Browsing by Author "Flores Lazo, Nube Lucía"

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Características de pacientes con enfermedad hemorroidal atendidos el año 2018, servicio de Coloproctología Hospital Vicente corral Moscoso Cuenca – Ecuador 2019
(Universidad de Cuenca, 2019-12-03) Castillo Zambrano, Adrián David; Orquera Albarracín, Jaime Eduardo; Flores Lazo, Nube Lucía
Background: hemorrhoids are one of the most common diseases attended in the outpatient’s service of coloproctology and gastroenterology. Despite its high prevalence of piles, there is not enough information to define the presentation characteristics in our population. Objective: to describe characteristics presented by patients with hemorrhoidal disease at the coloproctology department of Vicente Corral Moscoso Hospital, 2018. Methodology: descriptive, retrospective study; clinical records information was collected on registration forms; It was tabulated in Microsoft Excel software and analyzed in SPSS version 24.0. The results were presented using frequency and percentage tables in addition to measures of central tendency and dispersion for the quantitative variable (age). Results: of 288 cases studied, 60.11% were women, 59.03% of them diagnosed in the period between 40 and 64 years, the average age was 49.5 years, 67.36% of patients came from the urban area. Poor fiber consumption was found in 74.7% of them, 26.8% were smokers and only 19.79% performed adequate physical activity. 53.82% of patients had no comorbidities; and the remaining 133 patients had high blood pressure (10.06%), hypothyroidism (9.72%) and diabetes mellitus (7.29%). According to the type of hemorrhoids were internal (42.36%), mixed (39.24%) and external (18.4%); according to the degree of internal hemorrhoid, grade II (46.81%), III (29.79%), I (21.7%) and IV (1.7%) were obtained. Regarding the clinical picture, anal pain (80.55%), transanal bleeding (72.22%), constipation (70.13%) were found. Conclusions: hemorrhoids are common in adults between 40 and 64 years old, with unhealthy lifestyles and diets. Internal hemorrhoids, grade II is very common in our population and their presentation clinic usually includes pain, transanal bleeding and constipation.
Caso clínico 1: obstrucción de la vía biliar secundario a síndrome de Lemmel: reporte de caso clínico; y, Caso clínico 2: pancreatectomía distal por trauma pancreático grado iii: reporte de caso clínico
(Universidad de Cuenca, 2023-06-14) Medina Sigüenza, Cristian Geovanny; Flores Lazo, Nube Lucía
Lemmel syndrome is a not well known cause of secondary bile duct obstruction that can cause cases of cholangitis and acute pancreatitis in addition to bile duct dilatation in the absence of choledocholithiasis and neoplasia. There are few case reports worldwide and its etiopathogenesis is still unclear. We present an 88-year-old woman who was admitted with abdominal pain of 48 hours of evolution located at the epigastric level accompanied by elevated pancreatic enzymes, biliary tract dilatation and cholestatic syndrome. After performing a simple and contrasted tomography of the abdomen, the absence of lithiasis and the presence of a peri ampullary diverticulum that compresses the biliary tract can be evidenced. Due to the patient's age and comorbidities, conservative treatment was decided, with good clinical evolution. In conclusion, adding differential diagnoses in the case of pancreatitis and cholangitis helps to raise clinical suspicion, improve diagnosis and optimize treatment. El trauma pancreático genera alta morbilidad y mortalidad si no se realiza un adecuado diagnóstico de manera temprana, esto asociado a lesiones de otros órganos que generan distracción al momento de abordar el trauma de abdomen. Presentamos un varón de 16 años que ingresa tras sufrir trauma cerrado de abdomen secundario a golpe contuso con timón de bicicleta posterior a caída, el paciente ingresa estable sin alteración hemodinámica, se decide realizar una tomografía simple y contrastada donde se evidencia lesión pancreática grado III (sección distal o daño parenquimatoso con lesión ductal) según la clasificación de la American Association for Surgery of Trauma (AAST) motivo por el cual se decide tratamiento quirúrgico realizándose una pancreatectomía distal más conservación de bazo. El paciente es dado de alta 78 horas posteriores a la cirugía con evolución favorable. En conclusión, diagnosticar de forma temprana las lesiones pancreáticas posterior a un traumatismo abdominal y conocer el manejo de las mismas puede prevenir sus complicaciones y disminuir su morbilidad y mortalidad.
