Resultados de la cirugía ginecológica de la unidad de cirugía mayor ambulatoria de un hospital comarcal

Abstract

Objective. To describe the results of the Outpatient Major Surgery Unit of the Gynecology Service of the Valdeorras Public Hospital. Methods. Descriptive, prospective and analytical study carried out from May/2017-May/2019. Recruitment of patients was carried out in gynecology consultations according to the inclusion protocol. On the day of the intervention, we proceeded with the reception protocol in Outpatient Major Surgery with or without anesthesia, and post-operative care. The patient also received an anonymous and voluntary satisfaction survey. Results. We registered 302 patients, 52 years of average age. The cancellation rate was 2.32%, outpatient 54.31%. We identified 6 unplanned overnight stays and 1 re-entry of a major complication. The most performed intervention was diagnostic hysteroscopy, 85.16% without anesthesia and 30.22% with associated polypectomy. Post-surgical analgesia was more necessary in young women and in longer interventions. The average surgical time was 19.7 minutes, increasing in the case of sedation, regional or general anesthesia. The average total stay time in CMA was 161.1 minutes. In its duration, the most influential variables were regional anesthesia with sedation and general anesthesia (F = 91.6; p <0.001; R2 = 0.924). The 20.2% of patients answered a satisfaction survey and 94.7% were satisfied. Discussion. Our results were similar to other studies. The most influential factors in the total stay were regional anesthesia plus sedation and general anesthesia. The degree of satisfaction was very high.