Rodríguez RH, Vilaseca ZE, Puertas ÁJ, Gonzáles RPL

Language: Spanish
References: 0
Page: 234-243
PDF size: 125.57 Kb.

ABSTRACT

Introduction: Acute surgical abdomen justifies the highest percentage of emergency interventions worldwide. The use of videolaparoscopic surgery in these types of conditions is becoming more frequent.
Objective: To characterize the emergency operated patients with this modality.
Methods: Descriptive and cross-sectional study of a series consisting of 534 patients operated on with acute abdominal diseases by videolaparoscopic surgery at the Hospital "Dr. Joaquín Castillo Duany" from Santiago de Cuba, from January 1, 2013 to December 31, 2015. The main variables used were: operative diagnosis, surgical time, hospitalization time, complications, reoperation, cause of reoperation and state at discharge.
Results: Women and younger age groups represented the most representative percentages of the series studied (55.8 % and 46.6 % respectively). The most frequent disease was acute appendicitis) with 40.3 %. The average surgical time was 34.0 minutes. It was discharged the 61.4 % before 24 hours and 1.8 % of patients presented postoperative complications.
Conclusions: The percentage of complications, short hospital stay and low lethality, are similar to the international theoretical references, indicating that emergency videolaparoscopic surgery is a useful alternative in patients with acute surgical abdomen.