Cirugía mayor ambulatoria en pacientes con apendicitis aguda / Ambulatory major surgery in patients with acute appendicitis
Medisan
;
14(7): 904-909, 29-ago.-7-oct. 2010.
Article
in Spanish
| LILACS
| ID: lil-585259
RESUMEN
Se hizo un estudio descriptivo, transversal y prospectivo de los 285 pacientes con diagnóstico clínico de apendicitis aguda, predominantemente del sexo masculino, atendidos en el Servicio de Cirugía General del Hospital Provincial Dr Joaquín Castillo Duany de Santiago de Cuba, desde enero del 2003 hasta diciembre del 2008, a fin de precisar la efectividad de la cirugía mayor ambulatoria en ellos. La afección primó en el grupo etáreo de 15-30 años y se aplicaron las técnicas quirúrgicas convencional o laparoscópica, con el uso de anestesia general orotraqueal en todos los integrantes de la casuística. El diagnóstico preoperatorio se realizó precozmente en 80,7 por ciento de la serie (antes de las 6 horas), con primacía de la apendicitis catarral como forma anatomopatológica. No hubo complicaciones graves, por lo cual la recuperación de los operados fue buena antes de las 24 horas de haber sido intervenidos. Dicha modalidad terapéutica resultó ventajosa para los pacientes y la institución
ABSTRACT
A descriptive, cross-sectional and prospective study of 285 patients with clinical diagnosis of acute appendicitis, predominantly of the male sex, assisted in the Service of General Surgery of Dr Joaquín Castillo Duany Provincial Hospital from Santiago de Cuba was carried out from January, 2003 to December, 2008, in order to specify the effectiveness of the ambulatory major surgery in them. The affection prevailed in the 15-30 age group and the conventional or laparoscopic surgical techniques were applied, with the use of general orotracheal anesthesia in all the patients of the case material. The preoperative diagnosis was early carried out in 80,7 per cent of the series (before the 6 hours), with predominance of the catarrhal appendicitis as pathological form . There were not serious complications, reason why the recovery of those operated was good before the 24 hours of their surgical treatment. This therapeutic modality was advantageous for the patients and for the institution
Nbsp;type=m language=en]acute appendicitis; Nbsp;type=m language=es]apendicitis aguda; Nbsp;type=s language=en]ambulatory major surgery; Nbsp;type=s language=en]conventional surgery; Nbsp;type=s language=en]general orotracheal anesthesia; Nbsp;type=s language=en]laparoscopic surgery; Nbsp;type=s language=en]secondary health care; Nbsp;type=s language=es]anestesia general orotraqueal; Nbsp;type=s language=es]atención secundaria de salud; Nbsp;type=s language=es]cirugía convencional; Nbsp;type=s language=es]cirugía laparoscópica; Nbsp;type=s language=es]cirugía mayor ambulatoria
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Appendicitis
/
Secondary Care
/
Laparoscopy
/
Ambulatory Surgical Procedures
/
Anesthesia, General
Type of study:
Observational study
/
Prevalence study
/
Risk factors
Limits:
Female
/
Humans
/
Male
Language:
Spanish
Journal:
Medisan
Journal subject:
Medicine
Year:
2010
Type:
Article
Affiliation country:
Cuba
Institution/Affiliation country:
Hospital Provincial Docente Dr. Joaquín Castillo Duany/CU
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