Factores de riesgo de la histerectomía obstétrica y sus complicaciones en las mujeres atendidas en la Maternidad Mariana de Jesús
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2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Obstetricia
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El procedimiento de histerectomía obstétrico se lo ha definido como el proceso de extirpación del útero, ya sea después del parto, aborto o en el puerperio. El Objetivo general de la investigación es Identificar la incidencia de los factores de riesgo para la histerectomía obstétrica y las complicaciones desarrolladas para las pacientes atendidas en la Maternidad Mariana de Jesús. Objetivos específicos: Identificar la técnica quirúrgica mayormente implementada en la histerectomía en las pacientes de la Maternidad Mariana de Jesús; Determinar las complicaciones observadas en la histerectomía obstétrica realizada en la Maternidad Mariana de Jesús; Identificar el número de partos y cesárea que terminaron en histerectomía en la Maternidad Mariana de Jesús; Determinar el grupo etario para las mujeres con histerectomía obstétrica en la Maternidad Mariana de Jesús. Al desarrollar la investigación se pudo observar que una de cada cinco pacientes es atendida con estado de producción de un infante y con el desenlace de histerectomía, siendo este un valor cercano al 20% de las pacientes atendidas para el desarrollo del proceso de histerectomía; los pacientes de acuerdo a la edad son el 59% de la totalidad enmarcados desde los 31 años hasta los 50 años de edad. La técnica más utilizada es la histerectomía abdominal, con un total de 34 pacientes atendidos que resulta en una tasa del 54%; sin embargo, se identifica también que todas las pacientes tuvieron complicaciones asociadas a la histerectomía, ocupando el primer lugar la hemorragia con un 30% de las pacientes, las lesiones de colon y vesiculares obtuvieron una tasa del 40%, en menor grado, pero también importante se observan lesiones intestinales y uretrales con 18 pacientes afectadas.
The obstetric hysterectomy procedure has been defined as the process of removal of the uterus, either after delivery, abortion or in the puerperium. The general objective of the research is to identify the incidence of risk factors for obstetric hysterectomy and the complications developed for patients attended in the Mariana de Jesús Maternity Hospital. Specific objectives: To identify the surgical technique mostly implemented in hysterectomy in the patients of the Mariana de Jesús Maternity; To determine the complications observed in the obstetric hysterectomy performed in the Mariana de Jesús Maternity; Identify the number of deliveries and cesarean sections that ended in hysterectomy in the Mariana de Jesús Maternity; Determine the age group for women with obstetric hysterectomy in the Mariana de Jesús Maternity. When developing the research it was observed that one out of every five patients is attended with an infant's production status and with the outcome of hysterectomy, this being a value close to 20% of the patients attended for the development of the hysterectomy process; Patients according to age are 59% of the total framed from 31 years to 50 years of age. The most used technique is abdominal hysterectomy, with a total of 34 patients attended resulting in a rate of 54%; however, it is also identified that all the patients had complications associated with hysterectomy, with bleeding in the first place with 30% of the patients, colonic and vesicular lesions obtaining a rate of 40%, to a lesser degree, but also important intestinal and urethral injuries are observed with 18 affected patients.
The obstetric hysterectomy procedure has been defined as the process of removal of the uterus, either after delivery, abortion or in the puerperium. The general objective of the research is to identify the incidence of risk factors for obstetric hysterectomy and the complications developed for patients attended in the Mariana de Jesús Maternity Hospital. Specific objectives: To identify the surgical technique mostly implemented in hysterectomy in the patients of the Mariana de Jesús Maternity; To determine the complications observed in the obstetric hysterectomy performed in the Mariana de Jesús Maternity; Identify the number of deliveries and cesarean sections that ended in hysterectomy in the Mariana de Jesús Maternity; Determine the age group for women with obstetric hysterectomy in the Mariana de Jesús Maternity. When developing the research it was observed that one out of every five patients is attended with an infant's production status and with the outcome of hysterectomy, this being a value close to 20% of the patients attended for the development of the hysterectomy process; Patients according to age are 59% of the total framed from 31 years to 50 years of age. The most used technique is abdominal hysterectomy, with a total of 34 patients attended resulting in a rate of 54%; however, it is also identified that all the patients had complications associated with hysterectomy, with bleeding in the first place with 30% of the patients, colonic and vesicular lesions obtaining a rate of 40%, to a lesser degree, but also important intestinal and urethral injuries are observed with 18 affected patients.
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Histerectomía, Hospital Especializado Mariana de Jesús, Cantón Guayaquil, Ecuador