Abstract

SANCHEZ PORTELA, Carlos A; DELGADO FERNANDEZ, Juan Carlos  and  GARCIA VALLADARES, Adonis. Behavior of the re-operations in general surgery at "Abel Santamaria Cuadrado" University Hospital. Pinar del Rio. Rev Ciencias Médicas [online]. 2012, vol.16, n.1, pp. 10-19. ISSN 1561-3194.

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.

Keywords : Laparotomy [methods]; POSTOPERATIVE COMPLICATIONS [surgery]; REOPERATION [methods]; REOPERATION [adverse effects].

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