Prevalencia de las complicaciones en histeroscopía en el Departamento de Laparoscopía Hospital Enrique C. Sotomayor 2004-2008
Cargando...
Fecha
2011
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
La histeroscopia es cada vez más utilizada entre médicos ginecólogos. Sin embargo pese a la profesionalización de sus operadores y del desarrollo de la tecnología, este procedimiento no está exento de riesgos. Para minimizar la posibilidad de estos eventos adversos y corregirlos, es preciso la identificación de las principales complicaciones atribuibles a la ejecución de esta tecnología. El hospital Gineco-Obstétrico “Enrique C. Sotomayor” lleva realizando por aproximadamente 16 años esta intervención, sin embargo no cuenta con una caracterización de las complicaciones secundaria a histeroscopia. Con el objetivo de conocerlas se realizó un estudio de tipo observacional descriptivo, de diseño no experimental longitudinal retrospectivo en el que se incluyeron 954 pacientes en quienes se realizó histeroscopia entre el periodo del 2004 al 2008. Para el reporte de la información se utilizaron porcentajes, frecuencias simples, promedio y desviación estándar. Los resultados mostraron que la prevalencia de complicaciones atribuibles a histeroscopia en el hospital Gineco-obstétrico “Enrique C. Sotomayor” es del 0.4%. La complicación de mayor frecuencia es la hematómetra (50%). Los pacientes que desarrollan complicaciones posterior a la realización de histeroscopia tienen una edad de aproximadamente 39.4 ± 5.8 años. En el 100% de los casos tienen entre 0 a 3 partos. No tienen antecedentes de intervención quirúrgica uterina en el 100% de los casos. Las complicaciones se presentan cuando se realiza generalmente resección histeroscopia de miomas submucosos asociados a endometritis (50%). Se concluye que la tasa de complicaciones es muy baja pese a lo cual deberán desarrollarse protocolos de intervención para las complicaciones más frecuentes.
Hysteroscopy is increasingly used among gynecologists. However, despite the professionalism of its operators and the development of technology, this procedure is not without risk. To minimize the possibility of these adverse events and correct, it is necessary to identify the major complications related to the implementation of this technology. Gynecology and Obstetrics Hospital "Enrique C. Sotomayor is an institution that has been doing for 16 years about this intervention, however does not have a characterization of secondary complications hysteroscopy. In order to determine the prevalence of complications in hysteroscopy laparoscopy Department of this hospital was an observational study descriptive, nonexperimental longitudinal retrospective that included 954 patients who underwent hysteroscopy between the period 2004 to 2008. For reporting information is used percentages, frequency distributions, mean and standard deviation. The results showed that the prevalence of complications related to hysteroscopy in the OB-obstetrical hospital "Enrique C. Sotomayor is 0.4%. The most frequent complication is the hematometra (50%). Patients who develop complications after performing hysteroscopy have an age of approximately 39.4 ± 5.8 years. In 100% of the cases are between 0 and 3 births. No history of uterine surgery in 100% of cases. Complications arise when hysteroscopy is usually performed resection of submucous myomas associated with endometritis (50%). We conclude that the complication rate is very low despite which intervention protocols should be developed for the most common complications.
Hysteroscopy is increasingly used among gynecologists. However, despite the professionalism of its operators and the development of technology, this procedure is not without risk. To minimize the possibility of these adverse events and correct, it is necessary to identify the major complications related to the implementation of this technology. Gynecology and Obstetrics Hospital "Enrique C. Sotomayor is an institution that has been doing for 16 years about this intervention, however does not have a characterization of secondary complications hysteroscopy. In order to determine the prevalence of complications in hysteroscopy laparoscopy Department of this hospital was an observational study descriptive, nonexperimental longitudinal retrospective that included 954 patients who underwent hysteroscopy between the period 2004 to 2008. For reporting information is used percentages, frequency distributions, mean and standard deviation. The results showed that the prevalence of complications related to hysteroscopy in the OB-obstetrical hospital "Enrique C. Sotomayor is 0.4%. The most frequent complication is the hematometra (50%). Patients who develop complications after performing hysteroscopy have an age of approximately 39.4 ± 5.8 years. In 100% of the cases are between 0 and 3 births. No history of uterine surgery in 100% of cases. Complications arise when hysteroscopy is usually performed resection of submucous myomas associated with endometritis (50%). We conclude that the complication rate is very low despite which intervention protocols should be developed for the most common complications.
Descripción
Palabras clave
Histeroscopía, Epidemiología descriptiva, Hospital Gineco-Obstétrico Enrique C. Sotomayor, Cantón Guayaquil, Ecuador, Complicaciones