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

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dc.contributor.advisorPalacio Forero, Liliana
dc.contributor.advisorRobinson Segundo, Fernández Mercado
dc.contributor.advisorCervantes de la Torre, Karol
dc.contributor.authorMosquera Escobar, Kower Kaleff
dc.coverage.spatialBarranquillaspa
dc.creator.emailkaleff.mosquera@gmail.comspa
dc.date.accessioned2024-04-05T21:31:10Z
dc.date.available2024-04-05T21:31:10Z
dc.date.created2024
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.spa
dc.description.abstractenglishObjective: Determine the factors associated with the complications of minimally invasive endometriosis surgery in two IPS in the city of Barranquilla, period January 2023 to September 2023. Study design: A multicenter analytical cross-sectional cohort study, framed under the positivist paradigm, was conducted between January 2023 and September 2023 and included 63 women with a diagnosis of endometriosis who underwent surgery using a minimally invasive approach. Data collection was carried out by reviewing medical records and surgical reports, extracting the clinical variables of interest, and a statistical analysis was performed to determine the factors associated with the development of intra- and postoperative complications in patients undergoing surgery. Results: 62 patients with a diagnosis of endometriosis were included, of which 21% (13) presented intra- or postoperative complications. The most frequent intraoperative complications were bleeding > 500 cc and bladder injury in 27% and 3% respectively; The most frequent postoperative complications were severe anemia and postoperative ileus in 10% and 8% of cases respectively. Most complications were classified as grade IIIb in the Clavien – Dindo classification. Stage IV endometriosis was the factor most associated with surgical complications, OR: 4.58 (95% CI 2.18 -18, p=0.03), followed by surgical time greater than 200 minutes, OR: 3.03 95% CI 1.78-11.7, p=0.01). Conclusion: The severity of the disease and prolonged surgical time were the main factors associated with intra- and postoperative complications in women with endometriosis operated on using a minimally invasive approach.spa
dc.description.sponsorshipUniversidad Libre Seccional Barranquilla -- Facultad de Ciencias de la Salud -- Especialización en Ginecología y Obstetriciaspa
dc.formatPDFspa
dc.identifier.urihttps://hdl.handle.net/10901/28853
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dc.rights.licenseAtribución-NoComercial-SinDerivadas 2.5 Colombiaspa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/spa
dc.subjectEndometriosisspa
dc.subjectFactores de riesgospa
dc.subjectLaparoscopiaspa
dc.subjectComplicaciones Intraoperatoriasspa
dc.subjectComplicaciones posoperatoriasspa
dc.subject.lembEndometriosis / cirugíaspa
dc.subject.lembComplicaciones Intraoperatoriasspa
dc.subject.lembComplicaciones Posoperatoriasspa
dc.subject.lembLaparoscopiaspa
dc.subject.subjectenglishEndometriosisspa
dc.subject.subjectenglishRisk factorsspa
dc.subject.subjectenglishLaparoscopyspa
dc.subject.subjectenglishIntraoperative complicationsspa
dc.subject.subjectenglishPostoperative complicationsspa
dc.titleFactores asociados a las complicaciones de la cirugía mínimamente invasiva de endometriosis, Barranquilla enero - septiembre de 2023spa
dc.type.coarhttp://purl.org/coar/resource_type/c_7a1fspa
dc.type.driverinfo:eu-repo/semantics/bachelorThesisspa
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dc.type.localTesis de Especializaciónspa

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Especialización en Ginecología y Obstetricia