Hemorroidectomía de Milligan y Morgan, estudio de sus ventajas e incovenientes en la trombosis hemorroidal aguda, Hospital Nacional de Especialidades Guayaquil Dr. Abel Gilbert Pontón 2006-2009
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2012
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Las patologías del ano y periné, y en particular la enfermedad hemorroidal, constituyen hoy una causa común de búsqueda de atención médica en los servicios de emergencias y consulta externa de las unidades hospitalarias públicas o privadas. La escasa familiaridad en el diagnóstico y tratamiento por parte del equipo de salud encargado de su diagnóstico, ha influenciado enormemente en la mala conducción y atención de estas enfermedades y muchas veces esto ha redundado del cuadro clínico inicial. Con el objetivo de evaluar la eficacia de la técnica de Milligan-Morgan en el tratamiento de la trombosis hemorroidal aguda en sus grados III y IV se realizó un estudio de tipo descriptivo correlacional, de diseño no experimental, longitudinal retrospectivo en el Hospital Nacional de Especialidades Guayaquil “Dr. Abel Gilbert Pontón” en el que se evaluaron 100 casos desde Enero 2006 a Diciembre del 2009. La edad promedio de la muestra valorada fue de 44.5± 7,52 años, predominó el sexo femenino. En relación al IMC se tuvo 33,4 en promedio. El dolor siempre estuvo presente a un nivel moderado según Eva. Se observó un sangrado moderado en etapa preoperatoria. Los paquetes hemorroidales supero-lateral derecho, ínferolateral derecho y el supero-lateral izquierdo fueron los más afectados. El prurito anal fue el síntoma menos presente. Al final de la primera semana, los pacientes en su mayoría tenían menos dolor, sangraban menos y su cicatrización bordeaba el 50% del tamaño de la herida, porcentajes que mejoraron en un 95% al final de la cuarta semana
The diseases of the anus and perineum, particularly hemorrhoidal disease, are now a common cause of seeking medical care in emergency services and outpatient hospital units public or private. The lack of familiarity in its diagnosis and treatment by the health team responsible for handling your diagnosis and treatment has greatly influenced the conduct and care of these diseases and often this has resulted in worsening of initial symptoms. In order to evaluate the effectiveness of the MilliganMorgan technique in the treatment of acute hemorrhoidal thrombosis in their grades III and IV proposes a study of descriptive correlational design non experimental, retrospective longitudinal National Hospital specialties Guayaquil "Dr. Abel Gilbert Ponton "which evaluated 100 cases from January 2006 to December 2011. Statistical analysis was used Chi2 test, test Studen-Fisher and calculated the relative risk (RR), the excess ratio (OR) and absolute risk reduction (ARR). Mean age was 44.5 ± 7.52 years, were females. In relation to BMI was 33.4 on average. The pain was always present, at a moderate level as EVA. Moderate bleeding was observed in preoperative stage. Packets supero-lateral hemorrhoidal right inferolateral right and left superior-lateral were the most affected. The anal itching symptom was less present. At the end of the first week, most patients had less pain, less bleeding and scarring bordering on 50% of the size of the wound, percentages improved to 95% at the end of the fourth week
The diseases of the anus and perineum, particularly hemorrhoidal disease, are now a common cause of seeking medical care in emergency services and outpatient hospital units public or private. The lack of familiarity in its diagnosis and treatment by the health team responsible for handling your diagnosis and treatment has greatly influenced the conduct and care of these diseases and often this has resulted in worsening of initial symptoms. In order to evaluate the effectiveness of the MilliganMorgan technique in the treatment of acute hemorrhoidal thrombosis in their grades III and IV proposes a study of descriptive correlational design non experimental, retrospective longitudinal National Hospital specialties Guayaquil "Dr. Abel Gilbert Ponton "which evaluated 100 cases from January 2006 to December 2011. Statistical analysis was used Chi2 test, test Studen-Fisher and calculated the relative risk (RR), the excess ratio (OR) and absolute risk reduction (ARR). Mean age was 44.5 ± 7.52 years, were females. In relation to BMI was 33.4 on average. The pain was always present, at a moderate level as EVA. Moderate bleeding was observed in preoperative stage. Packets supero-lateral hemorrhoidal right inferolateral right and left superior-lateral were the most affected. The anal itching symptom was less present. At the end of the first week, most patients had less pain, less bleeding and scarring bordering on 50% of the size of the wound, percentages improved to 95% at the end of the fourth week
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Hemorroides, Hemorroidectomía, Epidemiología descriptiva, Estudios retrospectivos, Hospital de Especialidades Guayaquil Dr. Abel Gilbert Pontón, Cantón Guayaquil, Ecuador