title: Epidemiological profile and postoperative complications of women undergoing gynecological surgery in a reference center in the northern Brazilian legal Amazon.
abstract: 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%).
  
  
  CONCLUSIONS
  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.
authors.affiliation: Hospital Materno-Infantil Nossa Senhora de Nazaré, Roraima.
authors.forename: Sônia Maria
authors.initials: SM
authors.lastname: Coelho
authors.affiliation: Hospital Materno-Infantil Nossa Senhora de Nazaré, Roraima.
authors.forename: Elizabeth de La Trinidad Castro
authors.initials: Ede L
authors.lastname: Perez
authors.affiliation: Hospital Materno-Infantil Nossa Senhora de Nazaré, Roraima.
authors.forename: Cynthia Dantas de Macedo
authors.initials: CD
authors.lastname: Lins
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo.
authors.forename: Mariano Tamura Vieira
authors.initials: MT
authors.lastname: Gomes
authors.affiliation: Departamento de Ginecologia da Escola Paulista de Medicina, UNIFESP.
authors.forename: Zsuzsanna Illona Katalin de Jármy Di
authors.initials: ZI
authors.lastname: Bella
authors.affiliation: Faculdade de Medicina, Universidade de São Paulo.
authors.forename: Marina de Paula
authors.initials: Mde P
authors.lastname: Andres
authors.affiliation: Hospital Israelita Albert Einstein, São Paulo.
authors.forename: Sergio
authors.initials: S
authors.lastname: Podgaec
mesh_terms: D000328:Adult; D001938:Brazil; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications; D011247:Pregnancy; D012189:Retrospective Studies; D053825:Suburethral Slings