Cirugía endoscópica nasosinusal: ¿un procedimiento ambulatorio? / Endoscopic sinus surgery: a day surgery?
Rev. otorrinolaringol. cir. cabeza cuello
; 78(1): 25-30, mar. 2018. tab
Article
in Es
| LILACS
| ID: biblio-902810
Responsible library:
CL1.1
RESUMEN
RESUMEN Introducción:
La cirugía endoscópica nasosinusal (CEN) ha aumentado progresivamente debido a que brinda un gran acceso quirúrgico mediante un abordaje mínimamente invasivo. Debido a que tiene un posoperatorio reducido y con pocas complicaciones se puede realizar como cirugía ambulatoria (CA). Esta modalidad es ampliamente aceptada a nivel internacional, sin embargo, no se ha masificado en nuestra realidad nacional.Objetivo:
Describir la incidencia y causas de estadía no programada pos CEN ambulatoria en el Servicio de Otorrinolaringología del Hospital del Salvador. Material ymétodo:
Revisión retrospectiva de fichas de pacientes operados de CEN por el mismo equipo quirúrgico (Dra. Constanza J. Valdés y Dra. Paula Ruz) entre agosto 2013 y diciembre 2015. Se registraron datos demográficos, cirugías y complicaciones perioperatorias.Resultados:
De un total de 75 CEN programadas para realizarse en forma ambulatoria, la incidencia de estadía no programada fue de 15%. Las principales causas fueron problemas administrativos (6 casos) seguido de complicaciones perioperatorias (5 casos).Conclusión:
Excluyendo causas administrativas de estadía no programada, el 93% de los procedimientos lograron realizarse como CA. Esta modalidad es plausible y recomendable en el sistema de salud donde los recursos son escasos.ABSTRACT
ABSTRACT Introduction:
Endoscopic sinus surgery (ESS) has an increase trend because it provides wide surgical access through a minimally invasive approach. It can be performed on a day surgery basis because it has a fast postoperative recovery and a low complication rate. This method has worldwide acceptance, however it has not been established in our national practice.Aim:
Describe incidence and unplanned admission causes of ESS in the Otolaryngology service of the Hospital del Salvador. Material andmethod:
Retrospective review of patient medical records undergoing ESS by the same surgical team (Dra. Constanza J. Valdés y Dra. Paula Ruz) between August 2013 and December 2015. Patient demographic information, surgery and perioperative complications were recorded.Results:
75 ESS procedures were scheduled to be performed on an outpatient basis. The incidence of unplanned stay was 15%. Fifteen patients had an unplanned admission, due to administrative problems (6) and perioperative complications (5).Conclusions:
Fifteen percent of the patients who underwent ESS on a day surgery basis had an unplanned stay; its main cause is due to administrative problems. Excluding administrative causes of unplanned admission, 93% of the procedures performed were ambulatory procedures. This mode is plausible and desirable in the health system where resources are scarce.Key words
Full text:
1
Collection:
01-internacional
Database:
LILACS
Main subject:
Paranasal Sinuses
/
Patient Admission
/
Endoscopy
/
Ambulatory Surgical Procedures
Type of study:
Incidence_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
Es
Journal:
Rev. otorrinolaringol. cir. cabeza cuello
Journal subject:
OTORRINOLARINGOLOGIA
Year:
2018
Document type:
Article
Affiliation country:
Chile
Country of publication:
Chile