Facultad de Ciencias Médicas

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Abdomen Agudo: importancia de los rayos X en el Dx. del abdomen agudo en pacientes del Hospital del IESS. Cuenca 1989-1990
(1992-11-11) Urdiales Jiménez, Juan; Pazos Manzano, Presley Eduardo; Campoverde Arévalo, Nicolás
Diez emergencias más comunes del fin de semana en el Hospital Vicente Corral Moscoso durante el año 2009
(2011) Córdova Loja, Gabriela Fernanda; Córdova López, Mónica Fabiola; Cuenca Quito, Mayra Alexandra; Piedra Abril, Luis Iván; Flores Durán, Carlos Teodoro
Antecedents The weekends are days in which the entrance of patients by the emergency area increases by traffic accidents, change in their habitual diets and excess of alcohol. Objectives.- To determine the 10 more common emergencies happened in the weekend (Friday, Saturday, Sunday). We established its frequency and we characterized according to the age, sex, state to the discharge, date of entrance to the hospital and origin. Methods.-Descriptive study, total universe of 207 income at hospital, for the data collection we used a form, entered the data to Excel program, it was made tables and graphs with the variables to be analyzed. Results.- The 10 main emergencies are: Acute abdomen 26 income (12.6%); Head injury 25 income (12.1%); Poisoning by organic phosphorus 19 income (9.2%); Gastrointestinal bleeding 12 income (5.8%); Acute Pancreatitis 11 patients (5.3%); Gastroenteritis, Community-acquired pneumonia and Polytrauma 9 patients each one (4.3%); Unbalanced diabetes mellitus 8 patients (3.9%); Acute Cholecystitis and Epilepsy 7 income each one (3.4%). The age in greater risk is between 15 to 34 years old. The origin of the patient in their majority is Cuenca. Conclusions.- The emergencies in this investigation correspond to problems caused by the diet, consumption of alcohol, traffic accidents and suicide. The emergency area must be supplied; personal enabled in these cases to diminish mortality, the dwell time in the hospital and will improve the attention offered to the community.
Embarazo y abdomen agudo en el Hospital José Carrasco Arteaga del IESS en el año 2016 –2017.
(2018) Aguilar Jaramillo, Diego Vinicio; Tenesaca Tenesaca, Pedro Alonso; Ñauta Baculima, Manuel Jaime
BACKGROUND: Acute abdomen refers to the critical situation experienced by a person with severe abdominal symptoms, requiring immediate medical and / or surgical treatment. OBJECTIVE: To determine the frequency of acute abdomen and its characteristics in pregnant women who attended the Hospital José Carrasco Arteaga of the Ecuadorian Social Security Institute (IESS), during the year 2016 - 2017. METHODOLOGY: A descriptive study was conducted, with 899 medical records of pregnant patients with acute abdomen who attended the José Carrasco Arteaga Hospital of the IESS, in the period from January 2016 to December 2017. The data was collected from the clinical histories of pregnant women and they were analyzed with SPSS version 19.0. The mean and standard deviation were calculated for the quantitative variables, for the categorized qualitative variables frequencies and percentages were used. RESULTS: The mean age was 29.59 years and standard deviation of ± 6.3. The main cause of acute abdomen was related to complications of pregnancy, such as cholelithiasis, appendicitis, ovarian cysts, among others. The main symptom was abdominal pain, followed by hemorrhage. Imaging was the most used diagnostic method and observation and rest only linked to drugs was the main treatment. The evolution of pregnancy after presenting the pathology depends on the week in which it occurs. CONCLUSIONS: Less than a fifth of pregnant women presented with acute non-obstetric causes.
