Causal analysis for reentry of patients with hysterectomy
DOI:
https://doi.org/10.51481/amc.v58i1.910Keywords:
Hysterectomy, dehiscence, abscess, hematoma, pelvic eviscerationAbstract
Objective: To analyze the most frequent reasons for readmission of patients after a hysterectomy at the Department of Gynecology of the Mexico Hospital between January 2009 and December2011.
Methods: A retrospective descriptive study was conducted in 70 patients that were readmitted after a hysterectomy surgery in order to analyze the main causes of readmission and the main associated risk factors.
Results: The main causes of readmission of patients after hysterectomy were infection of the surgical wound, in 74.3% of the cases (n52), followed by vaginal vault abscess in 11.4% (n8) of the cases and evisceration and dehiscence of the surgical wound, both accounting for 2.9% (n2) of cases. The main risk factors found were prolonged surgical time, obesity, cancer and diabetes mellitus. A minority of participants required reentry to the surgery room.
Conclusions: Surgical site infection was the leading cause of readmission of hysterectomy patients in this study. The most common infectious causes were the infection of the surgical wound and abscess of the vaginal vault, followed by vaginal vault hematoma and evisceration.
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