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Ginecología y obstetricia de México
versión impresa ISSN 0300-9041
Resumen
SEPULVEDA-AGUDELO, J y DIAZ-C, GG. Resolution of abnormal uterine hemorrhage in patients submitted to operational histeroscopy in the University Hospital of Santander. Ginecol. obstet. Méx. [online]. 2018, vol.86, n.1, pp.13-25. ISSN 0300-9041. https://doi.org/10.24245/gom.v86i1.1666.
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.
MATERIALS AND METHODS:
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.
Palabras llave : Uterine hemorrhage; hysteroscopy; reoperations; protective factor; postoperative complications; endometrial hyperplasia.