Resultado obstétrico posterior a recanalización tubárica por laparotomía en el Hospital Gineco-Obstétrico Enrique C. Sotomayor
Fecha
2016
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
La reanastomosis quirúrgica regenera la posibilidad de que se produzca la concepción en mujeres con obstrucción quirúrgica. En el Ecuador, no existen estudios que indiquen la tasa de éxito de éste procedimiento a cielo abierto. Con el objetivo de determinar los resultados obstétricos que se han obtenido en pacientes que fueron sometidas a recanalización tubárica por laparotomía en el hospital Gineco-obstétrico Enrique C. Sotomayor se realizó un estudio observacional descriptivo, no experimental transversal en el que se incluyeron de manera no aleatoria 150 pacientes, que consintieron informadamente su participación, mayores de edad con expediente clínico completo. Se excluyeron pacientes con deseo expreso de no continuar en el estudio y aquellas con cirugía previa de reversión de esterilización tubárica. Para la descripción de las variables cualitativas se emplearán frecuencias absolutas y frecuencias relativas. Para la descripción de las variables cuantitativas se utilizarán promedio y desviación estándar. Los resultados mostraron que las mujeres que generalmente optan por este procedimiento son mujeres con 34 años en promedio (DE 4,81), con un peso de 66 kg (DE 9,7), el 85,3% multigestas, el 100% con antecedentes quirúrgicos, el 96,5% sin antecedentes patológicos, el 89,3% habían sido intervenidas por esterilización quirúrgica, el 66% de manera programada. El 87,3% de las recanalizaciones tubáricas se hacen de manera exclusiva. El 48,7% logra embarazos, pero solamente concluyen en parto el 54,8% de las concepciones exitosas. Los embarazos que concluyeron en parto por lo general se lograron en una media de 20 meses posteriores a la recanalización. El 77% de los casos terminan por cesárea y el 57,5% a término. Se concluye que la recanalización tubárica a cielo abierto es una intervención quirúrgica efectiva.
Surgical anastomosis regenerates the possibility that conception occurs in women with surgical obstruction. In Ecuador, there are no studies that indicate the success rate of this procedure open. In order to determine the obstetrical results were obtained in patients who underwent tubal sterilization by laparotomy in the Enrique C. Sotomayor Hospital an observational descriptive study, no experimental cross in which is included so nonrandom 150 patients who consented their participation informedly, adults with complete clinical record. patients express desire not to continue in the study and those with previous surgery reversal of tubal sterilization were excluded. For the description of qualitative variables absolute frequencies and relative frequencies are used. For the description of quantitative variables mean and standard deviation are used. The results showed that women who generally opt for this procedure are women with 34 years on average (4.81), with a weight of 66 kg (SD 9.7), 85.3% multiparous, with 100% surgical history, 96.5% with no medical history, 89.3% had been taken over by surgical sterilization, 66% scheduled. 87.3% of tubal recanalization are made exclusively. 48.7% achieved pregnancy, childbirth but only conclude in 54.8% of successful concepts. Pregnancies ended in childbirth usually achieved at an average of 20 months after recanalization. 77% of cases end caesarean and 57.5% at term. It is concluded that opencast tubal sterilization is an effective surgical intervention.
Surgical anastomosis regenerates the possibility that conception occurs in women with surgical obstruction. In Ecuador, there are no studies that indicate the success rate of this procedure open. In order to determine the obstetrical results were obtained in patients who underwent tubal sterilization by laparotomy in the Enrique C. Sotomayor Hospital an observational descriptive study, no experimental cross in which is included so nonrandom 150 patients who consented their participation informedly, adults with complete clinical record. patients express desire not to continue in the study and those with previous surgery reversal of tubal sterilization were excluded. For the description of qualitative variables absolute frequencies and relative frequencies are used. For the description of quantitative variables mean and standard deviation are used. The results showed that women who generally opt for this procedure are women with 34 years on average (4.81), with a weight of 66 kg (SD 9.7), 85.3% multiparous, with 100% surgical history, 96.5% with no medical history, 89.3% had been taken over by surgical sterilization, 66% scheduled. 87.3% of tubal recanalization are made exclusively. 48.7% achieved pregnancy, childbirth but only conclude in 54.8% of successful concepts. Pregnancies ended in childbirth usually achieved at an average of 20 months after recanalization. 77% of cases end caesarean and 57.5% at term. It is concluded that opencast tubal sterilization is an effective surgical intervention.
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Obstrucción tubárica, Recanalización tubárica, Laparotomía, Hospital Gineco-Obstétrico Enrique C. Sotomayor, Cantón Guayaquil, Ecuador