Sepúlveda-Agudelo J, Díaz-C GG

Language: Spanish
References: 0
Page: 13-25
PDF size: 153.20 Kb.

ABSTRACT

Objective: To evaluate the sociodemographic, clinical, histopathological and surgical procedure factors associated with the control (satisfactory or inadequate) of abnormal uterine hemorrhage in patients who underwent operative hysteroscopy.
Material and Method: Nested case-control study in a retrospective cohort that included women who consulted for abnormal uterine hemorrhage at the University Hospital of Santander, Colombia, from 2008 to 2014. Independent variables: demographic factors, clinical history, surgical and postsurgical.
Results: Records of 180 hysteroscopy procedures were found; 124 of operative hysteroscopies, of which 114 were performed due to symptoms of abnormal uterine hemorrhage; of the latter, 22 were reoperations to control abnormal uterine hemorrhage (cases) and 92 controls. The age limits were located in 19 and 66 years, with a median of 39 years; the majority were under 45 years old (66.7%), an age that was associated as a protective factor. The percentage of complications during the procedure was 1.75%, related to uterine perforation. Only two patients had postoperative complications and the surgical reoperation had an incidence of 19.3%; that is, it happened in 22 patients.
Conclusion: The risk of reoperation is related to endometrial hyperplasia, age over 45 years, history of blood dyscrasia and location of the lesion in areas other than the cervix, and as a protective variable, the antecedent of parity. The relationship between the failure of the hysteroscopic procedure, the variables of endometrial hyperplasia and blood dyscrasia was evident.