Risk Factors Associated with Postoperative Complications of Abdominal Hysterectomy

Abstract

Introduction: Hysterectomy is the most commonly performed gynecologic surgical procedure after cesarean section, and it ranks third in frequency among major elective surgery operations.
Objective: To determine the risk factors associated with complications of abdominal hysterectomy.
Methods: A descriptive, cross-sectional, retrospective study was carried out at the Dr. Luis Díaz Soto Central Military Hospital, Havana, Cuba, from January 2017 to December 2019. The variables used were age, risk factors and associated comorbidity, diagnosis preoperative, type of complication, surgical time and type of incision. Descriptive statistics, summary measures, absolute frequency and
percentage were calculated.
Results: 39% were in the age group 46-55 years. The most frequent risk factors were arterial hypertension (14.9%), smoking (13.7%), patients with more than one risk factor (9.1%), and anemia (6.8 %). 64.3% had an operation duration of 60-90 minutes. The transverse incision (Pfannestiel) was used in 70.1% of the cases.
Conclusions: The most frequent risk factors were hypertension, smoking, the association of risk factors and obesity. The most frequent incision used was Pfannestie