Resumen

GARCIA VEGA, Marta Elena; GIL MANRIQUE, Lázaro; PEREZ REYES, Rogelio  y  GARCIA MONTERO, Amel. Abdominal reoperation at an intermediate surgical care unit. Rev Cub Med Mil [online]. 2005, vol.34, n.4. ISSN 0138-6557.

A descriptive, prospective and longitudinal study was undertaken to evaluate the behavior of those patients that underwent an abdominal reoperation (emergency or elective) from 2001 to 2003, and that were admitted at the Intermediate Care Unit of “Dr. Luis Diaz Soto” Higher Institute of Military Medicine. The collected data were age, sex, surgical diagnosis, type of operation, causes of reoperation and cause of death. Statistical significance tests (Chi square) and measures of central tendency and dispersion (means, average and standard deviation) were applied. The sample was composed of 850 patients who underwent emergency or elective abdominal surgery, of whom 90 were reoperated, accounting for 10.6 % of the sample. The patients that were reoperated on were divided according to the cause as follows: 31 due to suture dehiscence, 40 due to intraabdominal collections, 6 due to mechanical intestinal occlusion and 13 due to diverse causes. The emergency surgery, the paralytic ileum, the abdominal pain and the new symptoms were the most statistically significant clinical elements (p < 0.05) used to determine the reoperation. Mortality was 20 %. Septic shock and multiple organ failure were the main causes of death. The index of reoperation predictability (ARPI scale) proved to be very useful. It showed an effectivity of 100 % in the series. It was concluded that the incidence of abdominal reoperation and the data obtained in this paper behaved in a way similar to the reported in world medical literature, and that an intraabdominal reoperation implies a high risk and mortality.

Palabras clave : Elective or emergency abdomen surgery; scheduled or on request reoperation; mortality; predictive index.

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