Expectativas de las pacientes afectadas de endometriosis moderada-severa ante la cirugía

Jorge Cea García, Carlos Jiménez Rámila, Antonio Jiménez Caraballo, Sylvia de los Reyes Peña
In: Progresos de Obstetricia y Ginecología · 2014 · vol. 58(1) , pp. 14–19 · doi:10.1016/j.pog.2014.09.004 · W2059327746
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Abstract

Determinar el cumplimiento de las expectativas de las pacientes antes, a los 6 y 12 meses de la cirugía. Se realizó una encuesta preoperatoria sobre sus expectativas a 66 pacientes con sospecha ecográfica de endometriosis ovárica, reevaluándose a los 6 y 12 meses de la cirugía. Completaron el estudio 53 de las 56 pacientes en las que hubo confirmación anatomopatológica, siendo, junto con la ausencia de cirugía anterior para endometriosis, los criterios de selección. Se establecieron grupos según expectativas; el 48% esperaba la disminución/desaparición del dolor, el 31% conseguir embarazo y el 21% la desaparición de la ansiedad/preocupación por el diagnóstico definitivo. El 88,2% vio cumplidas sus expectativas, disminuyendo el uso de analgésicos hasta el 55,4% y quedando embarazada el 52,17% durante el primer año poscirugía. La cirugía de la endometriosis mejora el dolor, con una tasa de embarazo del 52,17%. Las expectativas, en general, se cumplen en alto porcentaje. To determine patients' expectations prior to surgery and the extent to which they were fulfilled at 6 and 12 months after surgery. A preoperative survey was conducted in 66 women with suspected ovarian endometriosis on ultrasound who were reassessed at 6 and 12 months after surgery. Of the 56 patients with a histopathological confirmation of the diagnosis, 53 women completed the study. The selection criteria consisted of study completion and the absence of previous surgery for endometriosis. Three groups were established, according to patient expectations; 48.2% hoped for a decrease or disappearance of pain, 31.2% hoped to become pregnant, and 21.4% hoped for a reduction in anxiety or worry about the definitive diagnosis. Expectations were fulfilled in 88.2%. Analgesic use decreased to 55.4% and 52.17% became pregnant in the first year after surgery. Surgery for endometriosis improved pain, with a pregnancy rate of 52.17%. Expectations were fulfilled in a high percentage of patients.

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endometriosis

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