Prevalencia y factores asociados a complicaciones poshernioplastia inguinal, Hospitales Vicente Corral Moscoso y José Carrasco Arteaga, 2018-2019

Publication year: 2020
Theses and dissertations in Español presented to the Universidad de Cuenca. Facultad de Ciencias Médicas. Posgrado de Cirugia General to obtain the academic title of Especialista. Leader: Moscoso Toral, Enrique Augusto

Abstract:

Background: hernia is one of the most frequent pathologies in General Surgery, a common reason for surgical consultation, the resolution of this pathology currently has extensive debates about the surgical approach related to open or laparoscopic hernioplasty, with advantages and disadvantages exposed to each.

Objective:

to determine the prevalence and factors associated with complications of inguinal posthernioplasty at the Vicente Corral Moscoso and José Carrasco Arteaga Hospitals, 2018-2019.

Material and methods:

It’s analytical, cross-sectional study. 240 clinical records that met the inclusion criteria were reviewed. Data were collected using a form and were tabulated in the SPSS version 15 program. The qualitative variables were analyzed with frequency and percentage and the quantitative variables with arithmetic mean and standard deviation, the associated factors were analyzed with Odds Ratio, 95% CI, Chi square and binary logistic regression (p <0.05).

Results:

240 patients who had the inclusion criteria were analyzed, the majority were men (81.7%), the mean age was 53.4 years SD ± 16.57. The prevalence of postoperative complications was 27.5%, with those occurring within the first 24 hours being more frequent with 15.8%.

Among the factors associated with statistical significance were:

male sex (OR 4.6; 95% CI 1.5-13.5; p <0.00) and surgical technique (OR 3.4; 95% CI 1.2-9; p <0.01).

Conclusions:

prevalence of postoperative complications was similar to the literature consulted and was associated with factors such as: male sex and surgical technique.

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