2015, Number 2
Surgical emergencies observed in adolescents, general surgery service of "Saturnino Lora"Hospital in 2012
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ABSTRACTIntroduction: surgical emergencies in the adolescent are not frequent and are often neglected as a subject of study.
Objective: to characterize the behavior of surgical conditions in adolescent patients who were admitted to the hospital under emergency criteria.
Methods: observational case series study conducted in the population of adolescent patients admitted to the general surgery service of "Saturnino Lora" provincial hospital under the emergency criteria in 2012. Ninety nine adolescents met this criterion and were included in the study.
Results: males predominated with 52 patients whereas the length of stay at hospital did not exceed three days in 52.3 % of cases. Acute appendicitis was the most frequent diagnosis, followed by traumatisms and the bleeding of gynecological cause. The blunt and the thoracic abdominal-type traumas prevailed. The liver and pulmonary traumas showed the highest incidence rate. There were few postoperative complications and just one patient was reoperated. The mortality rate found in the study was 2.1 %, being the hypovolemic shock the direct cause.
Conclusions: although surgical emergencies in this age group are not common, their management is of vital importance and they often put the clinical criteria of the physician to the test. The results of the present study showed the adequate management of these diseases.
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