Resumen

Ambulatory major surgery in patients with acute appendicitis. MEDISAN [online]. 2010, vol.14, n.7, pp. 904-909. ISSN 1029-3019.

A descriptive, cross-sectional and prospective study of 285 patients with clinical diagnosis of acute appendicitis, predominantly of the male sex, assisted in the Service of General Surgery of "Dr. Joaquín Castillo Duany" Provincial Hospital from Santiago de Cuba was carried out from January, 2003 to December, 2008, in order to specify the effectiveness of the ambulatory major surgery in them. The affection prevailed in the 15-30 age group and the conventional or laparoscopic surgical techniques were applied, with the use of general orotracheal anesthesia in all the patients of the case material. The preoperative diagnosis was early carried out in 80,7% of the series (before the 6 hours), with predominance of the catarrhal appendicitis as pathological form . There were not serious complications, reason why the recovery of those operated was good before the 24 hours of their surgical treatment. This therapeutic modality was advantageous for the patients and for the institution.

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