Early surgical exploration model in post-cesarean sepsis

Abstract

The study is descriptive-retrospective whose main objective is to evaluate the application of the early surgical exploration model in sepsis after caesarean section at the Zacamil National Hospital (HNZ) in the period 2002-2003. Finding that during the study period 1,928 cesarean sections were performed, 54 of which presented an infectious process after surgery. 95% of the caesarean sections performed in the HNZ were term pregnancies and among the main indications were acute fetal distress and pelvic cephalic disproportion Among the predisposing factors to infection (caesarean sections performed in the HNZ it was found that only 9% of patients With duration of labor greater than 12 hours, 11% of patients with 6 intrapartum vaginal touches, 4% of patients with premature rupture of ovular membranes, ci 7% of C-sections had a surgical time greater than 60 minutes and 28% had previous caesarean maternal anemia.The symptom / main sign of infection was fever 25% were adolescent women, 83% primigestas, apnea 'the model proposed in 98% of cases, the pathology more Frequent detected is subaponeurotic abscess (43%), and there were no subsequent complications.