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MEDISAN

On-line version ISSN 1029-3019

Abstract

LA ROSA ARMERO, Yanet; MATOS TAMAYO, Modesto Elmer  and  RODRIGUEZ FERNANDEZ, Zenén. Characteristics of the reinterventions in a general surgery service. MEDISAN [online]. 2017, vol.21, n.2, pp.187-196. ISSN 1029-3019.

Introduction: in spite of the advance in the current diagnostic and therapeutic methods, morbidity and mortality because of reinterventions due to postoperative complications are still high. Objective: to characterize the patients according to selected variables. Methods: an observational and descriptive study of 110 patients admitted to the General Surgery Service of "Saturnino Lora Torres" Teaching Clinical Surgical Provincial Hospital that were surgically intervened during the first 30 days after the initial operation, was carried out in Santiago de Cuba during 2013-2015. Results: the patients from 61 to 70 age group whose initial operations were urgent prevailed as well as the reinterventions during 6 days of the initial operation mainly in patients whose diagnosis were acute appendicitis, vesicular lithiasis and intestinal occlusion. The reinterventions were carried out mainly due to evisceration, sutures dehiscence and residual peritonitis. The majority of reoperations were laparotomy and drainage, wall synthesis and intestinal resection. Nineteen sick persons died to a 17.2% of the series. Conclusions: Age, emergency operations, number of reinterventions and the time lapsed from the initial surgery until the reintervention elevate morbidity and mortality, the latter associated to septic shock and multiorganic failure

Keywords : reinterventions; postoperative complications; morbidity; mortality; General Surgery Service.

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