ABSTRACT
Introduccion:Las Infecciones de Sitio Operatorio(ISO) son parte del grupo de infecciones intrahospitalarias más frecuentes en el posoperatorio de los pacientes adultos mayores. Objetivo:Determinar los agentes relacionados a infecciones del sitio operatorio en pacientes adulto mayores pos operados en el Centro Medico Naval "Cirujano Mayor Santiago Távara" (CEMENA) de enero 2013 a diciembre 2017. Métodos:Estudio de diseño casos y controles, analítico y observacional. Se estudiaron las variables ISO como desenlace e hipertensión arterial, diabetes mellitus, neoplasia maligna, obesidad, técnica quirúrgica y tipo de cirugía como agentes. Resultados:De los 219 adultos mayores, el 33,33 % (n=73) tuvieron ISO. En el análisis bivariado se encontraron asociaciones estadísticamente significativas para diabetes mellitus (OR: 1,49, IC 1,03 2,18, p<0,035), tipo de cirugía (OR: 4,63 IC 2,89 -7,42, p<0,05) y técnica quirúrgica (OP,0,24, IC 0,13- 0,43, p<0,05). En el análisis multivariado, se encontró que la cirugía de emergencia tiene 4,04 (OR 4,04, IC 2,55 - 6,40, p<0,05) veces la probabilidad de ISO en comparación a la cirugía programada, y la cirugía laparoscópica tiene 0,29 (OP 0,29, IC 0,17-0,52, p<0,05) veces la probabilidad de ISO en comparación con la técnica abierta. Conclusión: La técnica operatoria laparoscópica disminuye la probabilidad de ISO, y la cirugía de emergencia aumenta su probabilidad en pacientes adultos mayores.
Introduction:Surgical site infections (SSI) are part of the most frequent intrahospital infections in the postoperative period of elderly patients. Objective:To determine the agents related to infections of the operative site in the elderly patients after surgery of the Naval Medical Center during January 2013 to December. Methods: An analytical cross sectional study using a secondary data analysis from clinical records of patients older than 65 years post-operated. SSI was studied has outcome, and arterial hypertension, diabetes mellitus, malignant neoplasia, obesity, surgical technique and type of surgery were the agents. Results: Of the 219 older adults, 33,33% (n=73) had SSI. In the bivariate analysis, statistically significant associations were found for diabetes mellitus (PR: 1,49, CI 1,03 - 2,18, p <0,035), type of surgery (PR: 4,63 IC 2,89 -7,42, p <0,05) and surgical technique (PR.0,24, CI 0,13- 0,43, p <0,05). In the multivariate analysis, it was found that emergency type surgery has 4,04 (PR 4,04, IC 2,55 - 6,40, p <0,05) times chance for SSI compared to the programmed surgery, and the laparoscopic technique surgery has 0,29 (PR 0,29, CI 0,17-0,52, p <0,05) chance of SSI compared to the open technique. Conclusion:Laparoscopic operative technique decreases the likelihood of ISO, and emergency surgery increases its likelihood in elderly patients
ABSTRACT
AIM: To evaluate the results and complications of strabismus surgery in Yazd, Iran.METHODS: A total of 200 patients with strabismus disorder who consecutively undertook eye surgery during 10 years were evaluated for outcomes and complications through a historical cohort strategy design. Follow-up period was 6 months. Data were collected and analyzed by appropriate statistical tests.RESULTS: Patients comprised 98 female and 102 male with a mean age of 15.31±11.7 years. Prevalence of exotropia and esotropia was 43.5% and 47.0% respectively. There is significant relationship between result and type of surgery but there isn't significant relationship between result of surgery and reason and date of strabismus beginning.CONCLUSION: Outcomes of surgery were favorable and longer follow-up is needed to evaluate late results and complications. Based on our results and individual experience revision of Rosenbaum Santiago tables, under-and over-correction are needed.