Browsing by Author "Maldonado Ochoa, Luis Mario"

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Control de las infecciones en cirugía
(1987) Maldonado Ochoa, Luis Mario; Maldonado Sánchez, Luis Rogelio; Andino Vélez, José Gerardo
Frecuencia y caracterización del trauma de tórax en el Hospital Vicente Corral Moscoso y Hospital José Carrasco Arteaga. periodo 2018.
(Universidad de Cuenca, 2020-03-04) Ávila Narváez, Jorge Eduardo; Maldonado Ochoa, Luis Mario
Background: Chest trauma is a challenging pathology because there is a vital organ involvement, with the possibility of multiorgan failure and death. Objective: to determine the frequency and severity of chest trauma in patients treated at the Vicente Corral Moscoso and José Carrasco Arteaga Hospital, 2018 period. Materials and methods: this is a cross-sectional descriptive study. The sample consisted of 248 patients with chest trauma who met the inclusion criteria. Data were collected using a form designed by the author. The descriptive statistics were with the measures of centralization (mean) and dispersion (DS) for quantitative variables, and for qualitative ones with frequency and percentage values. The information was tabulated in the statistical software SPSS v. fifteen. Results: the frequency of chest trauma was 17.2%, average age 42.03 years (± SD 18.74), 60% male; in addition, 30% had thoracoabdominal trauma; the etiology due to high altitude (26.2%), 80% closed trauma, and 50% of them direct. In open traumas, the lesion was a white weapon (20%). The complications were: hemothorax (85.1%), pneumothorax heme (6.5%), in 60% of cases there was surgical management, and of these, the most frequent intervention was pleural drainage; the severity level was mild (60%). Conclusions: the chest trauma was more in the masculine sex, of etiology by height fall, and the most common complication hemothorax, and mild severity
Prevalencia de infección del sitio quirúrgico en pacientes post apendicectomía y factores asociados, en emergencia de cirugía de los Hospitales Vicente Corral Moscoso y José Carrasco Arteaga, Cuenca 2017
(2019) Morocho Quizhpi, Jenny Fabiola; Maldonado Ochoa, Luis Mario; Álvarez Serrano, Marlene Elizabeth
BACKGROUND: Surgical site infection is a leading cause of postoperative morbidity and mortality (1). The prevalence in patients after appendectomy varies from 4 to 12% (2). OBJECTIVE: To determine the prevalence of infection of the surgical site in post-appendectomy patients and associated factors, in emergency surgery of the Hospitals Vicente Corral Moscoso and José Carrasco Arteaga, Cuenca 2017. MATERIALS AND METHODS: Analytical, cross-sectional, whose universe are patients operated for acute appendicitis in the surgery department of the Hospital Vicente Corral Moscoso and José Carrasco Arteaga, in 2017; the lowest prevalence associated factor is 3,43% (laparoscopic approach), obtaining 140 sample patients. The factors analyzed were those dependent on the patient and the surgical procedure. The data was obtained through a questionnaire and follow-up for 30 days; analyzed using Excel, Epidat 3.1 and SPSS 24. RESULTS: The prevalence of surgical site infection in post-appendectomy patients is 20%, 10.7% are superficial and 64.29% were diagnosed during follow-up. The factors age, hyperthermia, hours of evolution, comorbidities, risk index, ASA, type of appendicitis, type of wound, surgical time, cavity washing and the use of drain presented significant association (p <0.05). CONCLUSION: There are many factors that intervene with surgical site infection. The prevalence obtained in this study is higher than that found in most studies