debemos buscar métodos que mejoren la calidad de vida y menor riesgo quirúrgico.
The genital prolapse, associated with nuisances and limitation of the normal activity, is the result of multiple defects of structural support. The protrusion seems to take place as consequence of the rupture or of the attenuation of the structures conectivas endopélvicas together with the inherent weakness of the fabrics. They also associate with the genital prolapse the obstetric traumas, lingering childbirths, increments of the abdominal pressure. After a hysterectomy the superior portion of the vagina can fall or to move down as the tip of a stocking that comes out of inside of out falling in the vagina or leaving through the vulva. The main objective is to know the incidence of the prolapse from the later vaginal dome to vaginal hysterectomy in the National Hospital of Specialties Guayaquil ¨Dr. Abel Gilbert Pontón¨. One carries out a study of descriptive type and correlacional, of design not experimental and retrospective by means of the revision of clinical histories from January 2008 to December 2010. Meeting 99 cases which underwent the surgery proofreader of prolapse of vaginal dome being the 40-49 year-old ages with 3%, 50-59 with 4%, 60-69 with 45%, 70-79 with 40%, 8089 with 8%. With relationship to the parity one could observe in the great multíparas 45 cases with 31%. as for the complications surgical intraoperatorias it hemorrhages 81 cases with 50%. postoperative 12 cases with 20%. The correction of the vaginal dome is not a cause of mortality but if it affects the quality of life, it is usually accompanied by enterocele and in cistocele occasions or rectocele. Whenever we face a patient with prolapse of vaginal dome we should look for methods that improve the quality of life and smaller surgical risk.
The genital prolapse, associated with nuisances and limitation of the normal activity, is the result of multiple defects of structural support. The protrusion seems to take place as consequence of the rupture or of the attenuation of the structures conectivas endopélvicas together with the inherent weakness of the fabrics. They also associate with the genital prolapse the obstetric traumas, lingering childbirths, increments of the abdominal pressure. After a hysterectomy the superior portion of the vagina can fall or to move down as the tip of a stocking that comes out of inside of out falling in the vagina or leaving through the vulva. The main objective is to know the incidence of the prolapse from the later vaginal dome to vaginal hysterectomy in the National Hospital of Specialties Guayaquil ¨Dr. Abel Gilbert Pontón¨. One carries out a study of descriptive type and correlacional, of design not experimental and retrospective by means of the revision of clinical histories from January 2008 to December 2010. Meeting 99 cases which underwent the surgery proofreader of prolapse of vaginal dome being the 40-49 year-old ages with 3%, 50-59 with 4%, 60-69 with 45%, 70-79 with 40%, 8089 with 8%. With relationship to the parity one could observe in the great multíparas 45 cases with 31%. as for the complications surgical intraoperatorias it hemorrhages 81 cases with 50%. postoperative 12 cases with 20%. The correction of the vaginal dome is not a cause of mortality but if it affects the quality of life, it is usually accompanied by enterocele and in cistocele occasions or rectocele. Whenever we face a patient with prolapse of vaginal dome we should look for methods that improve the quality of life and smaller surgical risk.
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Cúpula genital, Prolapso uterino, Histerectomía vaginal, Epidemiología descriptiva, Estudios retrospectivos, Hospital de Especialidades Guayaquil Dr. Abel Gilbert Pontón, Cantón Guayaquil, Ecuador, Cistocele