Browsing by Author "Figueroa Morales, Francisco Efraín"

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Accidentes de tránsito relacionados con el consumo de alcohol en pacientes atendidos en el servicio de emergencia del Hospital Vicente Corral Moscoso, Cuenca 2007
(2009) Astudillo C., Andrea; Castillo C., Cristian; Figueroa Morales, Francisco Efraín; Alvarez Serrano, Marlene Elizabeth
Calidad de vida en pacientes con hiperhidrosis primaria sometidos a simpatectomía videotoracoscópica en el servicio de cirugía del Hospital Vicente Corral Moscoso, 2013
(2013) Muñoz Vega, Juan Diego; Figueroa Morales, Francisco Efraín; Mosquera Vallejo, Lorena Elizabeth
Introduction: Hyperhidrosis is a condition characterized by excessive sweating that exceeds the physiological needs to maintain thermal homeostasis1. It affects between 1-3% of the general population. Hyperhidrosis can be classified into two main entities: primary hyperhidrosis, which affects face and upper members and is caused by a dysfunction of the sympathetic autonomic nervous system, and secondary hyperhidrosis is rather a sign that manifests in various medical conditions such as, hyperthyroidism. Objectives: The objectives of this study were to demonstrate how the quality of life improves in patients with primary hyperhidrosis after thoracic sympathectomy; investigate how it influenced the quality of life before surgery, and to identify the percentage of occurrence of compensatory sweating. The study was conducted with patients operated on from January 2012 to June 2013 in the Surgery service of Vicente Corral Moscoso Hospital. Methodology: A descriptive, observational, conducted with 51 patients, 54 initially included but were not able to locate. We excluded patients diagnosed with secondary hyperhidrosis. A survey was validated for data collection. Results: 96 percent of patients reported an improvement in quality of life, 50% that went from a lifestyle from poor or very poor to very good or excellent. 43% had compensatory sweating, which stopped or gradually recedes. Conclusions: Surgical treatment by endoscopic thoracic sympathectomy, provides excellent results that are measurable in terms of improved quality of life, a low rate of complications, but often associated to compensatory sweating. DeCS: HYPERHIDROSIS/THERAPY; HYPERHIDROSIS/SURGERY; QUALITY OF LIFE; SYMPATHECTOMY/UTILIZATION; HOSPITAL REGIONAL VICENTE CORRAL MOSCOSO; CUENCA-ECUADOR.
Características del trauma en el servicio de emergencia del HVCM entre 1999-2003
(2005) Aguilar Astudillo, Juan José; Aguirre Vintimilla, Marcos Andres; Díaz Carrasco, Juan José; Figueroa Morales, Francisco Efraín; Mosquera Vallejo, Lorena Elizabeth
Trauma is currently one of the leading causes of morbidity and mortality worldwide in young populations, being the city of Cuenca, part of this reality, which is why it has set the objective to make a retrospective study on the characteristics of trauma Emergency service of Vicente Corral Moscoso Hospital reference center trauma patients at the regional level during the period 1999-2003. Among the objectives that arise is determining the total number of patients seen by trauma, the number of patients served by trauma by sex and age from sixteen onwards, the main causes of trauma, the different locations of the injury and finally the total number of patients who die from this cause. To achieve the objectives, forms for data collection were built, which was obtained from records of emergency care, surgery area Vicente Corral Moscoso Hospital, among the aforementioned period; for the selection of the universe for all patients treated with different pathology was ruled out trauma. The following tabulation of information was made and creating tables to present the figures obtained, and the construction of graphics to explain and clarify the results. The main results obtained in the study show a growing annual trend of trauma care. It also notes that the male happens to be most affected in a three to one ratio with females. It was also determined that the most affected age group is between sixteen and twenty-nine years, the main causes of trauma are traffic accidents and falls, and the first is the leading cause of death by trauma. Finally it determines that the body areas most affected are the extremities trauma and skull
