Asunto(s)
Leiomioma/diagnóstico , Neoplasias de la Vejiga Urinaria/diagnóstico , Dolor Abdominal/etiología , Anciano , Diagnóstico Diferencial , Femenino , Humanos , Leiomioma/complicaciones , Leiomioma/diagnóstico por imagen , Leiomioma/cirugía , Náusea/etiología , Ultrasonografía , Neoplasias de la Vejiga Urinaria/complicaciones , Neoplasias de la Vejiga Urinaria/diagnóstico por imagen , Neoplasias de la Vejiga Urinaria/cirugía , Trastornos Urinarios/etiologíaRESUMEN
The short-term complications of hysterectomy in 184 women have been documented over 12 months against a panel of clinical performance indicators in a district general hospital. One hundred and fifty-nine operations (159/184, 86.4%) were performed by the abdominal route; 25/184 (13.6%) by the vaginal route. Clinical indications for hysterectomy varied from menorrhagia (75/184, 40.7%) to Stage III/IV endometriosis (10/184, 5.4%). Clinical performance indicators (cPI) were triggered in 32/184 (17.4%) cases; 19/ 184 (10.3%) triggered a single performance indicator, 9/184 (4.9%) triggered two performance indicators and 4/184 (2.2%) triggered three performance indicators. Combining the number of hysterectomies performed per annum (HYST 1), with the proportion of cases triggering three or more clinical performance indicators (HYST 2) and the rate of hysterectomy for histologically normal uteri weighing less than 120 g excluding genital prolapse (HYST 3) provides a profile of the operation for comparison with other clinical services.
Asunto(s)
Histerectomía/efectos adversos , Indicadores de Calidad de la Atención de Salud , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Persona de Mediana Edad , Evaluación de Resultado en la Atención de Salud , Complicaciones PosoperatoriasAsunto(s)
Endometriosis/inducido químicamente , Enfermedades de las Trompas Uterinas/inducido químicamente , Enfermedades del Ovario/inducido químicamente , Tamoxifeno/efectos adversos , Enfermedades Uterinas/inducido químicamente , Endometriosis/patología , Enfermedades de las Trompas Uterinas/patología , Femenino , Humanos , Leiomioma/inducido químicamente , Leiomioma/diagnóstico , Persona de Mediana Edad , Enfermedades del Ovario/patología , Posmenopausia , Enfermedades Uterinas/patología , Neoplasias Uterinas/inducido químicamente , Neoplasias Uterinas/diagnóstico , Útero/patologíaRESUMEN
Burch colposuspension is a simple retropubic approach for the management of stress incontinence. Major complications are rare but kinking of the ureter can occur in such a procedure, especially in patients who previously have undergone hysterectomy. Careful dissection of the vagina and identification of the ureters are necessary before colposuspension is attempted.