title: [Analysis of 1,000 hysterectomies. Technical simplifications and reflections. ISSSTE hospitals].
abstract: 1,000 hysterectomies are reported by the author in a space of 20 years in four hospitals of ISSSTE. Some clinic-pathological parameters were analyzed, morbi-mortality, etc. The obtained results are informed using a simplification on the surgical techniques. The most frequent symptoms were menstrual disorders, and the most frequent diagnosis was myomatosis with (61.2%) average age between 35-45 years old. All were total hysterectomies, intrafascial 92.6% and abdominal 74.8%. Attention is called upon the fact that 7.2% of the patients presented pelvic congestion post tubaric occlusion and the association of adenomyosis. The overall morbidity was 12.2% being urosepsis the most frequent. Mortality was in one case of giant interligamentary myoma and DIC. Blood transfusion was needed just in 4.2%. We think that the surgical simplification here announced offer more safety, less morbidity, less bleeding and brief surgical time. More over, a critical analysis was made about use and abuse of this kind of surgical intervention.
authors.forename: J A
authors.initials: JA
authors.lastname: Sahagún Quevedo
authors.forename: J C
authors.initials: JC
authors.lastname: Pérez Ruiz
authors.forename: B
authors.initials: B
authors.lastname: Cherem
authors.forename: E
authors.initials: E
authors.lastname: Porras
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006783:Hospitals, State / Q000706:statistics & numerical data; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data*; D007045:Hysterectomy, Vaginal / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data; D007889:Leiomyoma / Q000601:surgery; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D014591:Uterine Diseases / Q000601:surgery; D014594:Uterine Neoplasms / Q000601:surgery
vernacular_title: Análisis de 1,000 histerectomías. Simplificaciones técnicas y reflexiones. Hospitales del ISSSTE.