Perfil epidemiológico y clínico de pacientes histerectomizadas. Ambulatorio “Dr. Jesús Yerena”, Caracas. Enero 2020 – octubre 2023 Epidemiological and clinical profile of hysterectomized patients. “Dr. Jesus Yerena” outpatient, Caracas. January 2020 – october 2023

• Acosta, Dessiree ^[1] ; Medina, Bianca ^[1] ; Moreno, Roger ^[1]
  1. [1] Ambulatorio “Dr. Jesús Yerena”
• Localización: GICOS: Revista del Grupo de Investigaciones en Comunidad y Salud, ISSN-e 2610-797X, Vol. 9, Nº. 3 (septiembre-diciembre), 2024, págs. 95-106
• Idioma: español
• Títulos paralelos:
  • Epidemiological and clinical profile of hysterectomized patients. “Dr. Jesus Yerena” outpatient, Caracas. January 2020 – october 2023
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  • español

    La histerectomía es un procedimiento quirúrgico practicado frecuentemente en mujeres en edad reproductiva, permite resolver patologías benignas y malignas. Objetivo: determinar el perfil epidemiológico y clínico de pacientes histerectomizadas en el Ambulatorio “Dr. Jesús Yerena” de Caracas. Materiales y métodos: estudio observacional, descriptivo, transversal y retrospectivo, en el que se efectuó revisión de historias clínicas. Fueron incluidas 176 pacientes sometidas a histerectomía en el periodo enero de 2020 a octubre de 2023. Resultados: la media de edad fue de 50,85 años, con mayor prevalencia del grupo etario 36 – 45 años (38,1%), soltera (67%), de escolaridad bachiller (38,1%), con antecedente de hipertensión arterial (22,2%) y anemia (9,1%), documentándose cirugía ginecológica previa en el 45,5%, la mayoría con antecedente de ingesta etílica (29,5%). La mayor parte de las pacientes se encontraba menstruando al realizar la cirugía (67,7%), los cambios en el ciclo menstrual fueron la principal manifestación clínica (60,2%), la cirugía se practicó por vía abdominal en el 69,9% de los casos, siendo la indicación más frecuente la fibromatosis uterina (63,1%), no hubo registro de complicaciones ni mortalidad. Conclusión: el principal abordaje practicado fue el abdominal, en gran proporción de los casos la cirugía fue secundaria al diagnóstico de fibromatosis uterina, no hubo evidencia de morbi-mortalidad, por lo que es posible afirmar que se trata de un procedimiento quirúrgico seguro y efectivo. En definitiva, los hallazgos de la investigación se corresponden con los documentados a escala internacional en diversas investigaciones.Hysterectomy is a surgical procedure frequently performed in women of reproductive age, allowing the resolution of benign and malignant pathologies. Objective: to determine the epidemiological and clinical profile of patients who underwent hysterectomy at the "Dr. Jesús Yerena" Outpatient Clinic in Caracas. Materials and methods: observational, descriptive, cross-sectional and retrospective study, in which a review of medical records was carried out. 176 patients who underwent hysterectomy in the period from January 2020 to October 2023 were included. Results: the mean age was 50.85 years, with a higher prevalence of the age group 36 - 45 years (38.1%), single (67%), with high school education (38.1%), with a history of arterial hypertension (22.2%) and anemia (9.1%), with previous gynecological surgery documented in 45.5%, the majority with a history of alcohol intake (29.5%). Most patients were menstruating when surgery was performed (67.7%), changes in the menstrual cycle were the main clinical manifestation (60.2%), surgery was performed abdominally in 69.9% of cases, with uterine fibromatosis being the most frequent indication (63.1%), and there were no records of complications or mortality. Conclusion: the main approach used was abdominal, in a large proportion of cases surgery was secondary to the diagnosis of uterine fibromatosis, there was no evidence of morbidity or mortality, so it is possible to state that it is a safe and effective surgical procedure. In short, the findings of the research correspond to those documented internationally in various investigations.Recibido: 06-06-2024Aceptado: 26-07-2024Publicado: 01-11-2024

  • English

    Hysterectomy is a surgical procedure frequently performed in women of reproductive age, allowing the resolution of benign and malignant pathologies. Objective: to determine the epidemiological and clinical profile of patients who underwent hysterectomy at the "Dr. Jesús Yerena" Outpatient Clinic in Caracas. Materials and methods: observational, descriptive, cross-sectional and retrospective study, in which a review of medical records was carried out. 176 patients who underwent hysterectomy in the period from January 2020 to October 2023 were included. Results: the mean age was 50.85 years, with a higher prevalence of the age group 36 - 45 years (38.1%), single (67%), with high school education (38.1%), with a history of arterial hypertension (22.2%) and anemia (9.1%), with previous gynecological surgery documented in 45.5%, the majority with a history of alcohol intake (29.5%). Most patients were menstruating when surgery was performed (67.7%), changes in the menstrual cycle were the main clinical manifestation (60.2%), surgery was performed abdominally in 69.9% of cases, with uterine fibromatosis being the most frequent indication (63.1%), and there were no records of complications or mortality. Conclusion: the main approach used was abdominal, in a large proportion of cases surgery was secondary to the diagnosis of uterine fibromatosis, there was no evidence of morbidity or mortality, so it is possible to state that it is a safe and effective surgical procedure. In short, the findings of the research correspond to those documented internationally in various investigations.