Cirugía en la enfermedad inflamatoria pélvica aguda tumoral. Surgery Treatment of Acute Pelvic Inflamatory Disease
Abstract
Con el objetivo de contribuir a mejorar el conocimiento de la enfermedad inflamatoria pélvica aguda tumoral en pacientes sometidos a tratamiento quirúrgico se realizo un estudio transversal, retrospectivo y analítico en 30 casos en el Hospital Docente Gineco Obstétrico " Justo Legón Padilla" de Pinar del Río durante los años 1995-96. Se estudiaron las variables : edad, instrumentación uterina en los tres meses previos, operación realizada, eritosedimentación pre y postoperatoria y diagnostico anátomo-patológico. Se utilizaron los métodos estadísticos: porcentaje, media y test de diferencia de proporciones y de comparación pareada de medias con un nivel de significación de p< 0.05. Se incluye que: la entidad mas frecuente fue el absceso tubo-ovárico (70%); la edad media fue de 31.53 años y el grupo de edades mas frecuente el de + 19-39 años, el 56.7 tenia instrumentación uterina previa y las mas frecuentes la extracción de dispositivos intrauterinos (30%) y la interrupción de embarazo por el legrado uterino (26.7%); la eritrosedimentación media preoperatoria disminuyo de 99,46 a 67.46 mm/hora a los 7 días de operada; se realizo histerectomía al 40% de las pacientes y anexotomía uni y bilateral al 60% y 36% respectivamente. Se recomienda el incremento de la cirugía conservadora uterina.
DeCS: CIRUGIA GINECOLOGICA, HISTERECTOMIA, DISPOSITIVOS ANTICONCEPTIVOS FEMENINOS, SALPINGITIS, ANEXITIS/cirugia.
A cross-sectional, retrospective and analytic study was conducted to improve the understanding of tumoral acute pelvic inflamatory disease in 30 patients who had a surgical treatment at Justo Legon Padilla Gineco-Obstetric Hospital, Pinar del Rio, between 1995 and 1996. Several variables such as age, uterine instrumentation in the three previous months, surgical intervention, pre- and postoperative erythrosedimentation and pathologico-anatomical diagnosis were studied. Percentage, mean and test of range of difference and matching comparisson of means (signification level p < 0.05) were the statistical methods used in this study. Resulting data showed that tubo-ovarian abscess was the most common entity found (70%); mean age was 31.53 years and predominant age group was +19 -39; 56% had had previous uterine instrumentation: intrauterine devices (30%) and interrupted pregnancy by a curettage (26.6%); preoperative erythrosedimentation mean diminished from 99.46 to 67.46 mm/h after 7 days of surgical intervention; 40% of patients had hysterectomy , 60% had unilateral anexectomy and 36% had bilateral anexectomy. It is recommended the use of traditional surgery.
DeCS: SURGERY GYNECOLOGIC, HISTERECTOMY, CONTRACEPTIVE DEVICES FENALE, SALPINGITIS, ADNEXITIS/surgery.
Downloads
How to Cite
Issue
Section
License
Authors who have publications with this journal agree to the following terms: Authors will retain their copyrights and grant the journal the right of first publication of their work, which will be publication of their work, which will be simultaneously subject to the Creative Commons Attribution License (CC-BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a volume). Likewise, and according to the recommendations of the Medical Sciences Editorial (ECIMED), authors must declare in each article their contribution according to the CRediT taxonomy (contributor roles). This taxonomy includes 14 roles, which can be used to represent the tasks typically performed by contributors in scientific academic production. It should be consulted in monograph) whenever initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which may produce interesting exchanges and increase citations of the published work. (See The effect of open access). https://casrai.org/credit/