Behavior of the re-operations in general surgery at "Abel Santamaria Cuadrado" University Hospital. Pinar del Rio

Authors

  • Carlos A. Sánchez Portela Especialista de Segundo Grado en Cirugía General. Máster en Urgencias Médicas en Atención Primaria de salud. Profesor Auxiliar. Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.
  • Juan Carlos Delgado Fernández Especialista de Segundo Grado en Cirugía General. Máster en Urgencias Médicas en Atención Primaria de salud. Profesor Auxiliar. Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.
  • Adonis García Valladares Especialista de Primer Grado en Cirugía General. Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.

Keywords:

Laparotomy/methods, POSTOPERATIVE COMPLICATIONS/surgery, REOPERATION/methods/adverse effects, RISK FACTORS.

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.

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References

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Published

2012-03-01

How to Cite

1.
Sánchez Portela CA, Delgado Fernández JC, García Valladares A. Behavior of the re-operations in general surgery at "Abel Santamaria Cuadrado" University Hospital. Pinar del Rio. Rev Ciencias Médicas [Internet]. 2012 Mar. 1 [cited 2025 Aug. 2];16(1):10-9. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/864

Issue

Vol. 16 No. 1 (2012)

Section

ORIGINAL ARTICLES

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