Cuidados de enfermería en paciente con histerectomía abdominal.

Abstract

The Hysterectomy is a procedure that involves the removal of the uterus, it is one of the surgical techniques that is most often used to treat benign uterine diseases. Abdominal hysterectomy is a surgical procedure of frequent application worldwide. Its main indication is uterine fibroma, fibroleiomyoma or uterine leiomyoma. The contraindications for this technique are: adnexal tumors and severe adherential processes of the pelvis. It is performed in a way, subtotal, total or radical, the surgical approach routes are: Laparoscopic Hysterectomy, Vaginal Hysterectomy or Abdominal Hysterectomy. In all routes of surgical approach, complications such as bladder, urethral, rectal and vascular tears can be observed, but in a very low percentage. It is the second worldwide cause of major surgical procedures performed on women.2,3 More than 600,000 cases are reported each year in North America. In Spain this figure is lower, although it exceeds 150 cases per 100,000 women per year and is one of the 15 most performed hospital procedures. The objective of this research was aimed at developing the Nursing Care Process in preventing the risk of bleeding through the applicability of NANDA, NIC and NOC through Marjory Gordon's theory based on the 11 functional patterns. response to the 3 altered patterns, which presented the clinical case as constipation, blood loss and pain; The methodology used was a retrospective study, based on research of scientific articles from 2013.