Infección del sitio quirúrgico en pacientes con diabetes mellitus tipo 2 posterior a apendicectomía convencional vs laparoscópica en el Hospital Teodoro Maldonado Carbo en el periodo de enero - abril del 2016.

Abstract

Background: Acute appendicitis is one of the most common emergencies in the hospital setting and is one of the most common causes of acute abdomen. When faced with a contaminated surgery such as appendectomy, we must identify the risk factors that increase the infection of the surgical site; knowing this we will study some variables such as age, sex, duration of surgery, use of prophylactic antibiotics prior to surgery, surgical technique among others to identify which factors contribute to surgical site infection in HTMC patients who underwent to appendectomy in the period from January 2016 to April 2016 Depending on the surgical approach we will obtain different results before the postoperative period of the patient Objectives: Establish the incidence of surgical site infections in patients with DM2 after conventional appendectomy vs laparoscopy at Hospital Teodoro Maldonado Carbo from January 2016 to April 2016 Methods: Prevalence study during the period from January 2016 to April 2016 at Hospital Teodoro Maldonado Carbo Results: A total of 110 surgical procedures were analyzed in the study period. 55 patients were operated by laparoscopic surgery 55 operated by laparotomic surgery, with an average age of 46.8 and 39.9 years respectively. They were 23 diabetic patients infected of which 32,73% corresponded to conventional surgery technique and 9.09% by laparoscopic surgery. The Risk factors influencing the ISQ were compared based on the levels of blood glucose and HbA1C that showed statistical significance of dependence between elevated levels of greater than 200 mg/dl blood glucose and HbA1C greater than 7%, and the type of surgery performed with a P value less than 0.05% Conclusions: The conventional appendectomy had more infected patients. The cultivation of the exudate from the surgical site would help to give a more accurate diagnosis, in the Hospital Teodoro Maldonado Carbo is a protocol that is not commonly used, but we can make a diagnosis with clinical sig ns of the wound. Poor control in diabetic patients ia a factor of risk on the onset of the Surgical site infection.