Abstract
Introduction: Every surgery has risk of complications; prognosis depends on prompt diagnosis and timely management.Objective: To determine the prevalence of surgical complications in gynecological surgery in a tertiary care hospital and to explore associated factors.Materials and methods: Prevalence study with secondary analysis of medical records of patients who underwent scheduled gynecological surgery. The outcome variable was complications reported during a period of less than 30 days. The universe was established, and clinical, biological and sociodemographic variables were collected. To determine prevalence, the total number of complications was taken as the numerator and the total number of records was used as the denominator. To explore associated factors, odds ratio (OR) was used as a measure of association with a 95% CI.Results: 591 records were reviewed, finding a surgical management of ectopic pregnancy prevalence of 3.8% (OR=3.73, CI95%: 2.41-92.52). Obesity (OR 12.47, CI95%: 4.48-33.19) and gynecological surgery for malignancy (OR 3.73, CI95%: 1.14- 10.48) were associated with complications.Conclusion: The prevalence found in our institution was similar to what most studies have reported.
Highlights
Every surgery has risk of complications; prognosis Introducción
A complication is any undesirable and involuntary outcome derived from the surgery that affects the patient, which would not have occurred if the surgery had been performed following the corresponding procedures. (5-7) An adverse event is an injury or unintentional damage caused by the intervention and not by the pathology. (5-7) an incident is defined as an event or circumstance that could have caused or caused unnecessary harm and may originate from unintentional or involuntary acts. (5-7) Surgical complications are considered a relevant issue from a clinical, legal and public health point of view due to the cost they generate to the health system
During 2015, 593 scheduled gynecological surgical procedures were performed in the Hospital Universitario San José of Popayán (HUSJ), of which two were excluded due to incomplete data, so 591 were included in the final analysis
Summary
Every surgery has risk of complications; prognosis Introducción. Toda cirugía implica riesgo de complicaciones; el depends on prompt diagnosis and timely management.pronóstico depende de su pronto diagnóstico y manejo oportuno. The gynecological surgery service is responsible for surgical procedures in the female genital tract. It treats breasts and pelvis and carries out procedures related to the uterus, its appendages and correction of urinary incontinence. All surgical procedures may have complications; indications of unsafe care derived from medical care include complications, adverse events and incidents. In 2007, the total hospital care expenditure in the USA was estimated at 696.5 million dollars, which corresponds to 31% of total health cost. In 2013, these costs in Switzerland were 69 million dollars, of which 28% were allocated to surgical departments. This situation is similar in most European countries. This situation is similar in most European countries. (8,9)
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