Complicaciones postquirúrgicas de herniorrafias inguinales en pacientes de 25 a 45 años
Fecha
2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
Una hernia ocurre cuando un pequeño tejido se abulta a través de la apertura en el musculo ocasionado por la debilidad de la pared abdominal. Dentro de las hernias de la pared abdominal destacan las hernias inguinales. Actualmente se considera a las herniorrafias como una de las intervenciones quirúrgicas más frecuentes en el servicio de cirugía general. Objetivo: Identificar las complicaciones postquirúrgicas de las herniorrafias inguinales. Metodología: Se realizó un estudio de prevalencia, observacional, descriptivo, transversal, durante el periodo 2015 – 2017 en el Hospital Abel Gilbert Pontón de la ciudad de Guayaquil. Resultados: La población en quien se basa el estudio fue de 148 pacientes, cuya media de edad fue de 35 años, 26 mujeres(17,93%) y 122 hombres(85,43%), en cuanto a la ubicación de la hernia, 78 (52,9%) fueron derecha, 65 (44,1%) fueron izquierda y 5 (3,1%) bilateral. Del total de pacientes que fueron intervenidos quirúrgicamente, 127 (85,7%) no presentaron ninguna complicación postquirúrgica, mientras que 21 (14,2%) si presentaron complicaciones de diferente tipo. La continuación de los resultados serán detallados más adelante en el estudio. Conclusión: La prevalencia de complicaciones en este estudio fue del 14,2%. A pesar de que en la muestra la cantidad de pacientes masculinos y femeninos no pudo ser comparada, la mayor frecuencia de hernias inguinales se presentó en varones, sin embargo las complicaciones postquirúrgicas fueron más frecuentes en mujeres.
A hernia occurs when a small tissue bulges through the opening in the muscle caused by the weakness of the abdominal wall. The hernias of the abdominal wall include inguinal hernias. Currently, herniorrhaphy is considered one of the most frequent surgical interventions in the general surgery service. Objective: To identify post-surgical complications of inguinal herniorrhaphy. Methodology: A prevalence, observational, descriptive, cross-sectional study was conducted during the period 2015 - 2017 at the Abel Gilbert Pontón Hospital in the city of Guayaquil. Results: The population on which the study was based was 148 patients, whose average age was 35 years, 26 women (17.93%) and 122 men (85.43%), regarding the location of the hernia , 78 (52.9%) were right, 65 (44.1%) were left and 5 (3.1%) bilateral. Of the total number of patients who underwent surgery, 127 (85.7%) did not present any postoperative complication, while 21 (14.2%) presented complications of different types. The continuation of the results will be detailed later in the study. Conclusion: The prevalence of complications in this study was 14.2%. Despite the fact that in the sample the number of male and female patients could not be compared, the highest frequency of inguinal hernias occurred in men, however postsurgical complications were more frequent in women.
A hernia occurs when a small tissue bulges through the opening in the muscle caused by the weakness of the abdominal wall. The hernias of the abdominal wall include inguinal hernias. Currently, herniorrhaphy is considered one of the most frequent surgical interventions in the general surgery service. Objective: To identify post-surgical complications of inguinal herniorrhaphy. Methodology: A prevalence, observational, descriptive, cross-sectional study was conducted during the period 2015 - 2017 at the Abel Gilbert Pontón Hospital in the city of Guayaquil. Results: The population on which the study was based was 148 patients, whose average age was 35 years, 26 women (17.93%) and 122 men (85.43%), regarding the location of the hernia , 78 (52.9%) were right, 65 (44.1%) were left and 5 (3.1%) bilateral. Of the total number of patients who underwent surgery, 127 (85.7%) did not present any postoperative complication, while 21 (14.2%) presented complications of different types. The continuation of the results will be detailed later in the study. Conclusion: The prevalence of complications in this study was 14.2%. Despite the fact that in the sample the number of male and female patients could not be compared, the highest frequency of inguinal hernias occurred in men, however postsurgical complications were more frequent in women.
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HERNIA INGUINAL, HERNIORRAFIA, COMPLICACIONES POSOPERATORIAS, HOSPITAL DE ESPECIALIDADES GUAYAQUIL DR. ABEL GILBERT PONTON, CANTON GUAYAQUIL, ECUADOR