Desenlaces clínicos del manejo quirúrgico mínimamente invasivo y no operatorio del plastrón apendicular

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dc.contributor.advisorMendez, Erika
dc.contributor.advisorCabrera Vargas, Felipe
dc.contributor.advisorMendoza Zucchini, Andres
dc.contributor.authorMuñoz Escandon, Ana María
dc.contributor.orcidMuñoz Escandon, Ana Maria [0000-0003-4287-7516]
dc.date.accessioned2024-08-06T19:36:46Z
dc.date.available2024-08-06T19:36:46Z
dc.date.issued2024-07
dc.description.abstractEvaluar los desenlaces clínicos de los pacientes diagnosticas con apendicitis aguda complicada por plastrón apendicular que son tratados con apendicetomía vía laparoscópica de emergencia versus el manejo no operatorio. Se realizo un estudio descriptivo de corte transversal de pacientes mayores de 18 años diagnosticados con apendicitis aguda complicada por plastrón apendicular tratados en Los COBOS Medical Center entre enero de 2019 y abril del 2023. Se realizo un análisis estadístico mediante la utilización del software estadístico SPSS. Se obtuvo una base de datos inicial de 772 pacientes, la cual se revisó detenidamente y se excluyeron 713 pacientes aplicando rigurosamente los criterios de inclusión y exclusión. Del total de la muestra evaluada, el 91,5% (n=54) fue sometida a apendicetomía vía laparoscópica de emergencia y a manejo no operatorio de 8,5% (n=5) de la muestra total. Se compararon los dos grupos, se encontró mayor tiempo de hospitalización de los pacientes que recibieron manejo no operatorio (10,4 vs. 4,61 p =0,014), al igual que en el tiempo de antibioticoterapia (9,8 vs. 6,4 días p=0,025).
dc.description.abstractenglishEvaluate the clinical outcomes of patients diagnosed with acute appendicitis complicated by appendiceal phlegmon who are treated with emergency laparoscopic appendectomy versus non-operative management. A descriptive cross-sectional study was conducted on patients over 18 years of age diagnosed with acute appendicitis complicated by appendiceal phlegmon treated at Los COBOS Medical Center between January 2019 and April 2023. Statistical analysis was performed using SPSS statistical software. An initial database of 772 patients was obtained and carefully reviewed and 713 patients were excluded by rigorously applying the inclusion and exclusion criteria. Of the total sample evaluated, 91.5% (n=54) underwent emergency laparoscopic appendectomy and non-operative management of 8.5% (n=5) of the total sample. The two groups were compared, longer hospitalization time was found in patients who received non-operative management (10.4 vs. 4.61 p=0.014), as well as in antibiotic therapy time (9.8 vs. 6.4 days p=0.025).
dc.description.degreelevelEspecializaciónspa
dc.description.degreenameEspecialista en Cirugía Generalspa
dc.description.sponsorshipLos Cobos Medical Center
dc.format.mimetypeapplication/pdf
dc.identifier.instnameinstname:Universidad El Bosquespa
dc.identifier.reponamereponame:Repositorio Institucional Universidad El Bosquespa
dc.identifier.repourlrepourl:https://repositorio.unbosque.edu.co
dc.identifier.urihttps://hdl.handle.net/20.500.12495/12841
dc.language.isoes
dc.publisher.facultyFacultad de Medicinaspa
dc.publisher.grantorUniversidad El Bosquespa
dc.publisher.programEspecialización en Cirugía Generalspa
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dc.rightsAtribución-NoComercial-CompartirIgual 4.0 Internacionalen
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.rights.localAcceso abiertospa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-sa/4.0/
dc.subjectPlastrón
dc.subjectApendicitis
dc.subjectApendicetomía
dc.subjectColectomía
dc.subjectLaparoscopia
dc.subject.keywordsPhlegmon
dc.subject.keywordsAppendicitis
dc.subject.keywordsLaparoscopy
dc.subject.keywordsColectomy
dc.subject.keywordsAppendectomy
dc.subject.nlmWO 100
dc.titleDesenlaces clínicos del manejo quirúrgico mínimamente invasivo y no operatorio del plastrón apendicular
dc.title.translatedClinical outcomes of minimally invasive and non-operative surgical treatment of the appendiceal phlegmon
dc.type.coarhttps://purl.org/coar/resource_type/c_7a1f
dc.type.coarversionhttps://purl.org/coar/version/c_ab4af688f83e57aa
dc.type.driverinfo:eu-repo/semantics/bachelorThesis
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersion
dc.type.localTesis/Trabajo de grado - Monografía - Especializaciónspa

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