Escala de criterios para reintervenir a un paciente de cirugía abdominal, análisis en pacientes del Hospital Abel Gilbert Pontón, año 2016
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2017
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
Utilizando la frase expuesta por Saegesser (81) en un artículo sobre problemas fisiopatológicos y quirúrgicos de la úlcera péptica, podemos generalizarla y aseverar que el verdadero maestro en cirugía no es precisamente aquel que posee un diagnóstico apropiado y ostenta una técnica quirúrgica perfecta sino el que previene o domina y vence los trastornos postoperatorios que suelen presentarse. Para recordarlos es necesario conocerlos y para ello es preciso ir a investigarlos a las fuentes apropiadas. El objetivo principal del presente trabajo ha sido la búsqueda de las complicaciones que la literatura médica ha informado aisladamente en el postoperatorio de la cirugía abdominal; su único mérito estriba en la recopilación de esos informes y en su presentación en- una unidad. No hay cirujano que no tenga que afrontar el problema de las complicaciones que pueden presentarse en los pacientes que ha sometido a intervención quirúrgica. Estas posibles complicaciones están referidas a: dehiscencia de la herida, dolor de la herida, acumulación de suero, hemorragia, senos de las líneas de sutura, infección de la herida, even-traciones.
Using the phrase put forward by Saegesser (81) in an article on pathophysiological and surgical problems of peptic ulcer, we can generalize it and assert that the real master in surgery is not precisely the one who has a proper diagnosis and who has a perfect surgical technique but the one who Prevents or dominates and overcomes the postoperative disorders that usually occur. In order to remember them it is necessary to know them and for this it is necessary to go to investigate them to the appropriate sources. The main objective of the present study was the search for complications reported by the medical literature in the postoperative period of abdominal surgery; Its only merit lies in the compilation of these reports and in their presentation in a unit. There is no surgeon who does not have to face the problem of complications that can occur in patients who have undergone surgery. These possible complications are related to: wound dehiscence, wound pain, serum accumulation, hemorrhage, sinuses of suture lines, wound infection, eventraction.
Using the phrase put forward by Saegesser (81) in an article on pathophysiological and surgical problems of peptic ulcer, we can generalize it and assert that the real master in surgery is not precisely the one who has a proper diagnosis and who has a perfect surgical technique but the one who Prevents or dominates and overcomes the postoperative disorders that usually occur. In order to remember them it is necessary to know them and for this it is necessary to go to investigate them to the appropriate sources. The main objective of the present study was the search for complications reported by the medical literature in the postoperative period of abdominal surgery; Its only merit lies in the compilation of these reports and in their presentation in a unit. There is no surgeon who does not have to face the problem of complications that can occur in patients who have undergone surgery. These possible complications are related to: wound dehiscence, wound pain, serum accumulation, hemorrhage, sinuses of suture lines, wound infection, eventraction.
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Reintervención quirúrgica, Cirugía abdominal, Escala de criterios, Epidemiología descriptiva, Estudios prospectivos, Hospital de Especialidades Guayaquil Dr. Abel Gilbert Pontón, Cantón Guayaquil, Ecuador