Complicaciones postapendicectomía convencional y factores asociados, Hospital Vicente Corral Moscoso, período agosto 2008-enero 2009, Cuenca 2009
(Universidad de Cuenca, 2009-11-11) Ayora Calle, John; González Vázquez, Cristian; Morales San Martín, Jaime; Figueroa Morales, Francisco Efraín
Costo beneficio de los exámenes preoperatorios o de rutina realizados a los pacientes quirúrgicos del Hospital José Carrasco, Cuenca 2009
(2010) Gutiérrez Piedra, Italo; Figueroa Morales, Francisco Efraín; Merchán Bueno, Miguel Oswaldo
The preoperative routine examines have been appealed due to an increase in health costs. In the United States from $3 to $11 million dollars are spend annually in routine examines. The majority of routine examines can be omitted, information about this topic in our country is limited and we cannot relay on evidence that justify the utility of routine examines; therefore it is recommended examines to be held in a directed manner and with clinical criterion. A cross-sectional study was elaborated, its objective was to determine the frequency of unnecessary preoperative routine examines held to patients who were submitted to a surgical procedure and the beneficial cost of the same in the Jose Carrasco Arteaga Hospital during the year 2009. Three hundred patients were studied, the majority (69%) were submitted to a major surgery, the frequency of complimentary studies inadequately requested was 32.3%, the possibility to request inadequate examines is greater in patients with minor surgeries (22.4%), the total cost was $4293 dollars and the impact of loss of institutional operational level cost above this number was 49.2% (-2.113 dollars), according to the analysis the ideal cost should not surpass the $2.180 dollars. If we extrapolating the costs of those that are situated outside the public sector the “real” costs surpass $9000 dollars. Key Words: Preoperative routine examines; beneficial cost.
Detección precoz de infección de herida operatoria postapendicectomías en el Hospital Vicente Corral Moscoso, Cuenca 2012
(2013) Bravo Jaramillo, Edison Leonardo; Figueroa Morales, Francisco Efraín; Tenezaca Tacuri, Ángel Hipólito
Acute appendicitis (AA) affects up to 12% of the population, morbidity and treatment produces suffering. Bacterial colonization of the appendix wall is multifactorial, depends on: guest, surgeon, hospital environment, and clinical stage, the frequency of surgical site infection (SSI) varies from 2 to 10%, it may be associated with appendix bacteriology. The SSI is the most common postoperative complication in open appendectomy which was raised in the use of sentinel predictor of surgical site infections in post appendectomy, determining the bacterial load of the abdominal wall. OBJECTIVE: To determine the utility of point guard, as predictor of surgical site infection in post appendectomy patients at Hospital Vicente Corral Moscoso. Methodology: It is a cross-sectional study, that determined whether the use of a guard point, helped as predictor of surgical site infection in patients undergoing appendectomy. RESULTS: The sensitivity of point guard (with positive bacterial load) for prediction of surgical wound infection was 100%, with a specificity of 99.32%, higher in patients with drilled appendicitis (73.3%), surgery time > 60 minutes (28.3%), antibiotic prophylaxis (18.4%) and incision infra-umbilical (50%). CONCLUSIONS: The point guard crop was projected as a predictive tool of surgical wound infection in patients undergoing appendectomy, and it is most useful in advanced stages of the disease, and long periods of surgery when the incision is infra umbilical DeCS: APPENDECTOMY- ADVERSE EFFECTS; SURGICAL WOUND INFECTION-DIAGNOSIS; EARLY DIAGNOSIS; PREDICTIVE VALUE OF TESTS; SENSITIVITY AND SPECIFICITY; EPIDEMIOLOGY, DESCRIPTIVE; HOSPITAL REGIONAL VICENTE CORRAL MOSCOSO; CUENCA-ECUADOR
Determinación de la frecuencia de infección en el sitio operatorio en pacientes intervenidos quirúrgicamente de cirugía abdominal de emergencia en el Hospital Vicente Corral Moscoso julio-enero 2006-2007
(2007) Almestar Montenegro, Artidoro Leiter; Sánchez Solis, Juan Carlos; Figueroa Morales, Francisco Efraín; Pinos Abad, Guido Marcelo
