Beneficios y complicaciones post-histerectomía abdominal y vaginal por sangrado uterino anormal en post-menopausicas,según factores de riesgo
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2021
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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El sangrado uterino anormal tiene una incidencia es del 11 % en mujeres posmenopaúsicas. La histerectomía vaginal es una alternativa quirúrgica válida con tasas de recuperación óptimas, menor uso de analgésicos y estancia hospitalaria. Es por tal motivo se desarrolló el presente estudio con el fin de: Determinar los beneficios y complicaciones poshisterectomía vaginal y abdominal en mujeres posmenopáusicas con sangrado uterino anormal, atendidas en el Hospital Alfredo G. Paulson de la ciudad de Guayaquil, en el período de estudio: enero 2019 a octubre del 2020. Por el tipo se desarrolló una investigación: Analítico - Correlacional, Observacional, Retrospectivo, No experimental, De corte transversal. Para la tabulación y análisis de información se usó programas tipo: SPSS y Microsoft Excel 2016. Mediante prueba de Chi cuadrado se demostró la existencia de correlación estadística con un p valor < 0.05 para ambas series. Entre los factores de riesgo para SUA estuvieron: Menopáusia tardía (32 %), Menárquia temprana (24 %), Nuliparidad (10 %), Obesidad (8 %), Tabaquismo (2 %), Las complicaciones observadas en ambas técnicas fue lesión vesical. Para técnica abodminal se observó lesión intestinal, Infección del sitio quirúrgico, retención urinaria, prolapso de cúpula vaginal, fístula vesico vaginal todas con un 2.33 % respectivamente. Los beneficios quriúrgicos obtuvieron una significación asintótica del (0.000) para Histerectomía Vaginal y de (0.019) para Histerectomía Abdominal, mientras que para complicaciones fue del (0.000) para Histerectomía Vaginal y de (0.027) para Histerectomía Abdominal ambas con IC del 95 % e IR del 5 %.
Abnormal uterine bleeding has an incidence is 11% in postmenopausal women. Vaginal hysterectomy is a valid surgical alternative with optimal recovery rates, less use of analgesics, and hospital stay. For this reason, the present study was developed in order to: Determine the benefits and complications after vaginal and abdominal hysterectomy in postmenopausal women with abnormal uterine bleeding, treated at the Alfredo G Paulson Hospital in the city of Guayaquil, in the study period: January 2019 to September 2020. An investigation was developed by type: Analytical - Correlative, retrospective, non-experimental, cross-sectional. For the tabulation and analysis of information, type programs were used: SPSS and Microsoft Excel 2016. The Chi-square test showed the existence of statistical correlation with a p value <0.05 for both series. Among the risk factors for SUA were: late menopause (32%), early menarche (24%), nulliparity (10%), obesity (8%), smoking (2%), complications observed in both techniques were bladder injury . For the abdominal technique, intestinal injury, surgical site infection, urinary retention, vaginal vault prolapse, and vesico-vaginal fistula were observed, all with 2.33% respectively. Surgical benefits obtained an asymptotic significance of (0.000) for Vaginal Hysterectomy and (0.019) for Abdominal Hysterectomy, while for complications it was (0.000) for Vaginal Hysterectomy and (0.027) for Abdominal Hysterectomy, both with 95% CI and IR of 5%.
Abnormal uterine bleeding has an incidence is 11% in postmenopausal women. Vaginal hysterectomy is a valid surgical alternative with optimal recovery rates, less use of analgesics, and hospital stay. For this reason, the present study was developed in order to: Determine the benefits and complications after vaginal and abdominal hysterectomy in postmenopausal women with abnormal uterine bleeding, treated at the Alfredo G Paulson Hospital in the city of Guayaquil, in the study period: January 2019 to September 2020. An investigation was developed by type: Analytical - Correlative, retrospective, non-experimental, cross-sectional. For the tabulation and analysis of information, type programs were used: SPSS and Microsoft Excel 2016. The Chi-square test showed the existence of statistical correlation with a p value <0.05 for both series. Among the risk factors for SUA were: late menopause (32%), early menarche (24%), nulliparity (10%), obesity (8%), smoking (2%), complications observed in both techniques were bladder injury . For the abdominal technique, intestinal injury, surgical site infection, urinary retention, vaginal vault prolapse, and vesico-vaginal fistula were observed, all with 2.33% respectively. Surgical benefits obtained an asymptotic significance of (0.000) for Vaginal Hysterectomy and (0.019) for Abdominal Hysterectomy, while for complications it was (0.000) for Vaginal Hysterectomy and (0.027) for Abdominal Hysterectomy, both with 95% CI and IR of 5%.
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Hemorragía uterina, Factores de riesgo, Histerectomía, Hospital de la Mujer Alfredo G. Paulson, Cantón Guayaquil, Ecuador