<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0138-6557</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina Militar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cub Med Mil]]></abbrev-journal-title>
<issn>0138-6557</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias MédicasEditorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0138-65572020000400015</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Complicaciones en la cirugía ginecológica]]></article-title>
<article-title xml:lang="en"><![CDATA[Complications in gynecological surgery]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Urgellés Carreras]]></surname>
<given-names><![CDATA[Sara Amneris]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Álvarez Fiallo]]></surname>
<given-names><![CDATA[Maritza]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Reyes Guerrero]]></surname>
<given-names><![CDATA[Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Acosta León]]></surname>
<given-names><![CDATA[Odalys]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Militar Central Dr. &#8220;Luis Díaz Soto"  ]]></institution>
<addr-line><![CDATA[La Habana ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>49</volume>
<numero>4</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0138-65572020000400015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0138-65572020000400015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0138-65572020000400015&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Los procedimientos quirúrgicos tienen riesgos y complicaciones, que determinan el pronóstico de los pacientes. La tasa de mortalidad de la cirugía ginecológica, es inferior al 1%, la de complicaciones varía de 0,2 a 26 %. Ambas están determinadas por factores de riesgo como la edad, enfermedad médica preexistente, obesidad, cirugías previas, anemia y cáncer.  Objetivo:  Determinar las principales complicaciones, su asociación con el diagnóstico preoperatorio, el tipo de operación realizada y la comorbilidad en pacientes intervenidas por afecciones ginecológicas.  Métodos:  Estudio descriptivo en pacientes intervenidas quirúrgicamente por vía convencional y de forma electiva. Se seleccionó una serie de 616 pacientes tributarias de cirugía mayor electiva por vía convencional. Las variables utilizadas fueron la comorbilidad asociada, diagnóstico preoperatorio, operación realizada y complicaciones postquirúrgicas.  Resultados:  Se produjeron complicaciones postquirúrgicas en 96 pacientes (15,5 %). Las de mayor frecuencia fueron el íleo paralítico (4,2 % de la serie y 26,04 % de las complicaciones) y el absceso de cúpula (2,75 % de la serie y 17,7 % de las complicaciones), fundamentalmente en quienes presentaron antecedentes de obesidad y asociación de factores de riesgo.  Conclusiones: Las principales complicaciones de la cirugía ginecológica fueron el íleo paralítico y el absceso de la cúpula, las complicaciones se presentaron fundamentalmente en pacientes operadas por mioma uterino y tumor de ovario. De acuerdo con el tipo de operación, ocurrieron en pacientes operadas por histerectomía total abdominal con doble anexectomía y la histerectomía total abdominal sin anexectomía, y las comorbilidades más frecuentes fueron la obesidad y la asociación de comorbilidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  Surgical procedures have risks and complications, which determine the prognosis of patients. The mortality rate of gynecological surgery is less than 1%, that of complications varies from 0.2 to 26%. Both are determined by risk factors such as age, pre-existing medical illness, obesity, previous surgeries, anemia, and cancer.  Objective:  To determine the main complications, their association with the preoperative diagnosis, the type of operation performed and the comorbidity in patients operated on for gynecological conditions.  Methods:  Descriptive study in patients operated on by conventional and elective route. A series of 616 tributary patients of major elective surgery by conventional route were selected. The variables used were associated comorbidity, preoperative diagnosis, operation performed, and postoperative complications.  Results:  Post-surgical complications occurred in 96 patients (15.5%). The most frequent were paralytic ileus (4.2% of the series and 26.04% of complications) and dome abscess (2.75% of the series and 17.7% of complications), mainly in who presented a history of obesity and association of risk factors.  Conclusions:  The main complications of gynecological surgery were paralytic ileus and abscess of the cupola, complications mainly occurred in patients operated on for uterine myoma and ovarian tumor. According to the type of operation, they occurred in patients operated on for total abdominal hysterectomy with double adnexectomy and total abdominal hysterectomy without adnexectomy, and the most frequent comorbidities were obesity and the association of comorbidity.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cirugía ginecológica]]></kwd>
<kwd lng="es"><![CDATA[complicaciones postquirúrgicas]]></kwd>
<kwd lng="es"><![CDATA[factores de riesgo]]></kwd>
<kwd lng="en"><![CDATA[gynecological surgery]]></kwd>
<kwd lng="en"><![CDATA[postsurgical complications]]></kwd>
<kwd lng="en"><![CDATA[risk factors]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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