Estudio de prevalencia de trauma de torax por accidentes de tránsito en pacientes del área de cirugía del Hospital Vicente Corral Moscoso durante el año 2002
(2005) González Maldonado, Naren Gustavo; Gutiérrez Piedra, Italo; Lata García, José Javier; Figueroa Morales, Francisco Efraín; García Alvear, Jorge Luis
The work aims to establish the prevalence study thoracic trauma from traffic accidents, determining their predisposing factors, age, sex, origin, etc. The same is retrospective descriptive, being the study population patients surgery area who were seen in 2002, Vicente Corral Moscoso Hospital presenting chest trauma from traffic accidents. The study group consisted of 51 patients. The highest percentage of involvement you had the male with 82.35, the 56.86de medical records do not report because of traffic accidents, then the alcohol is 35.29 as the most important factor. the 74.51de patients with thoracic trauma from traffic accidents have no complications, infections and mediate mediate pleural effusion which occur more frequently, with a percentage of 3.92respectivamente. Therefore it is recommended to raise awareness about the risks involved in traffic accidents, and the need for educational programs to prevent them
Frecuencia de ingresos por trauma cerrado de abdomen en el área de emergencia cirugía y pediatría en el Hospital Vicente Corral Moscoso 1995 - 2000
(2002) Ruilova González, Lizbet Yolanda; Samper Calderón, Rocío Cecilia; Vásquez Rodríguez, Verónica Catalina; Figueroa Morales, Francisco Efraín
Frecuencia y consecuencias patológicas en los accidentes de los motociclistas y sus acompañantes en la ciudad de Cuenca en el período comprendido entre el 1o. de Febrero de 1987 hasta el 31 de Enero de 1988
(1988) Morales Gómez, Francisco; Moreno, Iván Teodoro; Tenorio Salazar, Gabriel; Figueroa Morales, Francisco Efraín; Barros Chica, Arturo
Hallazgos y diferencias en apendicitis aguda en los extremos de la vida, menores de 10 años y mayores de 50 años. Hospital Homero Castanier Crespo. Azogues 1994-1998
(1999) Moniz del Castillo, Jairo Silvio; Pereda Arias, Hermes Segundo Félix; Figueroa Morales, Francisco Efraín
Hemorragia digestiva alta en el servicio de emergencia del Hospital Vicente Corral Moscoso Cuenca Octubre 1980-Octubre 1981
(1982) Vázquez G., Carmen; Vega B., Lola; Vázquez L., Manolo; Figueroa Morales, Francisco Efraín
Hernias inguinales recidivantes en los pacientes atendidos en el servicio de cirugía del Hospital Homero Castanier Crespo en período entre enero 1 de 1998 y el 31 de diciembre de 2003
(2004) Díaz Vintimilla, Santiago Antonio; Hernández Avila, Carlos Alberto; Mantilla Azuero, Carlos Humberto; Figueroa Morales, Francisco Efraín; Flores Durán, Carlos Teodoro
This is a retrospective regional study from 1998-2003 in which 317 patients over 12 years, mostly in mostly farmers, male, who were treated in the surgery for inguinal hernia present included. Risk factors, family relationships, among other was identified and the effectiveness of the traditional surgical techniques was evaluated. He found 9.5 recurrence after surgical treatment. The most widely used technique in this group was the technique of Mc Vay (61.8), and recurrence of 8.67. Lieschtenstein technique was found to be the most effective with 3.44 relapses and recurrences more technique presented in this study was the technique with 13.9 recurrence Bassin
Hipertensión intra-abdominal y síndrome abdominal compartamental prevalencia postlaparotomía por abdomen agudo, HVCM Cuenca 2010-2011
(Universidad de Cuenca, 2011-11-11) Muñoz, Jenny; Merchán Bueno, Miguel Oswaldo; Astudillo Ochoa, Jhony Camilo; Figueroa Morales, Francisco Efraín
Hipertensión intra-abdominal y síndrome abdominal compartamental prevalencia postlaparotomía por abdomen agudo, HVCM Cuenca 2010-2011
(2011) Muñoz Arévalo, Jenny Maribel; Figueroa Morales, Francisco Efraín; Merchán Bueno, Miguel Oswaldo; Astudillo Ochoa, Johnny Camilo
