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Influencia de la pandemia COVID sobre la cirugía de la eventración


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Title:
Influencia de la pandemia COVID sobre la cirugía de la eventración
Authors:
Belso Aráez, Patricia María
Tutor:
Zaragoza Zaragoza, María Carmen
Editor:
Universidad Miguel Hernández de Elche
Department:
Departamentos de la UMH::Patología y Cirugía
Issue Date:
2022-05-03
URI:
https://hdl.handle.net/11000/28534
Abstract:
Introducción y objetivos: Durante la pandemia causada por SARS -CoVCoV-2 en nuestro centro y a nivel nacional, se ha producido un descenso acusado de toda la actividad quirúrgica programada, no prioritaria. Nuestro objetivo es analizar cómo ha afectado la pandemia a la cirugía de la eventración en ...  Ver más
Introduction and aims: During the pandemic because of SARS_CoV CoV-2 in our institution and national level, it has been produced a dramatic decline from all the programmed non -priority surgical activity. Our target is to analyse how the pandemic has affected the abdominal wall surgery in the Hospital General Universitario from Alicante Dr. Balmis ( And, at the same time, study the characteristics of the patients and the interventions that have been done during this period. Material and methods: A retrosp ective cohort analysis was done using a data base made up in a prospective way, EVE REG, and all the patients operated on incisional hernia in the HGUAB were registered and assigned in two groups. One for the patients operated in between March 2019 and MarcMarch 2020 (before COVID) and the other for interventions in between March 2020 and March 2021 (COVID period). Preoperative, specific incisional hernia properties and the intervention and postpost-surgery characteristics were considered. Once the descriptive study was completed, the comparations were done using the Student’s T-Test and the 𝜒2 method. Results: A total of 289 patients were included on the study, 103 ( operated during the COVID period. The population average age was 62,10 ± 13,68 years, and abo ut sex, 48,4% were men and 51,6% women. The frequency of urgent surgeries increases considerably on the COVID group ( vs 8,1% p<0,001). The percentage of patients urgency -intervened, with ASA III and IV is much greater than the percentage of the ones electiveelective-intervened ( vs 19,1% p=0,001). Also, it has been noticed a longer stay period in these patients (6,19 ± 6,81 vs 3,55 ± 3,96 p<0,001) and there are shown more post operatory complications on the urgency interventions ( vs 9,3% p=0,001) Conclusions: During March 2020 and March 2021, the number of incisional hernia programmed operations decreased significantly with respect to the previous year, increasing the urgency surgeries. These interventions imply more complications and the increase of the hospital stay periodperiod. So, scheduledscheduled, non – priority pathology should no t be delayed indefinitely.
Keywords/Subjects:
Hernia incisional
COVID-19
Cirugía de eventración
Urgencia
Knowledge area:
CDU: Ciencias aplicadas: Medicina
Type of document:
info:eu-repo/semantics/bachelorThesis
Access rights:
info:eu-repo/semantics/openAccess
Appears in Collections:
TFG- Medicina



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