Efectos del protocolo de recuperación postoperatoria rápida en pacientes apendicectomizados por apendicitis complicada, vía laparoscópica y convencional en los hospitales José Carrasco Arteaga y Vicente Corral Moscoso. Cuenca 2017

Abstract

Background: the rapid recovery Protocol (Fast Track or ERAS) in patients apendicectomizados for complicated appendicitis, It has shown as benefits: reduction in hospital stay, less morbidity and a rapid postoperative recovery. Objective: to determine the effects of the rapid postoperative recovery in patients apendicectomizados Protocol by appendicitis complicated laparoscopic and conventional in the hospital José Carrasco Arteaga and Vicente Corral Moscoso, basin 2017. Method and materials: analytical study transversely, participation 384 patients, undergoing laparoscopic appendectomy or conventional by complicated appendicitis, who was assessed the relationship of the applicability of the postoperative Protocol with the reduction of hospital stay and complications post-surgery, with analysis of the statistical program SPSS version 23 variables and EPIDAT 3.1. Results: prevalence of females with the 51.1%, 51.6% undergoing laparoscopic surgery; the use of antiemetic and postoperative opioid avoided the nausea post-surgical, before 12 o'clock and fluid intake they avoided the nausea, vomiting and pain post-surgery. Hospital stay lasted more than 4 days: those who used drain, greater than 91 minutes operating time, the presence of nausea, vomiting, pain, delay in the appearance of noise air speed-boats; While re-entry Hospital is related to the use of antibiotics over 4 days, hospitalization for more than 4 days in both as conventional laparoscopic surgery. Conclusion: the Protocol's Fast Track with complicated appendicitis, is related to a stay hospital shorter, faster postoperative recovery and less postoperative morbidity.