Complicaciones en la cicatrización de herida quirúrgica debido a obesidad en pacientes apendicectomizados atendidos en el Hospital de Especialidades Dr. Abel Gilbert Pontón en el período de mayo del 2016 abril del 2017
No hay miniatura disponible
Fecha
2017
Autores
Título de la revista
ISSN de la revista
Título del volumen
Editor
Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
Introducción: La infección de herida operatoria es una complicación más común en los pacientes apendicectomizados, y en especial los de apendicitis aguda perforada. La apendicitis aguda es causada por la inflamación del apéndice vermicular, entre sus complicaciones se encuentra la infección de herida operatoria, el absceso residual, colecciones intraabdominales, obstrucción intestinal entre otras. La presencia de complicaciones del sitio operatorio es muy variable y dependerá de procedimiento quirúrgico y de la presencia de factores de riesgo, como la obesidad que constituye uno de los principales factores que predisponen a este problema Objetivo: Determinar cuáles son las complicaciones en la cicatrización de heridas quirúrgicas debido a obesidad en pacientes apendicectomizados atendidos en el Hospital de Especialidades Abel Gilbert Pontón, durante el periodo de Mayo del 2016 a Abril del 2017. Instrumentos: Las técnica que se utilizó es de observación directa, la evaluación de historias clínicas de cada paciente y como instrumento de trabajo se utilizó un formulario, los datos fueron procesados y analizados mediante Microsoft Word, Excel y el programa SPSS. Resultados: Como resultados se escogió una muestra de 100 pacientes que presentaron complicaciones de cicatrización de heridas de apendicetomía asociada a la obesidad, donde el grupo etario de mayor prevalencia del problema fue de 30 a 40 años, de sexo femenino, de procedencia rural, de raza mestiza, y que manifestaron una serie de complicaciones asociadas al problema. Conclusión: Podemos decir que si no se controla a tiempo el desarrollo de estas complicaciones incluyendo la obesidad como factor principal, podrá disminuir la morbilidad asociada al problema en este grupo de pacientes en estudio.
Introduction: .Operative wound infection is a more common complication in appendectomized patients, especially acute perforated appendicitis. Acute appendicitis is caused by inflammation of the vermicular appendix, among its complications is wound infection, residual abscess, intra-abdominal collections, intestinal obstruction, among others. The presence of complications of the operative site is very variable and will depend on the surgical procedure and the presence of risk factors, such as obesity, which constitutes one of the main factors that predispose to this problem. Objective: To determine the complications in the healing of Surgical wounds due to obesity in appendectomy patients attended at the Abel Gilbert Pontón Specialty Hospital during the period from May 2016 to April 2017. Instruments: The techniques used were direct observation, evaluation of each patient's medical histories And as a working tool was used a form, the data were processed and analyzed using Microsoft Word, Excel and SPSS program. Results: A sample of 100 patients with complications of appendectomy wounds associated with obesity was selected, where the age group with the highest prevalence of the problem was 30 to 40 years old, female, from rural origin, from Mixed race, and who manifested a series of complications associated with the problem. Conclusion: We can say that if the development of these complications, including obesity as the main factor, is not controlled in time, it can decrease the morbidity associated with the problem in this group of patients under study.
Introduction: .Operative wound infection is a more common complication in appendectomized patients, especially acute perforated appendicitis. Acute appendicitis is caused by inflammation of the vermicular appendix, among its complications is wound infection, residual abscess, intra-abdominal collections, intestinal obstruction, among others. The presence of complications of the operative site is very variable and will depend on the surgical procedure and the presence of risk factors, such as obesity, which constitutes one of the main factors that predispose to this problem. Objective: To determine the complications in the healing of Surgical wounds due to obesity in appendectomy patients attended at the Abel Gilbert Pontón Specialty Hospital during the period from May 2016 to April 2017. Instruments: The techniques used were direct observation, evaluation of each patient's medical histories And as a working tool was used a form, the data were processed and analyzed using Microsoft Word, Excel and SPSS program. Results: A sample of 100 patients with complications of appendectomy wounds associated with obesity was selected, where the age group with the highest prevalence of the problem was 30 to 40 years old, female, from rural origin, from Mixed race, and who manifested a series of complications associated with the problem. Conclusion: We can say that if the development of these complications, including obesity as the main factor, is not controlled in time, it can decrease the morbidity associated with the problem in this group of patients under study.
Descripción
PDF
Palabras clave
Apendicectomía, Herida quirúrgica, Obesidad, Hospital de Especialidades Guayaquil Dr. Abel Gilbert Pontón, Cantón Guayaquil, Ecuador, Cicatrización de heridas, Complicaciones