Pterigión recidivante como complicaciones postquirúrgica en pacientes de 20 a 35 años
Fecha
2022
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
Resumen
El Pterigión recidivante como complicación postquirúrgica es una afección muy común dentro del tratamiento primario de esta patología, ya sea con medicamento o mediante cirugía. Siendo esta una complicación más agresiva a la primaria y con sintomatología más recurrente se desarrolla por un proceso inflamatorio superior y con irregularidades en la superficie, causando afectación a la película lagrimal. En este sentido la investigación propuesta se centra en determinar el índice de Pterigión recidivante como complicación postquirúrgica en pacientes de 20 a 35 años del hospital general del norte de Guayaquil IESS los Ceibos, para lo cual se ha estructurado un estudio no experimental cuantitativo – cualitativo con enfoque descriptivo y exploratorio, donde a través del análisis de las historias clínicas y la entrevista a expertos se determinó que del total de 143 expedientes analizados de los cuales 129 poseen Pterigión y 14 otras patologías, con un 3,4% ha tenido este tipo de complicaciones posteriores a la cirugía y un 8,3% ha presentado recidivante después del tratamiento clínico farmacológico, teniendo una incidencia superior en pacientes entre el rango etario de 20 a 35 años. Concluyendo que el índice de Pterigión recidivante en el hospital general del norte de Guayaquil IESS los Ceibos se ubica como la principal complicación posquirúrgica, después de infección, cicatriz conjuntival hipertrófica, glaucoma, y perdida de transparencia.
Recurrent pterygium as a postoperative complication is a very common condition within the primary treatment of this pathology, either with medication or through surgery. This being a more aggressive complication than the primary one and with more recurrent symptoms, it develops due to a higher inflammatory process and with irregularities on the surface, causing damage to the tear film. In this sense, the proposed research focuses on determining the recurrent Pterygium index as a postsurgical complication in patients aged 20 to 35 years of the general hospital of the north of Guayaquil IESS Los Ceibos, for which a quantitative-qualitative non-experimental study has been structured with descriptive and exploratory approach, where through the analysis of the medical records and the interview with experts it was determined that of the total of 143 records analyzed, 9.8% had this type of complications after surgery and 3.5% had presented recurrently after clinical pharmacological treatment, having a higher incidence in patients between the age range of 20 to 35 years. Concluding that the recurrent Pterygium index in the general hospital of the north of Guayaquil IESS los Ceibos ranks as the main postoperative complication, after infection, hypertrophic conjunctival scar, glaucoma, and loss of transparency
Recurrent pterygium as a postoperative complication is a very common condition within the primary treatment of this pathology, either with medication or through surgery. This being a more aggressive complication than the primary one and with more recurrent symptoms, it develops due to a higher inflammatory process and with irregularities on the surface, causing damage to the tear film. In this sense, the proposed research focuses on determining the recurrent Pterygium index as a postsurgical complication in patients aged 20 to 35 years of the general hospital of the north of Guayaquil IESS Los Ceibos, for which a quantitative-qualitative non-experimental study has been structured with descriptive and exploratory approach, where through the analysis of the medical records and the interview with experts it was determined that of the total of 143 records analyzed, 9.8% had this type of complications after surgery and 3.5% had presented recurrently after clinical pharmacological treatment, having a higher incidence in patients between the age range of 20 to 35 years. Concluding that the recurrent Pterygium index in the general hospital of the north of Guayaquil IESS los Ceibos ranks as the main postoperative complication, after infection, hypertrophic conjunctival scar, glaucoma, and loss of transparency
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Complicaciones quirúrgica, Osteoartropatía hipertrófica secundaria, Infcción, Hospital del IESS los Ceibos, Cantón Guayaquil, Ecuador