Reyes-Hernández MU, Suárez-Zaragoza I, Cruz-Durán JG, García-Ramírez L, Sandoval-García-Travesí FA, Hinojosa-Cruz JC

Language: Spanish
References: 0
Page: 21-26
PDF size: 199.58 Kb.

ABSTRACT

Objetive: TO evaluate the results of the damage control surgery in obstetric hemorrhage in a third level hospital.
Material and Method: Retrospective study. Medical records from patients with obstetric hemorrhage who required damage control surgery at the Obstetrics and Gynecology hospital number 3, “Centro Médico Nacional La Raza”, a third level unit in Mexico city, from January to December 2015. Measures of central tendency were performed for the statistical analysis using Software SPSS, version 16.0.
Results: 16 patients were identified. The mean age of the participants was 34.5 years and for the gestational age was 33.3 weeks. The etiology of the hemorrhage included: uterine atony in 31%, abnormal placentation in 44%, uterine rupture in 13%, other causes in 13%. Planned programmed surgery was performed in 6%, while emergency surgery in 94%. The mean number of compress towels used was 7.6, and hypogastric arteries ligation was necessary in 88%. The mean time between the first and second surgeries was 27.3 hours. A definitive treatment was achieved at the second surgery in 81% of cases. The mean time of ICU stay was 5.3 days, and in hospital was 10.9 days. Complications were identified in 81% of cases, being the principal: surgical (63%), infectious (31%) and renal (81%). One death was documented.
Conclusions: DAMAGE control surgery should be done early by not achieving definitive control of bleeding. In obstetrics there is a high percentage of surgical complications, infectious and those resulting from massive hemorrhage.