Prevalencia de complicaciones y factores predisponentes en cirugía ginecológica por patología benigna en el hospital universitario San Ignacio: Bogotá, Colombia

Abstract

Surgical procedures involve risks and complications, a prompt diagnosis and appropriate management could modify patient's prognosis. Objective: To determine the prevalence of complications in gynecological surgery at Hospital San Ignacio and the associated factors. Methods: Cross-sectional study of 200 patients aged between 18-74 years who required gynecological surgery (open or laparoscopic approach) in Hospital San Ignacio from January to December 2013. A binomial logistic regression was performed to evaluate intraoperative and postoperative complications with the independent variables and a multivariate model was used to establish the related factors. Results: The most frequent procedure was abdominal hysterectomy (46[%]), the most common approach was abdominal in 65[%] of cases. Prevalence of surgical complications was 12.5[%], 7.5[%] remained serious and 6[%] non-serious. Of the surgical complications that resulted, we found 1[%] had bladder injuries, 1[%] had bowel injuries, 4[%] required blood transfusions. The multivariate model showed a relationship with diabetes mellitus, anticoagulation, uterine fibroids, severe adherence syndrome and emergency surgical procedures. Conclusions: The incidence of complications in our institution is similar to other studies. Factors related to its occurrence were identified, however its necessary to conduct further studies and research in order to develop prevention strategies.