Factores asociados a las complicaciones de la cirugía mínimamente invasiva de endometriosis, Barranquilla enero - septiembre de 2023

dc.contributorPalacio Forero, Liliana
dc.contributorRobinson Segundo, Fernández Mercado
dc.contributorCervantes de la Torre, Karol
dc.creatorMosquera Escobar, Kower Kaleff
dc.date.accessioned2024-04-05T21:31:10Z
dc.date.accessioned2024-05-16T21:49:14Z
dc.date.available2024-04-05T21:31:10Z
dc.date.available2024-05-16T21:49:14Z
dc.date.created2024-04-05T21:31:10Z
dc.identifierhttps://hdl.handle.net/10901/28853
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/9489292
dc.description.abstractObjetivo: Determinar cuáles son los factores asociados a las complicaciones de la cirugía mínimamente invasiva de endometriosis en dos IPS en la ciudad de Barranquilla, periodo enero de 2023 a septiembre de 2023. Diseño del estudio: Se realizo un estudio multicéntrico de cohorte transversal analítico, enmarcado bajo el paradigma positivista, entre enero de 2023 y septiembre de 2023 e incluyó 63 mujeres con diagnóstico de endometriosis que se sometieron a cirugía por abordaje mínimamente invasivo. La recolección de datos se realizó mediante revisión de historias clínicas y reportes quirurgicos extrayendo las variables clínicas de interés y se realizó un análisis estadístico de para determinar los factores asociados al desarrollo de complicaciones intra y postoperatorias en las pacientes intervenidas quirúrgicamente. Resultados: Se incluyeron 62 pacientes con diagnóstico de endometriosis, de las cuales el 21% (13) presentaron complicaciones intra o postoperatorias. Las complicaciones intraoperatorias mas frecuentes fueron el sangrado > 500 cc y la lesión vesical en el 27% y 3% respectivamente; las complicaciones postoperatorias mas frecuentes fueron la anemia severa y el ileo postoperatorio en el 10% y 8% de los casos respectivamente. La mayoría complicaciones se clasificaron como grado IIIb en la clasificación de Clavien – Dindo. La endometriosis estadio IV fue el factor mas asociado a complicacion quirúrgica,OR: 4.58 (IC95% 2.18 -18, p=0.03), seguido por el tiempo quirúrgico mayor de 200 minutos, OR: 3.03 IC95% 1.78-11.7, p=0.01). Conclusión: La severidad de la enfermedad y el tiempo quirúrgico prolongado fueron los principales factores asociados con las complicaciones intra y postoperatorias en mujeres con endometriosis intervenidas mediante abordaje mínimamente invasivo.
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dc.rightshttp://creativecommons.org/licenses/by-nc-nd/2.5/co/
dc.rightsAtribución-NoComercial-SinDerivadas 2.5 Colombia
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rightshttp://purl.org/coar/access_right/c_abf2
dc.subjectEndometriosis
dc.subjectFactores de riesgo
dc.subjectLaparoscopia
dc.subjectComplicaciones Intraoperatorias
dc.subjectComplicaciones posoperatorias
dc.titleFactores asociados a las complicaciones de la cirugía mínimamente invasiva de endometriosis, Barranquilla enero - septiembre de 2023


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