Hemorroidectomía : opciones quirúrgicas y sus complicaciones, Hospital Regional 2 IESS Dr. Teodoro Maldonado Carbo 2007 - 2011
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2014
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Introducción: La enfermedad hemorroidal es una patología con una prevalencia del 2 al 5%. A pesar de que el tratamiento quirúrgico es una solución a la mayoría de los casos, se emplea poco debido a la existencia de muchos mitos respectos a las complicaciones postquirúrgicas. En el hospital Teodoro Maldonado técnicas como la de Milligan y Morgan, Fergunson y Parks se utilizan en esta institución, y a pesar de que se ejecución data de muchos años, no se habían descrito cual es la que se emplea con mayor frecuencia y que complicaciones se relacionan con cada tipo. Tampoco se conocía las características de los pacientes tratados. Método: Se realizó un estudio observacional transversal en el que se incorporaron de manera no aleatoria 120 pacientes que fueron intervenidos quirúrgicamente por hemorroidectomía. Para el análisis estadístico se emplearon frecuencias simples, relativas, promedio y desviación estándar. Resultados: La edad promedio de los pacientes en los que se realizó hemorroidectomía fue de 44,9 ± 12,1 años. La proporción de hombres y mujeres fue similar (51% vs 49%). En el 94% la técnica de hemorroidectomía más empleada fue Parks modificada (89% sola y 5% junto a otra técnica). El 82% no presentó comorbilidad. El tiempo promedio empleado en la hemorroidectomía fue de 57,7 ± 18.3 minutos. El 98% de las cirugías se realizaron por hemorroide mixta. La prevalencia de complicaciones fue del 11%. Las complicaciones reportadas fueron por prevalencia de mayor a menor, granuloma, plicoma, hemorragia y estenosis Conclusiones: La prevalencia de complicaciones es baja, y no existe un tipo preponderante. El desarrollo de estas se presenta en la técnica que se desarrolla con mayor frecuencia, que es la de Parks Modificada
Introduction: Hemorrhoidal disease is a disease with a prevalence of 2 to 5 %. Although surgical treatment is a solution to the majority of cases, little due to the existence of many respects to the used surgical complications myths. In Teodoro Maldonado hospital, techniques such as Milligan and Morgan, Fergunson and Parks, its used, and although they run back many years, had not disclosed which is the one used most frequently and complications associated with each type. Neither the characteristics of patients knew. Method: A cross-sectional study in which non-randomly incorporated 120 patients who underwent surgery for hemorrhoidectomy was performed. Statistical analysis consisted of frequency, relative average and standard deviation were used. Results: The average age of patients who hemorrhoidectomy was performed was 44.9 ± 12.1 years. The proportion of men and women was similar (51% vs 49%). In 94% more hemorrhoidectomy technique used was modified Parks (89% to 5% one beside another technique). 82% had no comorbidity. The average time spent hemorrhoidectomy was 57.7 ± 18.3 minutes. 98% of the surgeries were performed by mixed hemorrhoid. The prevalence of complications was 11%. Complications were reported by high to low prevalence, granuloma, plicoma, hemorrhage and stenosisConclusions: The prevalence of complications is low , and there is a predominant type . The development of these is shown in the art that is developed most frequently, is Parks‟s Tecniqhe
Introduction: Hemorrhoidal disease is a disease with a prevalence of 2 to 5 %. Although surgical treatment is a solution to the majority of cases, little due to the existence of many respects to the used surgical complications myths. In Teodoro Maldonado hospital, techniques such as Milligan and Morgan, Fergunson and Parks, its used, and although they run back many years, had not disclosed which is the one used most frequently and complications associated with each type. Neither the characteristics of patients knew. Method: A cross-sectional study in which non-randomly incorporated 120 patients who underwent surgery for hemorrhoidectomy was performed. Statistical analysis consisted of frequency, relative average and standard deviation were used. Results: The average age of patients who hemorrhoidectomy was performed was 44.9 ± 12.1 years. The proportion of men and women was similar (51% vs 49%). In 94% more hemorrhoidectomy technique used was modified Parks (89% to 5% one beside another technique). 82% had no comorbidity. The average time spent hemorrhoidectomy was 57.7 ± 18.3 minutes. 98% of the surgeries were performed by mixed hemorrhoid. The prevalence of complications was 11%. Complications were reported by high to low prevalence, granuloma, plicoma, hemorrhage and stenosisConclusions: The prevalence of complications is low , and there is a predominant type . The development of these is shown in the art that is developed most frequently, is Parks‟s Tecniqhe
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Hemorroidectomía, Tratamiento quirúrgico, Hospital de Especialidades Dr. Teodoro Maldonado Carbo, Cantón Guayaquil, Ecuador, Complicaciones