Evaluación clínico - quirúrgico de histerectomía vaginal. Hospital Gineco-Obstétrico Enrique C. Sotomayor 2008-2010
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2012
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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La histerectomía es una de las cirugías más frecuentes dentro de la ginecología, a pesar de que hace 10 años, el 80% de este tipo de cirugías se realizaban aún por laparotomía, este porcentaje ha descendido a menos del 50%, e incluso a menos del 10% en algunos servicios, principalmente bajo el impulso de Daniel Dargent, por lo que posee importantes implicaciones en el ámbito médico y económico. Tradicionalmente la resección uterina se ha realizado por abordaje abdominal o vaginal. Cuando no existen contraindicaciones es recomendable hacerlo por este último, debido fundamentalmente a su menor morbilidad, corto período de convalecencia, así como a la disminución de la estadía hospitalaria. En este contexto se realizó un estudio tipo descriptivo y correlacional, de diseño no experimental, longitudinal, retrospectivo, en la Sala Santa Cecilia del Hospital Gineco -Obstétrico “Enrique C Sotomayor”. En el universo de estudio constan las pacientes que se sometieron a esta intervención quirúrgica. La muestra incluyó pacientes con Histerectomía Vaginal entre los años 2008 a 2010. Las que sumaron 766 y un 26% correspondió a la exceresis del útero por vía vaginal. La edad de las pacientes intervenidas 58 años y procedentes de área urbano-marginal. La histerectomía vaginal más colpoperineorrafia anterior y posterior se realizo en un 92% por prolapso vaginal. Las complicaciones inmediatas fueron nauseas y vómitos (80%) y las tardías absceso de cúpula vaginal (11%). La Ampicilina/Sulbactam y Ceftriaxona los antibióticos prescritos profilácticamente. Un (98%) de las pacientes recibieron alta médica en satisfactorias condiciones clínicas.
Hysterectomy is one of the most common surgeries in gynecology, although 10 years ago, 80% of these surgeries are still performed by laparotomy, this percentage has dropped to less than 50%, and even less 10% in some services, mainly at the instigation of Daniel Dargent, so it has important implications in the medical and economic. Traditionally uterine resection was performed by abdominal or vaginal approach. When there are no contraindications is advisable to do the latter, mainly due to its lower morbidity, shorter convalescence and to decreased hospital stay. In this context, a study descriptive and correlational, nonexperimental design, longitudinal, retrospective, at the Sala Santa Cecilia Hospital of Gynecology and Obstetrics "Enrique C. Sotomayor". In the universe of study consists of patients who underwent this surgery. The shows were Vaginal hysterectomy patients between 2008 and 2010. The results of the study conducted at Hospital OB - Obstetrician Enrique C. Sotomayor were: the average age of the patients evaluated was 58.4 years; 766 hysterectomies were performed within 36 months of study and 26% corresponded to the removal of the uterus through the vagina, the antibiotics that were used are ampicillin / sulbactam and ceftriaxone, as the most used, the immediate complications such as nausea and vomiting, occurred in 23 cases, 80% bone
Hysterectomy is one of the most common surgeries in gynecology, although 10 years ago, 80% of these surgeries are still performed by laparotomy, this percentage has dropped to less than 50%, and even less 10% in some services, mainly at the instigation of Daniel Dargent, so it has important implications in the medical and economic. Traditionally uterine resection was performed by abdominal or vaginal approach. When there are no contraindications is advisable to do the latter, mainly due to its lower morbidity, shorter convalescence and to decreased hospital stay. In this context, a study descriptive and correlational, nonexperimental design, longitudinal, retrospective, at the Sala Santa Cecilia Hospital of Gynecology and Obstetrics "Enrique C. Sotomayor". In the universe of study consists of patients who underwent this surgery. The shows were Vaginal hysterectomy patients between 2008 and 2010. The results of the study conducted at Hospital OB - Obstetrician Enrique C. Sotomayor were: the average age of the patients evaluated was 58.4 years; 766 hysterectomies were performed within 36 months of study and 26% corresponded to the removal of the uterus through the vagina, the antibiotics that were used are ampicillin / sulbactam and ceftriaxone, as the most used, the immediate complications such as nausea and vomiting, occurred in 23 cases, 80% bone
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Histerectomía vaginal, Evalución clínica, Evaluación quirúrgica, Epidemiología descriptiva, Estudios retrospectivos, Hospital Gineco-Obstétrico Enrique C. Sotomayor, Cantón Guayaquil, Ecuador