Cirugía mayor ambulatoria en pacientes operados de urgencia.

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    • Alternate Title:
      Outpatient major surgery in patients operated through an emergency.
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    • Abstract:
      A descriptive, prospective and longitudinal investigation of the 1 067 patients with acute intraabdominal disorders, operated through an outpatient major emergent surgery in "Dr. Joaquín Castillo Duany" Teaching Clinical-Surgical Hospital in Santiago de Cuba was carried out from January, 2007 to May, 2010, with the aim of characterizing them according to some variables of interest. The age group 31-45 year old (47.7%), the male sex (50.8%), acute appendicitis as preoperative diagnosis (52.9%), which besides presented complications in 78.1% of the total, the minimal access surgery (57.2%), with only 15.6% of complicated patients, and the general orotracheal anesthesia (97.6%) prevailed in the case material. According to the classification of the American Society of Anesthesiology, 83.8% of the patients affected belonged to group I, while when analyzing the associated diseases, 42.8% suffered from hypertension. The used surgical modality allowed to incorporate new preoperative diagnoses, based on appropriate selection criteria of the patient; the general satisfaction of those patients operated was also achieved, so that it was recommended to extend it to other hospitals. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Se realizó una investigación descriptiva, prospectiva y longitudinal de los 1 067 pacientes con afecciones agudas intraabdominales, operados de urgencia por cirugía mayor ambulatoria en el Hospital Clinicoquirúrgico Docente "Dr. Joaquín Castillo Duany" de Santiago de Cuba, desde enero de 2007 hasta mayo de 2010, con vistas a caracterizarles según algunas variables de interés. En la casuística predominaron el grupo etario de 31- 45 años (47,7 %), el sexo masculino (50,8 %), la apendicitis aguda como diagnóstico preoperatorio (52,9 %), que además presentó complicaciones en 78,1 % del total, la operación por mínimo acceso (57,2 %), con solo 15,6 % de pacientes complicados, y la anestesia general orotraqueal (97,6 %). De acuerdo con la clasificación de la Sociedad Americana de Anestesiología, 83,8 % de los afectados perteneció al grupo I, mientras que al analizar las enfermedades asociadas, 42,8 % padecía hipertensión arterial. La modalidad quirúrgica empleada permitió incorporar nuevos diagnósticos preoperatorios, basados en adecuados criterios de selección del paciente; también se logró la satisfacción general de los operados, por lo que se recomendó extenderla a otros centros hospitalarios. [ABSTRACT FROM AUTHOR]
    • Abstract:
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