Diagnóstico, tratamiento y complicaciones en pacientes con apendicitis aguda en el Hospital General Guasmo Sur durante el periodo 2019 -2020

Abstract:

Acute appendicitis remains the surgeon's most common emergency abdominal operation. commonest emergency abdominal operation. At the same time, it is one of the most well-known clinical identities and one of the most and one of the most difficult diagnostic problems a physician can face. a physician may face. Appendicitis (AP) is an acute inflammatory process triggered by the obstruction of the cecum lumen obstruction of the lumen of the cecum and which, as a spontaneous development, can lead to perforation followed by peritoneal perforation followed by peritonitis. It is estimated that 5% of the population will suffer from it at some point in their lives. It is considered the most common emergency surgical most common emergency surgical pathology of the abdominal cavity in children. The early diagnosis of this pathology is not easy, since many patients do not seek medical help in a timely manner. medical help in a timely manner, and it is very important to always suspect the possibility of this the possibility of this pathology to avoid complications. Many surgeons opt for aggressive aggressive measures that result in a percentage of 15% of negative appendectomies. appendectomies or false appendicitis, although this percentage is reduced thanks to the the improvement of the image of the abdomen. For this reason, a classification system was created in 1986 to distinguish patients who are likely to have the disease in the patients who probably have the disease from the suspicious group. The (4) Acute inflammation of the appendix is so old and probably since the beginning of man. man. Studies on Byzantine Egyptian mummies, adhesions were observed in the right lower quadrant of the appendix. adhesions were observed in the right lower quadrant, suggesting ancient AP. Although Although its description is attributed to Jean Fernell and von Hilden, it was Lorenz Heister (1683- 1758), a pupil of 1758), a student of Hermann Boerhave (1668-1738), who described LA with abscess perforation in 1711. abscess perforation in 1711. A description of the stool in PA Perforated was published in 1812 by James Parkinson (1755-1824). Ancient physicians described a period in the evolution of some patients where symptoms, particularly symptoms, particularly pain, disappeared and doubts about the diagnosis arose. doubts about the diagnosis arose. In this clinical situation, they recognized the "insidious truce" or the "paradise of the insidious lull" or the "fool's paradise". There are two pathophysiological explanations the first is that pain due to inflammatory stretching or contractions caused by an obstructive contractions provoked by an obstruction of the appendix, when it perforates and drains its drains its contents into the abdominal cavity, subsides. This could lead to a This could lead to a variable period of well-being, obviously followed by a worsening of the disease. disease. Numerous studies have shown that abdominal ultrasound (ultrasound) and computed tomography (CT) of the abdomen have and computed tomography (CT) of the abdomen have high reliability rates for diagnosing in diagnosing acute appendicitis. Therefore, their use is superior in accuracy to an exceptional clinical diagnosis with or without the addition of laboratory tests and with or without and with or without risk assessment systems. This improvement in diagnostic accuracy diagnostic accuracy can significantly reduce unnecessary and negative surgical interventions (laparoscopic and negative surgical interventions (laparotomy/blank laparoscopy), and also identify patients with abscess or plastron patients with an abscess or inflammatory plastron who may be candidates for conservative conservative treatment and deferred appendectomy. Cases seen in patients diagnosed with acute appendicitis at Guasmo General Hospital at the Hospital General de Guasmo Sur, are still under continuous study because, its incidence continues to increase and for this reason it is important to correctly establish the diagnoses correctly the diagnoses pertaining to the pathology for its subsequent treatment treatment, decreasing the risk factors, including the mortality rate. The main study of this research is focused on the clinical diagnosis of patients with acute appendicitis in patients with acute appendicitis, to establish the correct treatment and decrease complications in Hospital General Guasmo Sur, in a period contemplated for 2020-2021, composed mainly of 2020-2021, composed mainly of VI chapters that provide cbkp_redibility to the research.

Año de publicación:

2020

Keywords:

• Examen Físico
• CANTÓN GUAYAQUIL
• Hospital General Guasmo sur
• ECUADOR
• FACTORES DE RIESGO
• tratamiento
• APENDICITIS

Fuente:

rraae