Epidemiological profile and postoperative complications of women undergoing gynecological surgery in a reference center in the northern brazilian legal amazon / Perfil epidemiológico e complicações pós-operatórias das mulheres submetidas à cirurgia ginecológica em centro de referência do extremo setentrional da amazônia legal brasileira

Objective: To evaluate the epidemiological profile and the operative complications of patients undergoing gynecological operations for benign diseases in a tertiary public hospital in the state of Roraima, Brazil. Methods: We conducted a retrospective survey through the analysis of 518 records of patients submitted to gynecological operations between January and June 2012. We included the three major operations during this period (n = 175): hysterectomy, colpoperineoplasty and suburethral sling placement. We excluded 236 cases of tubal ligation and 25 cases where it was not possible to access to medical records. Results: The mean age was 47.6 years; the education level of most patients was completed junior high (36.6%); 77% were from the State capital, 47.4% were in stable relationships and 26.3% were housewives. The majority of patients had given birth three or more times (86.6%), with previous vaginal delivery in 50.2%, and cesarean delivery, 21%. The main diagnostic indications for surgical treatment were uterine myoma (46.3%), urinary incontinence (27.4%) and genital dystopias (17.7%). We found three cases (1.7%) of high-grade intraepithelial lesions on Pap smear. The most common procedure was total hysterectomy (19.8%), 15.5% vaginally. The most common complication was wound infection (2.2%). Conclusion: Women undergoing gynecological operations due to benign disease had a mean age of 47 years, most had levels of basic education, came from the capital, were in stable relationships, predominantly housewives, multiparous and showed low operative complication rates.

Objetivo: avaliar o perfil epidemiológico e as complicações operatórias das pacientes submetidas à operações ginecológicas realizadas devido à presença de doenças benignas em um hospital público terciário no Estado de Roraima, Brasil. Métodos: foi realizado um levantamento retrospectivo, por meio da análise de prontuários de 518 pacientes submetidas à operações ginecológicas entre os meses de janeiro e junho de 2012. Foram incluídas as três principais operações realizadas nesse período (n=175): histerectomia, colpoperineoplastia e colocação de sling suburetral. Foram excluídos 236 casos de laqueadura tubária e 25 casos em que não foi possível acesso ao prontuário médico. Resultados: A média etária foi 47,6 anos, predominaram pacientes com ensino fundamental (36,6%), provenientes da capital (77%), com relações estáveis (47,4%) e ocupação prevalente "do lar" (26,3%). As pacientes, em sua maioria, tinham antecedentes três ou mais partos (86,6%), com via vaginal prévia em 50,2% e parto cesáreo prévio em 21%. Os principais diagnósticos indicativos de tratamento cirúrgico foram: mioma uterino (46,3%), incontinência urinária de esforço (27,4%) e distopias genitais (17,7%). Foram encontrados três casos (1,7%) de lesões intraepiteliais de alto grau na colpocitologia oncótica. A operação mais realizada foi a histerectomia total (19,8%), sendo 15,5% por via vaginal. A complicação mais frequente foi a infecção de ferida operatória (2,2%). Conclusão: as mulheres submetidas às operações ginecológicas devido à doenças benignas apresentavam média etária de 47 anos, a maioria tinha nível de escolaridade fundamental, eram provenientes da capital, tinham união estável, eram predominantemente do lar, multíparas e apresentaram taxas de complicações operatórias baixas.

Epidemiological profile and postoperative complications of women undergoing gynecological surgery in a reference center in the northern Brazilian legal Amazon.

OBJECTIVE: To evaluate the epidemiological profile and the operative complications of patients undergoing gynecological operations for benign diseases in a tertiary public hospital in the state of Roraima, Brazil. METHODS: We conducted a retrospective survey through the analysis of 518 records of patients submitted to gynecological operations between January and June 2012. We included the three major operations during this period (n = 175): hysterectomy, colpoperineoplasty and suburethral sling placement. We excluded 236 cases of tubal ligation and 25 cases where it was not possible to access to medical records. RESULTS: The mean age was 47.6 years; the education level of most patients was completed junior high (36.6%); 77% were from the State capital, 47.4% were in stable relationships and 26.3% were housewives. The majority of patients had given birth three or more times (86.6%), with previous vaginal delivery in 50.2%, and cesarean delivery, 21%. The main diagnostic indications for surgical treatment were uterine myoma (46.3%), urinary incontinence (27.4%) and genital dystopias (17.7%). We found three cases (1.7%) of high-grade intraepithelial lesions on Pap smear. The most common procedure was total hysterectomy (19.8%), 15.5% vaginally. The most common complication was wound infection (2.2%). CONCLUSION: Women undergoing gynecological operations due to benign disease had a mean age of 47 years, most had levels of basic education, came from the capital, were in stable relationships, predominantly housewives, multiparous and showed low operative complication rates.