Complicaciones post histerectomía abdominal total en pacientes con sobrepeso y obesidad

OBJECTIVE: To describe post-total abdominal hysterectomy complications in overweight and obese patients attending the Gynecology Department of the Regional Hospital of Zacapa, from January 2020 to December 2024. METHOD: A retrospective descriptive study was conducted. A total of 254 medical records were reviewed, of which 122 met the inclusion criteria. RESULTS: The complication with the highest number of cases was flushing, reported in 47% (57) of the patients. The most predominant age group was 61 to 70 years, accounting for 48% (59). Most patients were from the municipality of Zacapa, representing 50% (61). The majority of complications occurred in women with a Body Mass Index between 30–34 kg/m², comprising 54% (66). Diabetes mellitus was the most frequently observed medical history in this study, with a prevalence of 36% (44). The most predominant surgical indication was uterine myomatosis, accounting for 53% (64). CONCLUSION: Post–total abdominal hysterectomy complications occurred more frequently in women with type I obesity, with redness being the most common complication. The presence of comorbidities such as diabetes mellitus and the surgical indication was uterine myomatosis.