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2007, Número 2

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Cir Gen 2007; 29 (2)


Hemorroidopexia con engrapadora circular. Experiencia de 65 casos en el Centro Médico ABC

Varela GG, López-Loredo A

Idioma: Español
Referencias bibliográficas: 43
Paginas: 117-124
Archivo PDF: 131.17 Kb.


RESUMEN

Objetivo: Presentar la experiencia inicial en el manejo de la enfermedad hemorroidal grado III y IV con el uso de la engrapadora circular (PPH, por sus siglas en inglés).
Sede: Centro de atención de tercer nivel.
Diseño: Estudio prospectivo, longitudinal, descriptivo.
Análisis estadístico: Porcentajes como medida de resumen para variables cualitativas.
Material y métodos: 65 pacientes con hemorroides grado III- IV en un periodo de 2 años. Se interrogó a los pacientes a las 12, 24, 48 y 72 horas del postoperatorio y a los 7 días, evaluando dolor en general y dolor al evacuar utilizando la escala de Mankoski, presencia de sangrado, reintegración a sus actividades habituales y satisfacción con el procedimiento.
Resultados: La sintomatología principal fue sangrado (75.38%), y prolapso (63.07%). A las 24 horas, 8 pacientes (12.3%) requerían analgésicos con horario (Mankoski 4 o mayor), a las 48 horas, 90% no tomaban analgésicos (Mankoski 3 o menos). Durante la primera evacuación, 17 (26.15%) pacientes refirieron 4 o más en la escala de Mankoski, por lo que requirieron de analgésicos. La principal complicación observada fue sangrado en 5 (7.69%) pacientes.
Conclusiones: Los resultados obtenidos muestran que se trata de un procedimiento seguro, que ofrece al paciente una recuperación prácticamente sin dolor, más rápida y con una reintegración a sus actividades habituales en corto tiempo.


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