Prevalencia de obstrucción intestinal como complicación postquirúrgica de apendicitis entre pacientes de 3 a 14 años en el Hospital General del Norte de Guayaquil Los Ceibos entre mayo 2017 a mayo 2019.

Abstract

Post-appendectomy intestinal obstruction is a frequent complication. Studies show that the type of appendix and the surgical technique have a direct influence on the evolution of the patient and post-appendectomy complications. This research was developed in the General Hospital of the North of Guayaquil Los Ceibos, from May 2017 to May 2019, using the qualitative-quantitative mixed method and the indirect observation on patients who had post-appendectomy intestinal obstruction complications. Four variables were considered (age group, sex, type of appendix and surgical technique), in order to evaluate different proposed objectives. The universe was composed by 1412 patients. The sample consisted of 75 patients of both sexes, between 3 and 14 years old, who went to the hospital due to a post-appendectomy intestinal obstruction who fulfilled the inclusion and exclusion criteria described for the study, and the data were obtained through medical records registered in the AS400 system. The prevalence in this hospital during the two years of research was 5,31%. From these patients, 72% were male and 28% female, the average age was 9,56%, the median was 10 and the mode was 8 years old, the standard deviation was 2,56. Post-appendectomy intestinal obstruction is closely related to the type of gangrenous appendix and the open surgical technique. Give these points, the conclusion is that post-appendectomy intestinal obstruction is more common than expected and is associated with a greater inflammatory response.