Efectividad de la miomectomía histeroscópica en el tratamiento de la infertilidad en el Hospital de Especialidades Dr. Teodoro Maldonado Carbo, periodo enero 2013 a diciembre 2016.

Abstract

Introduction: Uterine myomas are more common in women in reproductive age and are responsible for infertility and abortions in 5% of patients. Of these, approximately 50% become pregnant after myomectomy. Objective: To determine the effectiveness of the hysteroscopic myomectomy in patients diagnosed with uterine myomatosis infertility. Material and method: A retrospective observational study, performed in the area of Gynecology of the Teodoro Maldonado Carbo Hospital, from January 2013 to December 2016, for the study of patients diagnosed with infertility by uterine myomatosis, submitted to hysteroscopic myomectomy. Results: A total of 40 patients were studied, data that were collected and tabulated in cross tables with the variables: number of fibroids, size of fibroids, type of fibroids, location. Data were validated with Pe arson's chi-square test with significance of p <0.05, where it was proved that: The highest effectiveness rate was observed in patients between 35-45 years of age, with 20% of effectiveness, Hysteroscopy was more effective when the myomas measured 1-3 cm, with 32%, when the myoma was located on the posterior aspect of the uterus, the highest number of pregnancies was obtained (45%), evidence of greater effectiveness of the Treatment with 22.22%, when they had between 1 and 2 years of diagnosis of infertility. Conclusions: it shows a 20% effectiveness in 4 years of study, greater success in patients between 36 and 40 years old, and greater adherence to treatment are demonstrated when the myomas are located in the posterior and anterior face of the same.