Ramos SAE, Lorenzo MA, Martínez ÁC, Salgado SG, Hernández HR, Llópiz PRS

Language: Spanish
References: 0
Page: 76-90
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ABSTRACT

In 2016, the General Surgery Service performed 4432 surgical procedures, of which 45 % were performed urgently. In order to show the impact generated by the application of the minimally invasive surgery to emergency surgical conditions in the scientific, social and economic, a basic, descriptive and cross-sectional research was carried out in 187 patients operated by emergency minimally invasive surgery, in the General Surgery Service of the Celia Sánchez Manduley Provincial Teaching Surgical Clinic Hospital of Manzanillo, from January 2012 to December 2016. The main variables were compared with a similar sample of patients who underwent open surgery. Appendectomy and cholecystectomy were the most frequent inter-ventions representative with 33.15 % and 29.41 %; respectively, although peritoneal lavages and interventions on the thorax were performed. The average time surgery did not exceed 50 minutes for the entire series 9.6 % of the operations were reinterventions with a 94.4 % favorable evolution, 3.74 % of the interventions were converted with only 5 complications, 9.6 % of the operations were reinterven-tions. There was a substantial saving derived from the reduction of hospital expenses and early incorporation into social and productive activities. The few perioperative discomforts and the ambulatoryization of medical care allowed few family imbalances and greater satisfaction for the patient and society.