ventajas de la cirugía mayor ambulatoria en situaciones de urgencia médica advantages of the ambulatory major surgery in situations of medical emergency

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ID: 172880
2009
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Abstract
Se efectuó un estudio descriptivo y prospectivo sobre los resultados de la cirugía mayor ambulatoria en pacientes atendidos y diagnosticados en el Cuerpo de Guardia del Hospital Provincial Docente “Dr. Joaquín Castillo Duany” de Santiago de Cuba desde enero del 2003 hasta junio del 2007, por presentar afecciones quirúrgicas de urgencia, con vista a mostrar las ventajas de esta modalidad operatoria. Además de los exámenes complementarios indispensables para el diagnóstico preoperatorio y la ejecución del acto quirúrgico, los pacientes fueron aglutinados según la Sociedad Americana de Anestesiología en los grupos I y II. En la casuística predominaron los hombres jóvenes de 15-30 años (55,3 %), la apendicitis aguda como afección (51,5 %), la cirugía laparoscópica como procedimiento (en 96 del total) y la anestesia general orotraqueal como técnica anestésica (80,6 %). La ocurrencia de escasas complicaciones (3,8 %) garantizó la evolución favorable de 228 de las 237 personas operadas.
A descriptive and prospective study was carried out on the results of the ambulatory major surgery in patients who were attended and diagnosed in the emergency room of "Dr. Joaquín Castillo Duany" Teaching Provincial Hospital in Santiago de Cuba from January, 2003 to June, 2007, who presented surgical emergency injuries, with the objective of showing the advantages of this surgical modality. Besides the indispensable additional tests for the preoperative diagnosis and the surgical intervention, the patients were grouped according to the American Society of Anesthesiology in groups I and II. In the case material the 15-30 year-old young men (55,3%), acute appendicitis as pathology (51,5%), laparoscopic surgery as procedure (in 96 of the total) and orotraqueal general anesthesia as anesthetic technique (80,6%) prevailed. The occurrence of scarce complications (3,8%) guaranteed the favorable clinical course of 228 from 237 operated people
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Authors ;Ernesto Manuel Luzardo Silveira;Rafael Rodríguez Ramírez;Pedro Luis González Rondón;Juan Francisco Puertas Álvarez
Journal Endocrine
Year 2009
DOI
DOI not found
URL
http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192009000300003
Keywords
laparoscopy appendicitis emergencies anesthesia ambulatory surgical procedures

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