Caracterización anestésica de pacientes con cesárea segmentaria transperitoneal de urgencia y electiva

OBJECTIVE: To describe the anesthetic characteristics of patients undergoing emergency and elective transperitoneal segmental cesarean sections performed in the Zacapa Regional Hospital from September to October 2025. METHOD: A descriptive cross-sectional study was conducted, evaluating a total of 168 patients, of whom 148 met the inclusion criteria. RESULTS: Of the 148 patients who underwent transperitoneal segmental cesarean section 54% belonged to the 18-25 age group, 42% came from the municipality of Zacapa, 84% were married, the main medical indication was morbid obesity with 70% in elective cesarean sections and 51% in emergency cesarean sections, spinal anesthesia was the most commonly used in 93% of cases, difficult airway was the main anesthetic risk in 100% of cases, and the most commonly reported complication was nausea in 17% of elective cesarean sections and 62% of emergency. CONCLUSION: Among the clinical indications in patients undergoing emergency and elective transperitoneal segmental cesarean sections (TSSCS), morbid obesity was a predominant indication in both groups, accounting for 70% of elective cesarean sections and 51% of emergency cesarean sections. Spinal anesthesia was the most commonly used anesthetic technique in 93% of cases. The most frequent complication in both groups was nausea, occurring in 17% of elective cesarean sections and 62% of emergency cesarean sections.