Influencia de la utilización de la terapia de presión negativa V.A.C. en la duración de estancia hospitalaria en pacientes con infección de sitio quirúrgico post-apendicectomía en el Hospital General del Norte de Guayaquil Los Ceibos desde septiembre de 2017 hasta diciembre de 2019.

Abstract

Introduction: V.A.C. therapy negative pressure therapy it’s an effective and very useful treatment for the healing of infected wounds after appendectomies procedures, since it improves and accelerate wound closure in an optimal way. Materials and methods: A comparative, analytical and retrospective study was conducted in which a total of 99 patients admitted from September 2017 to December 2019 and who had post-appendectomy surgical site infection, divided into two groups and were compared: one group with VAC therapy and the other one without VAC therapy. Results: The use of V.A.C. negative pressure therapy had as result in this study that it prolongs the hospital stay of patients (18.63 days), compared to those who didn’t use it (15.63). Within the group with no V.A.C. therapy the perforated and necrotic histological types predominated and in the one that the V.A.C. therapy was applied, was had more cases the catarrhal and suppurative types. Conclusions: The V.A.C. negative pressure therapeutic method despite lengthening their hospital stay due to the interval of changes of the system itself, showed more effective results with a more optimal wound closure and a lower probability of reinfection .