Accidentes urológicos en gineco-obstetricia. Pinar del Río. 2001-2004. Urologic accidents in gynecology and obstetrics
Abstract
La cirugía ginecológica es la causa mas frecuente de accidentes urológicos en los Estados Unidos y en muchos otros países desarrollados en el mundo y la vejiga es el sitio más común de lesión del tractus urinario durante la cirugía ginecológica. En Gineco-obstetricia se cometen varios accidentes quirúrgicos que se convierten posteriormente en patologías urológicas que para su resolución la mayoría tienen que ser a través del acto quirúrgico. Se realizó un estudio longitudinal retrospectivo de enero del 2001 a diciembre del 2004 de todas las pacientes que habían sido atendidos en el servicio de Urología General del Hospital Universitario Abel Santamaría Cuadrado de la provincia de Pinar del Río por presentar patologías urológicas producto a intervenciones Gineco-obstétricas. Los resultados fueron expresados en tablas y a las mismas se le aplico Chi Cuadrado. Encontrando como principales resultados las fístulas vesico-vaginales como las principales patologías accidentales en histerectomías abdominales y vaginales, la ubicación de las fístulas eran a nivel post-trigonal, la mayoría se repararon a través de la fistelectomia abdominal con muy pocas complicaciones post-quirúrgicas.
Palabras claves: ACCIDENTES, FÍSTULA VESICO-VAGINAL.
ABSTRACT
The gynecological surgery is the most frequent cause of urologic insults in the United Status and in many other developed countries in the world and the bladder is the most common site of insults in the urinary tract during gynecological surgical procedure. During the procedure several surgical insults take place which will further become urologic pathologies whose solution is only posible through surgery. A longitudinal and retrospective study was carried out, from January 2001 to December 2004, with all the patients being assisted by the General Urologic Department at Abel Santamaría Cuadrado University Hospital in Pinar del Río Province. These patients had urologic pathologies because of gyneco-obstetric surgical procedures. Results were shown in tables and these tables were applied chi-square test. The main results included vesico-vaginal fistulas as the chief pathological insults in vaginal and abdominal hysterectomies. The location of the fistulas were at post trigonal level, most of them were restored through abdominal fistulectomy with very rare post-surgical uneventful experiences.
Key words: ACCIDENTS, VESICO-VAGINAL FISTULAS.
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