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ISSN 1561-3194 (Electronic)

2012, Number 1

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Rev Ciencias Médicas 2012; 16 (1)

Behavior of the re-operations in general surgery at

Sánchez PCA, Delgado FJC, García VA

Language: Spanish
References: 19
Page: 10-19
PDF size: 232.75 Kb.


ABSTRACT

Introducction: Re-operations constitute a serious object of concerns to surgeons and have encouraged multiple studies.
Objective: To describe the behavior of the re-operations in the surgical service.
Method: A descriptive, retrospective, cross-sectional study choosing the re-operated patients in the service of surgery at "Abel Santamaria Cuadrado" University Hospital during 2006-2007. Pinar del Rio. Age, sex, and indication to perform the re-operation, period of time between the initial operation and the re-operation, number of re-operations and cause of death were the variables taken. The target group included the patients who underwent major surgeries (3128) and the sample comprised 108 patients requiring re-operations. Percentage terms were used as a statistical method and the results showed in tables.
Results: 69, 38% belonged to male sex, 59, 2 % of the patients were in the seventies. Mechanical intestinal occlusion and lithiasis prevailed as emergencies 67, 34%. The 57, 41% of the re-operations were performed seven days after the initial surgery. The main causes of re-operations were: residual peritonitis (34, 87%), intra-abdominal collections (18,07%) and dehiscence of suture (14,71%). As the numbers of re-operations increased the mortality rate of the re-operated patients also increased (43,52%).
Conclusion: as early the diagnosis of an intra-abdominal complication is performed and as rapid the decision of re-operations is made, complications will diminish and survival rates possibilities will augment.


REFERENCES

  1. Betancourt Cervantes JR, Martínez Ramos G, Sierra Enríquez E, López de la Cruz F, González Delis R. Relaparotomías de urgencias: evaluación en cuatro años. Rev Cubana Med Mil [Internet]. 2003 [Citado 24 sep 2008]; 32(4): [aprox. 6p.]. Disponible en: http://bvs.sld.cu/revistas/mil/vol32_4_03/mil08403.htm

  2. Sosa Hernández R, Sánchez Portela CA, Delgado Fernández JC, Rodríguez Lorenzo S, Pastrana Román I. Parámetros clínicos humorales e imaginológicos en la reintervención por sepsis intraabdominal. Rev Cubana Ci [Internet]. 2007 [citado22 feb 2012]; 46(3): [aprox. 7p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932007000300005&lng=es

  3. Medrano Montero E, Reytor Gutierrez MR, Avilés Cruz CP, Bedia González JA. La reintervención quirúrgica como tratamiento de la hipertensión intraabdominal. Rev Cubana Cir [Internet]. 2007 Mar [citado 22 feb 2012]; 46(1): [aprox. 7p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932007000100008&lng=es

  4. García Vega ME, Gil Manrique L, Pérez Reyes R, García Montero A. Abdominal reoperation at an intermediate surgical care unit. Rev Cub Med Mil [Internet]. 2005 [citado 22 feb 2012]; 34(4): [aprox. 7p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-65572005000400004&lng=es

  5. Martín Bourricaudy N, Rodríguez Delgado R, Rodríguez Rodríguez I, Sosa Palacios O, Reyes de la Paz A. Factores de riesgo relacionados con las relaparotomías después de cirugía gastrointestinal. Rev Cub Med Mil [Internet]. 2008 [citado 22 feb 2012]; 37(1): [aprox. 7p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-65572008000100005&lng=es

  6. Bannura CG, Cumsille MA, Barrera A, Contreras J, Melo C, Soto D. Reoperaciones precoces en cirugía colorrectal: Análisis uni y multivariado de factores de riesgo. Rev Chil Cir [Internet]. 2007 [citado 22 feb 2012]; 59(4): 281-286. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-40262007000400007&lng=es

  7. Ordóñez CA, Pineda JA, Arias RH, Benítez FA, Toro LE, Aristizábal G. Curso clínico de la peritonitis grave en pacientes críticamente enfermos tratados con sutura primaria diferida. Rev Colomb Cir. 2008; 23(1): 22-30.

  8. Law WL, LeeYM, Choi HK, Seto Ch, Ho WC. Impact of laparoscopic resection for colorectal cancer on operative outcomes and survival. Ann Surg. 2007; 245(1): 1-7.

  9. Fernández Santiesteban L, Silvera García JR, Díaz Calderín JM, Vilorio Haza P, Loys Fernández JL. Reintervenciones de urgencia en cirugía videolaparoscópica. Rev Cubana Cir [Internet]. 2003 [citado 22 feb 2012]; 42(4): [aprox. 6p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932003000400010&lng=es

  10. Cuschieri A. Nature of human error. Implications for surgical practice. Ann Surg. 2006; 244(5):642-48.

  11. Moreno-Sanz C, Pascual-Pedreño A, Picazo-Yeste J, Seoane- González JB. Laparoscopic appendectomy during pregnancy: between personal experiences and scientific evidence. J Am Coll Surg. 2007; 205(1): 37-42.

  12. Yau KK, Siu WT, Tang CN, Yang GP, Li MK. Laparoscopic versus open appendectomy for complicated appendicitis. J Am Coll Surg. 2007; 205(1): 60-5.

  13. Pokala N, Sadhasivam S, Kiran RP, Parithivel V. Complicated appendicitis—is the laparoscopic approach appropriate? A comparative study with the open approach: outcome in a community hospital setting. Am Surg. 2007; 73(8): 737-42.

  14. Corneille MG, Steigelman MB, Myers JG, Jundt J, Dent DL, Lopez PP. Laparoscopic appendectomy is superior to open appendectomy in obese patients. Am J Surg. 2007; 194(6): 877-81.

  15. Almeida Varela R, Bodes Sado A, Samper O. Complicaciones tras colecistectomía en el Hospital Docente Miguel Enríquez (1998 a 2005). Rev Cubana Cir [Internet]. 2006[citado 2012 Feb 22]; 45(2): [aprox. 6p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932006000200002&lng=es

  16. Pacheco González A, Barrera Ortega JC, Mederos Curbelo ON, Pacheco Díaz EA, Valdés Jiménez J, Cheng Hung K. Experiencias con el lavado peritoneal programado en las peritonitis difusas. Rev Cubana Cir [Internet]. 2005 [citado 22 feb 2012]; 44(2-3): [aprox.4p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932005000200006&lng=es

  17. Rodríguez Fernández Z, Guasch Arias PA, Cabrera Salazar J, Blanco Milá A. Evisceración tras laparotomía en adultos. Rev Cubana Cir [Internet]. 2009 [citado 22 feb 2012]; 48(4): [aprox.4p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932009000400003&lng=es

  18. Eke N, Jebbin NJ. Abdominal wound dehiscence: A review. Int Surg. 2006; 91(5):276-87.

  19. Medrano Montero E, Ramírez Pu R, Medina Meriño C, Miranda Lorenzo D. Medición de la presión intraabdominal para la vigilancia posoperatoria de la cirugía abdominal. Rev Cubana Cir [Internet]. 2007[citado 22 feb 2012]; 46(4): [aprox.4p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932007000400004&lng=es




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