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Características y resultados de las eventrorrafias del grupo de pared abdominal de un hospital universitario. Bogotá, Colombia

Antecedentes. Las eventraciones son el segundo tipo de hernias más comunes. Cada año se realizan más de 150.000 eventrorrafias en los Estados Unidos generando costos directos a los sistemas de salud y complicaciones en los pacientes. Objetivo. Describir las características y desenlaces de los pacien...

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Autor Principal: Castilla García, Rodrigo
Otros Autores: Ricaurte Aragón, Alberto Enrique
Formato: Tesis de maestría (Master Thesis)
Lenguaje:Español (Spanish)
Publicado: Universidad del Rosario 2018
Materias:
Hernia incisional
Complicación postquirúrgica
Herniorrafía
Varias ramas de la medicina, Cirugía
Hernia Incisional
Hernia::Cirugía
Acceso en línea:http://repository.urosario.edu.co/handle/10336/18217
id ir-10336-18217
recordtype dspace
institution EdocUR - Universidad del Rosario
collection DSpace
language Español (Spanish)
topic Hernia incisional
Complicación postquirúrgica
Herniorrafía
Varias ramas de la medicina, Cirugía
Hernia Incisional
Hernia::Cirugía
spellingShingle Hernia incisional
Complicación postquirúrgica
Herniorrafía
Varias ramas de la medicina, Cirugía
Hernia Incisional
Hernia::Cirugía
Castilla García, Rodrigo
Características y resultados de las eventrorrafias del grupo de pared abdominal de un hospital universitario. Bogotá, Colombia
description Antecedentes. Las eventraciones son el segundo tipo de hernias más comunes. Cada año se realizan más de 150.000 eventrorrafias en los Estados Unidos generando costos directos a los sistemas de salud y complicaciones en los pacientes. Objetivo. Describir las características y desenlaces de los pacientes sometidos a reparación de eventraciones entre el 1 de enero del 2013 y el 31 de diciembre del 2017 en el Hospital Universitario Mayor - Méderi. Diseño y métodos. Se realizó un estudio observacional, descriptivo, con información recolectada de forma retrospectiva. Se incluirán pacientes sometidos a cirugía de reparación de la hernia incisional (eventracional) en el Hospital Universitario Mayor - Méderi. Se aplicaron métodos de análisis descriptivo y analítico con el fin de describir y explorar relaciones entre variables. Resultados. Se incluyeron 562 pacientes. Las eventraciones mayores a 10 cm ocurrieron en el 28,5% de los casos. En personas con eventraciones mayores a 10 cm se encuentró relación con el antecedente de eventraciones, eventrorrafia y manipulación del tracto gastrointestinal. Las hernias de ubicación epigástrica (21,2%), umbilical (26,2%) e infraumbilical (17,6%) fueron las más frecuentes. El antecedente de eventración, eventrorrafia, hernia mayor a 10 cm y manipulación del tracto gastrointestinal mostraron relación con el desarrollo de las hernias en estas ubicaciones. La posición de la malla que se empleó con mayor frecuencia fue la ONLAY (76,8%). La recidiva ocurrió en el 2,7% de los pacientes. Los seromas aparecieron como complicación en el 9% de los pacientes. Conclusión. La recidiva ocurre con cierta frecuencia en los pacientes operados por reparación de hernia incisional. Los seromas, el tamaño de la hernia, antecedente de eventrorrafia y eventración están relacionados con el desarrollo de la hernia incisional y sus desenlaces.
author2 Ricaurte Aragón, Alberto Enrique
author_facet Ricaurte Aragón, Alberto Enrique
Castilla García, Rodrigo
format Tesis de maestría (Master Thesis)
author Castilla García, Rodrigo
author_sort Castilla García, Rodrigo
title Características y resultados de las eventrorrafias del grupo de pared abdominal de un hospital universitario. Bogotá, Colombia
title_short Características y resultados de las eventrorrafias del grupo de pared abdominal de un hospital universitario. Bogotá, Colombia
title_full Características y resultados de las eventrorrafias del grupo de pared abdominal de un hospital universitario. Bogotá, Colombia
title_fullStr Características y resultados de las eventrorrafias del grupo de pared abdominal de un hospital universitario. Bogotá, Colombia
title_full_unstemmed Características y resultados de las eventrorrafias del grupo de pared abdominal de un hospital universitario. Bogotá, Colombia
title_sort características y resultados de las eventrorrafias del grupo de pared abdominal de un hospital universitario. bogotá, colombia
publisher Universidad del Rosario
publishDate 2018
url http://repository.urosario.edu.co/handle/10336/18217
_version_ 1694382553140559872
spelling ir-10336-182172021-03-01T19:22:55Z Características y resultados de las eventrorrafias del grupo de pared abdominal de un hospital universitario. Bogotá, Colombia Castilla García, Rodrigo Ricaurte Aragón, Alberto Enrique Navarro, Jorge Daza Vergara, José Alejandro Hernia incisional Complicación postquirúrgica Herniorrafía Varias ramas de la medicina, Cirugía Hernia Incisional Hernia::Cirugía Antecedentes. Las eventraciones son el segundo tipo de hernias más comunes. Cada año se realizan más de 150.000 eventrorrafias en los Estados Unidos generando costos directos a los sistemas de salud y complicaciones en los pacientes. Objetivo. Describir las características y desenlaces de los pacientes sometidos a reparación de eventraciones entre el 1 de enero del 2013 y el 31 de diciembre del 2017 en el Hospital Universitario Mayor - Méderi. Diseño y métodos. Se realizó un estudio observacional, descriptivo, con información recolectada de forma retrospectiva. Se incluirán pacientes sometidos a cirugía de reparación de la hernia incisional (eventracional) en el Hospital Universitario Mayor - Méderi. Se aplicaron métodos de análisis descriptivo y analítico con el fin de describir y explorar relaciones entre variables. Resultados. Se incluyeron 562 pacientes. Las eventraciones mayores a 10 cm ocurrieron en el 28,5% de los casos. En personas con eventraciones mayores a 10 cm se encuentró relación con el antecedente de eventraciones, eventrorrafia y manipulación del tracto gastrointestinal. Las hernias de ubicación epigástrica (21,2%), umbilical (26,2%) e infraumbilical (17,6%) fueron las más frecuentes. El antecedente de eventración, eventrorrafia, hernia mayor a 10 cm y manipulación del tracto gastrointestinal mostraron relación con el desarrollo de las hernias en estas ubicaciones. La posición de la malla que se empleó con mayor frecuencia fue la ONLAY (76,8%). La recidiva ocurrió en el 2,7% de los pacientes. Los seromas aparecieron como complicación en el 9% de los pacientes. Conclusión. La recidiva ocurre con cierta frecuencia en los pacientes operados por reparación de hernia incisional. Los seromas, el tamaño de la hernia, antecedente de eventrorrafia y eventración están relacionados con el desarrollo de la hernia incisional y sus desenlaces. 2018-07-12 2018-07-19T21:44:22Z info:eu-repo/semantics/masterThesis info:eu-repo/semantics/acceptedVersion http://repository.urosario.edu.co/handle/10336/18217 spa info:eu-repo/semantics/openAccess application/pdf Universidad del Rosario Especialización en Cirugía General Facultad de Medicina instname:Universidad del Rosario reponame:Repositorio Institucional EdocUR Israelsson LA, Smedberg S, Montgomery A, Nordin P, Spangen L. Incisional hernia repair in Sweden 2002. Hernia [Internet]. 2006 Jun 23;10(3):258–61. Available from: http://link.springer.com/10.1007/s10029-006-0084-4 Mudge M, Hughes LE. 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