CAUSAS Y TIPOS DE HISTERECTOMÍA REALIZADA EN PACIENTES ATENDIDAS EN EL SERVICIO DE GINECOLOGÍA DEL HOSPITAL DEL IESS DE PORTOVIEJO EN EL PERÍODO ENERO 2002 - AGOSTO 2005

Abstract

The hysterectomy is the surgical retirement of the uterus. It constitutes the second cause of more surgery inside the gineco-obstetrics, being at the present time the intervention of more importance and complexity that more he/she is carried out in the hospitals governed by the Ministry of Public Health. The hysterectomies represent at level world very high figures, in studies published in France and England in the year 2002, they indicate that he/she enters 1994 and 1995 there were 37.000 cases of hysterectomies, of which 67% corresponds to abdominal hysterectomy, 30 vaginal% and 3% laparoscopic. The present study is of Descriptive-retrospective type, it analyzes the patients that were subjected for diverse causes to a hysterectomy in the hospital of the Ecuadorian Institute of Social Security (IESS) of Portoviejo during the period January of the 2002 to August of the 2005, and it also seeks to determine which is the incidence, characteristic important as age, parity and origin, and which are the surgical but appropriate procedures according to the cause. When concluding the present study it was observed that most of the patients had an age understood between 40 and 49 years, they were multíparas, of superior escolaridad and coming from urban areas. The diagnostic preoperatory and histopatológico that it prevailed were the uterine myomatosis. The complications trans and postoperative they were presented in a minimum percentage of the studied cases. As discoveries they were the poliposis endometrial and the cervical metaplasia. Before the problem outlined in this investigation a periodic gynecological evaluation of the patients it should be taken in fertile age and with factors of risk, in order to avoid the hysterectomy on time.