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Revista de Especialidades Médico-Quirúrgicas

Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado
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2005, Number 2

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Rev Esp Med Quir 2005; 10 (2)

Riesgo de reintervención quirúrgica abdominal; Estudio de casos y controles

Ortiz FM, Pompa RC, Cruz PR
Full text How to cite this article

Language: Spanish
References: 10
Page: 25-28
PDF size: 102.65 Kb.


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ABSTRACT

Abdominal re operations are frequent these days and usually arises from a first procedure which may not be entirely successful; which detects a problem that could not be solved because the haemodynamic or ventilatory patient status, or due to postoperative complications related with underlying diseases.
There are just a few studies or publications related with guidelines that should be followed to prevent abdominal reoperations.
At the surgery service in “Dr. Darío Fernández Fierro” General Hospital, abdominal re operations are relatively frequent with a widespread range of associated morbimortality. Aim of the study is to know risk factors related with abdominal reoperations.
Conclutions: Our results are similar to those found in world´s literature about the most frecuent diagnosis and age and sex distribution in patients underwent reoperations. Almost all the patients who had take some kind of Non esteroideal antiinflamatory drugs or antibiotics prior diagsnostic or those who present longer evolution period, experimented a higher relative risk to be reoperated than those patients who hasn´t take medications or those who had a short evolution time.


REFERENCES

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  2. Dana R. Lustbader, MD, FCCP, FCCM. Severe Sepsis and Septic Shock: Guidelines for Management. 30th International Educational and Scientific Symposium of the Society of Critical Care Medicine

  3. Beck DE; Ferguson MA; Opelka FG; Fleshman JW; Gervaz P; Wexnwer SD. Effect of previous surgery on abdominal opening time. Dis Colon Rectum 2000; 43(12):1749-53

  4. Doldo G; Albanese I; Macheda S; Caminiti G, Calabria, Italia. Abbreviated laparotomy in patiens whith hemorrhagic shock Minerva Chir 2003; 58(1): 113-7

  5. Ching SS, Muralikrishnan VP; Whiteley GS. Relaparotomy: a five years review of indications and outcome. Int J Clin Pract 2003 may;57(4): 333-7

  6. Amorotti C; Mosca D; Palladino L; Spallanzani A; Rossi A. Postoperative peritonitis. The criteria for a reintervention Minerva Chir 1999 Sep; 54(9): 597-605

  7. Koperna T; Shultz F;Relaparotomy in peritonitis: prognosis and treatment of patiens whith intra-abdominal persistent infection. J Surgery 2000 Jan; 24 (1): 32-7

  8. Taviloglu K. MD; Istambul University, Istambul Medical School, Departmento de cirugía, Capa, Estambul, Turquía Staged abdominal re-operation for abdominal trauma. Ulus Travma Derq 2003 Jul; 9 (3): 149-53

  9. Peter Götzinger, Peter Wamser, Ruth Exner, Erhard Schwanzer, Raimund Jakesz, Reinhold Függer, Thomas Sautner Surgical Treatment of Severe Acute Pancreatitis: Timing of Operation is Crucial for Survival. Surg Infect 4(2):205-211, 2003.

  10. Gutiérrez-Samperio, C y Arrubarena VA. Fisiopatología quirúrgica del aparato digestivo. Cap. 49 pag 853-869 Segunda edición. Manual Moderno 1996




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Rev Esp Med Quir. 2005;10