Efectividad de la colpoplastia anterior en prolapso genital, según paridad I.M.C.
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2019
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
Antecedentes: El prolapso de órganos pélvicos (POP) anteriores, es una patología
que genera alta demanda de atención en el hospital de Teodoro Maldonado Carbo”
de Guayaquil-Ecuador. Como parte del manejo se ofrece a la paciente colpoplastia
anterior, sin embargo, esta tiene una alta tasa de fracasos y necesidad de
reoperación. Se ha indicado que la paridad y el índice de masa corporal también
serían factores de riesgo para estos resultados, pero los estudios son poco claros.
Metodología: Con el objetivo de determinar influencia de la Paridad y el índice de
masa corporal en la efectividad de la colpoplastia anterior en prolapso genital, se
realizó un estudio caso control en el que se estudiaron 55 casos de pacientes con
cirugía exitosa y 45 con cirugía que fracasó atendidos entre el 1 de diciembre de
2013 al 30 de noviembre de 2018
Resultados: Existió una distribución similar del IMC tanto entre pacientes en los
cuales la cirugía resultó exitosa como entre las pacientes en los cuales la cirugía no
cumplió los objetivos (P > 0,05). Entre los pacientes con fracaso de la cirugía existió
un mayor número de pacientes multíparas mientras que entre los pacientes en los
cuales la cirugía resultó exitosa la paridad fue menor (3 ± 2 vs 6± 2; P < 0.001)
Conclusiones: Una menor paridad determina una mayor posibilidad de éxito en la
colpoplastia anterior por prolapso genital, mientras que el índice de masa corporal
no influye en el resultado quirúrgico
Palabras clave: Prolapso de órganos Pélvicos. Colpoplastia anterior,
Complicaciones. Pronóstico
Background: The prolapse of pelvic organs (POP) is a pathology that generates high demand for care at the Teodoro Maldonado Carbo hospital from Guayaquil- Ecuador. As part of the management, the previous colpoplasty patient is offered, however, it has a high failure rate and need for reoperation. It has been indicated that parity and body mass index would also be risk factors for these results, but studies are unclear. Methodology: In order to determine the influence of Parity and the Body Mass Index on the effectiveness of anterior colpoplasty in genital prolapse, a case-control study was conducted in which 55 cases of patients with successful surgery and 45 with surgery were studied. that failed attended between December 1, 2013 and November 30, 2018 Results: There was a similar distribution of BMI both among patients in whom the surgery was successful and among the patients in whom the surgery did not meet the objectives (P> 0.05). Among the patients with surgery failure there was a greater number of multiparous patients while among the patients in whom the surgery was successful the parity was lower (3 ± 2 vs 6 ± 2; P <0.001) Conclusions: A lower parity determines a greater chance of success in anterior colpoplasty due to genital prolapse, while the body mass index does not influence the surgical outcome
Background: The prolapse of pelvic organs (POP) is a pathology that generates high demand for care at the Teodoro Maldonado Carbo hospital from Guayaquil- Ecuador. As part of the management, the previous colpoplasty patient is offered, however, it has a high failure rate and need for reoperation. It has been indicated that parity and body mass index would also be risk factors for these results, but studies are unclear. Methodology: In order to determine the influence of Parity and the Body Mass Index on the effectiveness of anterior colpoplasty in genital prolapse, a case-control study was conducted in which 55 cases of patients with successful surgery and 45 with surgery were studied. that failed attended between December 1, 2013 and November 30, 2018 Results: There was a similar distribution of BMI both among patients in whom the surgery was successful and among the patients in whom the surgery did not meet the objectives (P> 0.05). Among the patients with surgery failure there was a greater number of multiparous patients while among the patients in whom the surgery was successful the parity was lower (3 ± 2 vs 6 ± 2; P <0.001) Conclusions: A lower parity determines a greater chance of success in anterior colpoplasty due to genital prolapse, while the body mass index does not influence the surgical outcome
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Prolapso uterino, Genitales femeninos, Colpoplastia, Complicaciones, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador, Indice de masa corporal