Evaluación y modificación de los conocimientos, actitudes y prácticas de lavado de manos en niños y niñas de la escuela Abelardo Tamaríz Crespo del cantón Cuenca 2008-2009
(2009) Encalada Soto, Diana María; Flores Lazo, Nube Lucía; Quizhpe Peralta, Arturo Octavio; Flores Durán, Carlos
Prevalencia y factores asociados a complicaciones quirúrgicas en pacientes mayores de 18 años post colecistectomía laparoscópica en el Hospital Vicente Corral Moscoso Cuenca 2019 - 2020
(Universidad de Cuenca, 2021-05-20) Valencia Morocho., Carlos Oswaldo; Flores Lazo, Nube Lucía
Introduction: laparoscopic cholecystectomy has now become the treatment of choice in the management of most vesicular pathologies due to the higher rate of advantages over conventional cholecystectomy. However, despite all its advantages, complications may occur. Objective: to determine the prevalence and factors associated with surgical complications in patients older than 18 years after laparoscopic cholecystectomy at the Vicente Corral Moscoso hospital in the city of Cuenca in the period February 2019 to January 2020. Material and methods: A cross-sectional analytical study was carried out in laparoscopically cholecystectomized patients between February 2019 and January 2020. Cases of surgical complications and associated factors were identified. The analysis was performed using SPSS version 15, Exel version 16 and EpiInfo version 7 software, from which frequency, percentage, average and dispersion measures such as DS were obtained, and association measures such as OR with 95% CI and p-value to determine statistical significance. Results: 151 patients were included in the study, of these 72.2% were female, the mean age was 40.09 years SD ± 18.88, with a mean hospitalization of 2.52 SD ± 2.40. 30.5% presented a complication. Age ≥65 years presented statistical significance in relation to the presence of complications and conversion risk, p = 0.005 and p = 0.006 respectively; surgical findings are also associated with the presence of complications p = 0.03.
Validez del índice neutrófilos - linfocitos como predictor de gravedad en pacientes mayores de 18 años diagnosticados de apendicitis aguda en el Hospital Vicente Corral Moscoso. Cuenca, 2020
(Universidad de Cuenca, 2022-02-07) Ortiz Galarza, Felipe Israel; Flores Lazo, Nube Lucía
Background: acute appendicitis is the most frequent cause of acute emergency surgical abdomen worldwide. Although the usual clinical presentation is abdominal pain, in patients with atypical presentation the support of complementary studies is required, and the determination of the Neutrophil-Lymphocyte Ratio (NLI) is becoming a new predictive marker of severity. Objective: to determine the acute validity of the NLR as an indicator of severity in patients over 18 years of age with Appendicitis. Methodology: quantitative, observational study to validate the diagnostic test; approved by the Bioethics Committee. 144 patients older than 18 years admitted to the General Surgery Emergency with acute appendicitis were included. The sample size was calculated with a sensitivity of 70%, specificity of 48%, prevalence of Complicated Appendicitis 30%, power of 80%, confidence level of 95%. Data analysis and comparison was carried out in SPSS and Epidat. Results: 59.7% of patients were between 18 to 34 years old with an average of 33 years (± 13 years); 50.7% were men. In addition, a total of 54.9% presented complicated acute appendicitis and it was determined that with an NLR ≥ 5.76, there is a sensitivity of 93.5% and a specificity of 43.4% to predict complicated acute appendicitis. Conclusion: the NLR is a promising tool, since it undoubtedly has a high sensitivity to predict the severity of acute appendicitis, taking the histopathology result as the gold standard, however, with a low specificity in diagnostic precision.