Evaluación clínico quirúrgico de las colostomías de emergencia como solución a patologías intestinales agudas. Hospital Nacional de Especialidades Guayaquil Dr. Abel Gilbert Pontón 2005-2008
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2011
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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La colostomía de emergencia es una técnica quirúrgica empleada para manejar patologías intestinales agudas traumáticas y no traumáticas. Si bien se ha manifestado que su empleo ha disminuido la morbimortalidad inmediata en los casos requeridos existen controversias respecto a su valor sobre todo porque su asociación con complicaciones, proponiéndose la realización de colostomías diferidas. En el hospital Nacional de Especialidades Guayaquil “Dr. Abel Gilbert Pontón” no se contaba con un informe sobre los resultados al aplicar esta técnica lo que imposibilitaba su evaluación. Por este motivo ser realizó un estudio de tipo observacional descriptivo de diseño no experimental transversal, en el que se incorporaron 35 casos consecutivos, intervenidos en el periodo 2005-2008. Para el análisis estadístico se utilizaron frecuencias simples, porcentajes y promedios. Los resultados mostraron que entre 2005 y 2008 se realizaron en promedio 9 colostomías de emergencias por año. La edad promedio de los pacientes fue de 35 años. La proporción de hombres y mujeres en los que se realizó el procedimiento fue similar (54% y 46%). Existió comorbilidad en el 69& de los casos Generalmente Diabetes coexistiendo con hipertensión en el 45%. El traumatismo ano-recto-colónico grave fue la causa del 80% de las colostomía de emergencia, y realizó se distribuyó en proporciones iguales en hombres y mujeres 550% y 50%) y fue más común en el grupo de 20 a 29 años (36%). Las Complicaciones se presentaron en menos de la mitad de los pacientes (40%). La infección del sitio de intervención quirúrgica fue la complicación de mayor prevalencia (79%) siendo más frecuentes en el grupo de 20 a 39 años (72%), tuvo una distribución similar en hombres y mujeres (55% y 45%) y fue más elevado en los pacientes sin ningún proceso patológico comórbido (45%). No se reportó mortalidad
The emergency colostomy is a surgical technique for managing acute intestinal diseases traumatic and non traumatic. Although it has been shown that their use has decreased morbidity and mortality in the cases required immediate controversies exist regarding its value mainly because its association with complications, and aims at the realization of deferred colostomies. The Dr. Abel Gilbert Ponton hospital there was no report on the results of using this technique making it impossible for their evaluation. For this reason a cross-sectional study be conducted, which incorporated 35 consecutive cases operated in 2005-2008. For the statistical analysis of frequency distributions, percentages and averages. The results showed that between 2005 and 2008 there were an average of 9 per year emergency colostomy. The average age of patients was 35 years. The proportion of men and women who underwent the procedure was similar (54% and 46%). There was comorbidity in 69 & Diabetes cases usually coexisting with hypertension in 45%. Ano-rectal trauma, severe colic was the cause of 80% of emergency colostomy, and conducted distributed in equal proportions in men and women 550% and 50%) and was more common in the 20 to 29 years ( 36%). Complications occurred in less than half of patients (40%). Infection of the surgical site was the most prevalent complication (79%) being more frequent in the group aged 20 to 39 years (72%) had a similar distribution in men and women (55% and 45%) and was higher in patients with no comorbid disease process (45%). No mortality was reported.
The emergency colostomy is a surgical technique for managing acute intestinal diseases traumatic and non traumatic. Although it has been shown that their use has decreased morbidity and mortality in the cases required immediate controversies exist regarding its value mainly because its association with complications, and aims at the realization of deferred colostomies. The Dr. Abel Gilbert Ponton hospital there was no report on the results of using this technique making it impossible for their evaluation. For this reason a cross-sectional study be conducted, which incorporated 35 consecutive cases operated in 2005-2008. For the statistical analysis of frequency distributions, percentages and averages. The results showed that between 2005 and 2008 there were an average of 9 per year emergency colostomy. The average age of patients was 35 years. The proportion of men and women who underwent the procedure was similar (54% and 46%). There was comorbidity in 69 & Diabetes cases usually coexisting with hypertension in 45%. Ano-rectal trauma, severe colic was the cause of 80% of emergency colostomy, and conducted distributed in equal proportions in men and women 550% and 50%) and was more common in the 20 to 29 years ( 36%). Complications occurred in less than half of patients (40%). Infection of the surgical site was the most prevalent complication (79%) being more frequent in the group aged 20 to 39 years (72%) had a similar distribution in men and women (55% and 45%) and was higher in patients with no comorbid disease process (45%). No mortality was reported.
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Colostomía, Urgencias médicas, Evaluación, Epidemiología descriptiva, Hospital de Especialidades Guayaquil Dr. Abel Gilbert Pontón, Cantón Guayaquil, Ecuador, Enfermedades intestinales