The intra-abdominal hypertension (HIA) and the abdominal compartmental syndrome (SCA) they are important cause of postoperative morbid-mortality. Advance in their opportune diagnosis and treatment they have provided better improvement in these patients. Objective: To determine the prevalence of HIA, SCA and to associate it with (surgical discoveries, pressure of Intra-abdominal perfusion (PPI), obesity) intervened by sharp abdomen in the Department of Surgery of the Hospital Vicente Corral Moscoso of Cuenca. Methodology: We was carried out an analytic traverse study in patient bigger than 16 years that need abdominal decompression of September of 2010 until August of 2011 and that they completed exclusion approaches, the PIA was measured by means of indirect method and the information you gathers in a form elaborated for the study. Results: 347 patients were included in the study, the age stocking was located in 46.72 ± 22.30 years, they presented overweight 5.2%, in the pre-surgical stadium we was Intra-abdominal Hypertension in 41.2% and 10.4% of abdominal compartment syndrome; after the abdominal decompression the intra-abdominal hypertension diminished to 37.7% and the syndrome compartmental to 8.4%. The PIA same or bigger at 12mmHg they increase the risk of hiccup-perfusion intestinal in 3.56 times (IC 95%: 1.81-6.99), p <0.05; the obesity behaved as factor of risk with a RP 1.73 (1.451-2.13); the opposing surgical discovery was significant for Abdomen sharp perforation: 2.45 with IC 95% 1.91-3.13; Abdomen sharp hemorrhagic 1.83 with IC 95% 1.46-2.30 and intestinal occlusive sharp Abdomen 2.32 with IC 95% 2.05-2.64. Conclusion: The intra-abdominal Hypertension diminishes progressively in the postoperative one; while in whom the SCA is manifested it remains risen by more time. You evidence that the Obesity influences increasing the PIOUS one, the same one that produces decrease of the PPI predicting worse presage; the representative surgical discoveries for the increment of the PIOUS one were the abdomen sharp perforation and occlusive. KEY WORDS: ACUTE ABDOMEN, LAPAROTOMÍA, INTRAABDOMINAL HYPERTENSION.
Integración clínica hematológica en el diagnóstico de patología de abdomen superior: estudio descriptivo en pacientes que ingresan al servicio de emergencia del H.V.C.M. Cuenca Ecuador 1988-1989
(1989) Cordero Gárate, Luis Hernán; Andrade Avila, Hernán; Valdez Crespo, Gerardo Esteban; Sempértegui Vega, Julio Cesar; Cañizares Aguilar, Aurelio Ernesto; Figueroa Morales, Francisco Efraín; Piedra Abril, Luis Iván
Localización de la punta del cateter venenoso central mediante control electrocardiográfico, Hospital Vicente Corral Moscoso, Cuenca 2010
(2011) Quichimbo Sangurima, Fausto Marcelo; Figueroa Morales, Francisco Efraín; Merchán Bueno, Miguel Oswaldo
Use of central venous catheter (CVC) has become general, there are several techniques applied for its positioning and depends, to a great extent, of the preference and experience of places who it. Once installed a central line, correct location of the tip of catheter is importance very much. In this point the guide with electrocardiographic control assures a suitable location and greater effectiveness in relation to the methods classically used. Objective: To validate cardioscopía as method for the suitable location of the tip of CVC in the of subclavian vein catheterization in front of the chest radiograph control applied in patients of the Hospital Vicente Corral Moscoso. Methods: A study of validation of diagnostic test for the location of the tip of CVC by subclavian via was realized, 142 were included patients. Results: Central venous catheterization by subclavian vein via was realized to the study population, of them was reached a positive result in the electrocardiographic guide in 90 patients (63.4%). The location of the tip of CVC was verified according to the standard method used in our means, the thorax x-ray and it was observed that the 77.78% of the electrocardiogram-guided central venous catheterization were correctly placed, whit a RP of 3.67 (IC 95% = 2.15 -6.28 p = 0.000), demonstrating the validity of the method in study. Also one determined that the distance skin/tip of the catheter average for the population in study is of 11.5 ±1.27cm Conclusions: Use of Electrocardiogram-guided central venous catheterization technique is most reliable that method done blindly, to ensure an adequate placement of tip of CVC. Key Words: Venous central catheterization, electrocardiographic monitoring.
