Abstract

MARQUEZ HERNANDEZ, Joaquín; BARRABI DIAZ, Alejandro; ARMAS PEREZ, Bárbaro Agustín  and  RUBINOS DE LA ROSA, Jorge. Abdominal hysterectomy in a general surgery service. MEDISAN [online]. 2014, vol.18, n.2, pp. 172-180. ISSN 1029-3019.

Introduction: abdominal hysterectomy is a surgical procedure of frequent practice, which main indication is the uterine fibroma. It consists potentially in a polluted operation, where technical principles should be fulfilled to avoid complications, mainly septic ones. Objective: to describe the results obtained with the practice of the abdominal hysterectomy in the General Surgery Service of "Amalia Simoni" University Hospital in Camagüey. Methods: a descriptive, longitudinal and retrospective study was carried out in 91 female patients who had abdominal hysterectomy in the mentioned hospital, from January, 2008 to December, 2010, who fulfilled the established inclusion and exclusion criteria. The medical records were the source for the primary data. Results: it was obtained that the uterine fibroma turned out to be the most frequent cause to carry out the surgical procedure, there were neither peroperative complications, reinterventions nor mortality and the average posoperative stay was short. Conclusions: the clinical method was of great value to diagnose the uterine fibroma; likewise, the hematoma of the surgical wound was the most common postoperative complication and the histopathological diagnosis of uterine fibroleiomioma prevailed in correspondence to the preoperative diagnosis.

Keywords : uterine fibroma; clinical method; abdominal hysterectomy; secondary health care.

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