COMPLICACIONES DE LA CIRUGÍA COLORRECTAL EN EL SERVICIO DE CIRUGÍA GENERAL DEL HOSPITAL GENERAL LUIS VERNAZA PERÍODO FEBRERO 2015 – DICIEMBRE 2017.

Abstract

Every year in the USA 250,000 colorectal resections are developed and 24% to 35% will present postoperative complications; with an incidence of readmission from 7% to 27% during the first 30 days, persisting a considerable percentage of morbidity and mortality. The objective of this work is to identify the complications in the Colorectal Surgery by describing presurgical risk factors, to determine the complications in elective or emergent surgery, and their management. Methodology: Observational, descriptive, cross-sectional, retrospective study. The population was made up of patients from the General Surgery area of HLV who underwent emergency or elective colorectal surgical procedures between February 2015 and December 2017. Dependent variables of the patient were evaluated as sex, age, comorbidities, and factors dependent on surgery as a type of surgery, the different complications and their management. Results: Patients undergoing colorectal surgeries, 22% presented complications; with surgical site infection being the most frequent 54%, followed by abscesses or intra-abdominal collections 14%, the most common management of surgical site infection was with cures 52% followed by antibiotic therapy 2%, arterial hypertension was the most common pre-surgical risk factor 74%, the surgery performed more frequently and with more complications was appendectomy by laparotomy 53%. Conclusions: The colorectal procedures lead to different complications but their appearance rate is not high, most were present in the emergent surgeries, the management is very wide depending on the experience of each surgeon.