Modificaciones clínicas y metabólicas de los pacientes intervenidos de cirugía bariátrica en los hospitales José Carrasco Arteaga y Vicente Corral Moscoso del 2005 al 2010
(2013) Saavedra Acosta, Oswaldo Fabián; Figueroa Morales, Francisco Efraín; Tenezaca Tacuri, Ángel Hipólito
Obesity is considered an epidemic of the XXI century, seeing increased worldwide. A large majority of the population is overweight reaching some sort of morbid obesity, which is often accompanied by serious associated diseases reduce both the quality and expectancy of life. An alteration in clinical settings such as anthropometric type, hypertension, central obesity, and metabolic disorders such as glycosylated hemoglobin, triglycerides, HDL cholesterol, presents some of the morbidly obese patients. Bariatric surgery today is proving to be one of the best treatments to improve clinically and metabolically patients with these disorders can’t be ruled effectively influencing the postoperative diet and exercise. Objective: to determine the clinical and metabolic changes before and after surgery in patients undergoing bariatric surgery at the hospital José Carrasco Arteaga and Vicente Corral Moscoso from 2005 to 2010. Methods: we performed a study of quasi-experimental (mode before and after), were included in the study 43 patients undergoing bariatric surgery at hospitals José Carrasco Arteaga and Vicente Corral Moscoso during the period 2005-2010. Results: we performed 43 bariatric procedures, most were female (86% n = 37) with obesity grade 2 3 and 4. The body mass index (BMI), waist circumference and blood pressure, and blood chemistry tests: cholesterol, triglycerides, glucose and glycated hemoglobin, had a significant reduction (p=0.002; <0,001; 0.001; <0,001; 0,002; 0,001 y <0,001). For HDL no significant differences were found (p=0.501). Conclusions: bariatric surgery produces a significant reduction in BMI, waist circumference, blood pressure, cholesterol, triglycerides, glucose and glycated hemoglobin.
Nalbufina, bupivacaina, y su combinación para el control del dolor en pacientes sometidos a colecistectomía laparoscópica, Hospital Vicente Corral Moscoso, Cuenca 2010
(2010) Ojeda Orellana, Silvana Magaly; Figueroa Morales, Francisco Efraín; Merchán Bueno, Miguel Oswaldo
Acute pain post-laparoscopic cholecystectomy is complex and different assessment, however the goal of treatment should be to get the comfort of patients undergoing surgical procedures. Objective: To determine the Nalbuphine and Bupivacaine preincisional periportal infiltration efficacy in patients undergoing laparoscopic cholecystectomy. Methodology: A randomized single-blind experimental study was performed, 99 patients are included, which compared the Bupivacaine and Nalbuphine effect with their separate effects in patients undergoing laparoscopic cholecystectomy. Three groups sere formed: A receiving Nalbuphine 10 mg intravenous preincisional, in B group, bupivacaine 0.25% periportal infiltration was administered, and C group (experimental group), receiving the combination 10 mg of Nalbuphine preincisional and bupivacaine periportal infiltration. The pain was assessed by visual analogue scale (VAS) using Nalbuphine as an analgesic supplement. Results: The Nalbuphine group had less pain than the experimental group and especially the buoivacaine group, so the Bupivacaine need more supplementary doses of analgesia (2.88 ± 0.89) on the Nalbuphine ( 1.55 ± 0.71) and experimental group (2.12 ± 0.78). Conclusions: Preemptive analgesia with Nalbuphine obtains better scores in comparison to Nalbuphine and bupivacaine combination. Bupivacaine alone does not have good results on pain control postcholecystectomy laparoscopy, and need more supplementary doses of analgesia Key words: Nalbuphine, Bupivacaine, Laparoscopic cholecystectomy, postoperative pain, patient controlled analgesia
Necrosis intestinal en el abdomen agudo
(1982) Andrade M., Hugo; Iglesias S., Fernando; Malla C., Celso; Figueroa Morales, Francisco Efraín