Subject(s)
Anal Canal/surgery , Anus Neoplasms/surgery , Myocutaneous Flap , Rectus Abdominis/surgery , Salvage Therapy/methods , Female , HumansABSTRACT
INTRODUCTION: Patients admitted to surgery departments receive multiple drugs before, during and after surgical procedures. Anti-infectious therapy, anesthetics, anti-embolic agents, and analgesics stand out amongst others. Our objective was to implement pharmacotherapeutic follow-up as a means to detect, prevent, and solve medication-related problems (MRPs) in inpatients, and to establish consensus strategies to solve avoidable MRPs. MATERIAL AND METHODS: An observational prospective study of 22 patients hospitalized in a Surgery Department, Hospital Infanta Margarita, Cabra (Córdoba) was conducted. Dader methodology was adapted for drug therapy follow-up in the hospital setting. RESULTS: In all, 108 MRPs were detected; 22.04% were associated with medication needs (MRP1:13.6% and MRP2: 8.5%), 40.68% with ineffectiveness (MRP3: 22.0% and MRP4: 18.6%), and 37.28% with lack of safety (MRP5: 10.2% and MRP6: 27.1%). Out of 108 MRPs found, 64 (59.3%) were avoidable; 97 pharmaceutical interventions were carried out (89.8% of cases), acting in 63 (58%) MRPs detected in cooperation with physicians, while 46 MRPs were solved (42%). We found 1 MRP in each 2.6 patients -- admission days, and 1 MRP per 4.5 patients -- admission days occurred after pharmaceutical intervention during the study period. CONCLUSIONS: The use of pharmacotherapeutic follow-up in patients admitted to this department has improved the quality of health care.
Subject(s)
Drug Therapy , Medication Errors/prevention & control , Pharmaceutical Preparations/administration & dosage , Pharmacy Service, Hospital/organization & administration , Surgery Department, Hospital , Female , Humans , Male , Middle Aged , Pharmacy Service, Hospital/statistics & numerical data , Prospective Studies , Surveys and QuestionnairesABSTRACT
Urachal anomalies are uncommon defects arising either by incomplete obliteration of the urachus during the foetal period or by its reopening after postnatal regression. Five anomalies have been described: congenital patent urachus, urachal cyst, umbilical-urachal sinus, vesico-urachal diverticulum, and alternating sinus. Only congenital patent urachus is present at childbirth. The other forms are usually acquired disorders. Nevertheless, they commonly appear in children, being less common in the adult. Colic-urachal fistulas are quite uncommon findings. Only three cases have been reported thus far. The aim of this study is to report the fourth case of sigmoid-urachal fistula, and the first one appearing without an urachal cyst.
Subject(s)
Colon, Sigmoid/diagnostic imaging , Colonic Diseases/diagnostic imaging , Fistula/diagnostic imaging , Urachus/diagnostic imaging , Colon, Sigmoid/abnormalities , Colon, Sigmoid/surgery , Colonic Diseases/congenital , Colonic Diseases/surgery , Fistula/congenital , Fistula/surgery , Humans , Male , Middle Aged , Radiography , Urachal Cyst/diagnostic imaging , Urachal Cyst/etiology , Urachus/abnormalities , Urachus/surgeryABSTRACT
Presentamos el caso de un paciente varón de 57 años que consultó por descarga umbilical de material fecaloideo junto con dolor e irritación periumbilical años después de haber comenzado con episodios intermitentes de neumaturia y fecaluria. Ninguna de las exploraciones complementarias realizadas aportaron información relevante para el diagnóstico. La intervención quirúrgica demostró la existencia de una fístula sigmoidouracal. Creemos de interés este caso debido a la rareza de este diagnóstico ya que sólo han sido descritos tres casos en la literatura siendo éste el único caso en que no se apreció la presencia previa de un quiste uracal (AU)
