Resumen

HERNANDEZ PEDROSO, Luis  y  DUCASSE OLIVERA, Pedro A.. Ambulatory maxillofacial surgery: a strategy under difficult conditions. Rev Cubana Estomatol [online]. 2006, vol.43, n.1, pp. 0-0. ISSN 1561-297X.

The results attained in the  ambulatory major surgery of the Maxillofacial Surgery Service of “Dr. Miguel Enríquez” Teaching Hospital in 2003 are exposed aimed at evaluating the behavior  of this activity  and its institutional and economic impact. The method consisted in an observational prospective analysis, considering variables such as age, sex, type of anesthesia, surgery performed and complications, which were organized, analyzed and tabulated by the downstroke method. It was observed that 61 %   underwent this surgical procedure with local anesthesia. The hospital indicators improved on being reported by this way 58.32 % of the total of operations. Females (63.38 %) and the age groups 15-24 and 35-44 predominated in our series. Multiple extractions with alveoloplasties and the exeresis of the retained  tooth were the most frequent operations, with 48.02 and 38.60 %, respectively. There were no significant complications. The results are compared with those obtained by other authors that were very similar in the quantitative sense. The economic-social impact  is evaluated due to the significant saving of resources this method represents., since there are no hospitalization costs and the relatives only have to be absent from work the day of the operation.  They also prefer this method because they are closer  to the patient.

Palabras clave : cirugía maxilofacial ambulatoria; repercusión económica; social,; psicológica e institucional.

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