Revista de la Facultad de Ciencias Médicas de la Universidad de Cuenca

Permanent URI for this communityhttps://dspace-test.ucuenca.edu.ec/handle/123456789/19890

Browse

Browsing Revista de la Facultad de Ciencias Médicas de la Universidad de Cuenca by Author "Aguirre Vintimilla, Marcos Andrés"

Filter results by typing the first few letters
Now showing 1 - 3 of 3
  • Thumbnail Image
    Item
    Estenosis esofágica. Aplicación de una técnica quirúrgica. Caso clínico
    (Universidad de Cuenca. Facultad de Ciencias Médicas, 2015-10) Aguilar Gaibor, Carlos Iván; Muñoz Vásquez, Wilson Antonio; Aguirre Vintimilla, Marcos Andrés; Tenesaca Castro, Jesús Esteban
    The clinical case of a patient with esophageal stenosis after caustic ingestion is presented with dysphagia to liquids, so a transhiatal esophagectomy was performed with gastric tube technique alternatively for esophageal replacement mediastinal rise and feeding jejunostomy. After the procedure, it has a fistula in the proximal anastomosis cervical level and a pleural effusion is drained through bilateral pleural drainage. It is managed conservatively without disfunctionalization of the cervical fistula by semi-rigid drain with spontaneous closure and the patient is discharged after tolerated diet
  • Thumbnail Image
    Item
    Manejo del trauma de tórax y características demográficas, Hospital Vicente Corral Moscoso. Cuenca – Ecuador.
    (Universidad de Cuenca. Facultad de Ciencias Médicas, 2015-12) Guachún Guachún, Mayra Alejandra; Aguirre Vintimilla, Marcos Andrés; Lituma Yascaribay, Sara Cumandá; Tapia Gudiño, Johnny Amilcar
    Objective: To analyze the management of chest trauma at the Vicente Corral Moscoso Hospital and describe the demographic characteristics of the population studied. Method: It is a retrospective, descriptive study, the sample was 167 patients treated in the Emergency service at the Vicente Corral Moscoso Hospital, who were diagnosed with thoracic trauma during the period January 2013 to June 2015; Data were obtained from medical records. Demographic variables and treatment data were analyzed using frequencies, percentages and chi square. The SPSS program, version 18, and Excel 2010 were used. Results: The average age was 37 years, with high frequency in men 84.4%. The diagnoses were: 36.53% hemothorax, pneumothorax 25.75%, and 27.54% hemopneumothorax. The 4.8% of patients received nonsurgical treatment, 82.6% pleural drainage; a 12.6% thoracotomy was performed at the moment to arrive. The 19.8% thoracotomy was performed during hospital stay due to complications such as coagulated or residual hemothorax. The mortality was 5.4% (9 patients), 7 had extra- thoracic injuries. Conclusions: Chest trauma occurs in high percentage in the third decade of life and it mostly was resolved with pleural drainage. Extra thoracic injuries increase mortality and need a multidisciplinary approach.
  • Thumbnail Image
    Item
    Tumor carcinoide del pulmón. Resección en manguito primer caso realizado en el Hospital Vicente Coral Moscoso. Cuenca
    (Universidad de Cuenca. Facultad de Ciencias Médicas, 2016-05) Salamea Avilés, Juan Josué; Salamea Avilés, Pablo Andrés; Aguirre Vintimilla, Marcos Andrés
    Lung cancer is the most common tumor that causes increased mortality in developed countries, in the treatment there are new techniques such as the Lobectomy and sleeve resection with bronchial anastomosis, this technique has reduced the mortality by 95% of cases. This is an oncologically valid procedure and it is also comparable to a pneumonectomy but with a lower functional impact in the lungs; it´s necessary to emphasize that this is one of the election procedures in the case of tumors of the bronchi or trauma sometimes obstructing the bronchi with few cases reported about using of this technique worldwide. In fact it is the first sleeve resection performed at the Vicente Corral Moscoso Hospital. The case of a patient with presence of a tumor mass obstructing the bronchial lumen of right lung is presented, it was diagnosed two years ago with flexible fibro-bronchoscopy so it proceed with surgery to unblock the airway, A lobectomy more sleeve resection was performed; supported in the literature about the validity of the procedure performed as cancer surgery, the surgical risks, and physiological effects on lung function