Estudio descriptivo el abdomen agudo en el Hospital Regional y docente Vicente Corral Moscoso de Cuenca Junio 1979 Julio 1981
(1982) Jaya Q., Angel; Ochoa M., Mireya; Ormaza, César; Paredes, Mariana; Astudillo Molina, Rubén Arturo
Hallazgos quirúrgicos en el abdomen agudo del adulto
(1969) Palacios Serrano, Oswaldo; Ospina R., Rosemberg; López Arenas, Jorge
Hallazgos quirúrgicos en el abdomen agudo infantil
(1968) Colorado, Klinton; López Arenas, Jorge
Laparoscopía como método de diagnóstico en abdomen agudo Hospital Vicente Corral Moscoso y Hospital Latinoamericano. Cuenca 1999 - 2000
(2000) Ojeda Orellana, Marco Ribelino; Palacios Vintimilla, Diego Patricio; Pavón Romero, Jaime Leonidas; Astudillo Molina, Rubén Arturo; García Alvear, Jorge Luis
Necrosis intestinal en el abdomen agudo
(1982) Andrade M., Hugo; Iglesias S., Fernando; Malla C., Celso; Figueroa Morales, Francisco Efraín
Presión intra abdominal (pia) y complicaciones en pacientes postquirúrgicos por abdomen agudo ingresados en la unidad de cuidados intensivos (uci). Hospital Vicente Corral Moscoso Cuenca. 2015
(2016) Hidalgo Vallejo, Marianela Solange; Aguirre Paredes, René Humberto; Jaramillo Oyervide, Julio Alfredo
Increased intra-abdominal pressure produces pathophysiological changes affecting the biological functions in postsurgical patients, making diagnosis and treatment is very important. Objective. Determine the values of intra-abdominal pressure (PIA), its increase and relate the complications encountered in post-surgical patients admitted to acute abdomen area ICU Vicente Corral Moscoso Hospital of Cuenca. Methodology. Quantitative, observational cross-sectional study in post-surgical patients for acute abdomen admitted to ICU of Hospital Vicente Corral Moscoso, over 16 years of age who met the inclusion criteria. The sample collection was from January to December 2014. The measurement of the PIA was by indirect technique (urinary catheter), data were collected on a form designed for the study. Results. The average age was 63 years, 54.3% were men. 57.1% presented a PIA Grade II normotensive 48.6%, 88.6% had a normal diuresis. They were re operated 31.4%, only 2.9% showed paralytic ileus. Mechanically ventilated patients was 62.9% with p <0.05 significant. 48.6% developed sepsis. Conclusions. The measurement of intra-abdominal pressure is helpful today because it allows us to know the physiological changes that occur in the postoperative patient, warning us of its evolution and the need to re surgery
Prevalencia de bloqueo neuromuscular residual con rocuronio en la unidad de cuidados postanestésicos Hospital José Carrasco Arteaga, 2013
(2013) Orozco Arce, Katerine Fernanda; Buenaño Barrionuevo, Eduardo Efrén; Morocho Malla, Manuel Ismael
Objective: To determine the prevalence of muscular residual paralysis caused by neuro-muscular blockers, which are not depolarizing in the post-anesthetic care of the Jose Carrasco Arteaga Hospital department. Methodology: Transversal descriptive studio, carried out in the post-anesthetic care area of the Jose Carrasco Arteaga Hospital in 197 patients, who were selected at random. The diagnosis the residual neuro-muscular blocking was performed through the train of four (TOF) minor to 0.9; furthermore variables such as age, and sex were gathered, corporal mass index (IMC), ASA, surgical procedure and medical complications. This is a form for gathering data and after receiving the acceptance from the patient, relative frequencies were used for the analysis of data, percentages, central trend and dispersion measures, for the association square chi and the value of p and the measure the effect of prevalence rate (RP) with a confident interval of 95%. Results: The measure of age was set in 35.05 years with a DE of 12.32 years, noticing that the most prevalent sex is the female with the 52.3%. The patients ASA I with the 75.1% and the most prevalent nutritional distort was the overweight with the 44.2%. The most repeated procedure that of laparoscopic colecystomy with the 26.9% and the surgical time mean was of 75.39 minutes with a DE of 30.19 minutes. The trend of residual BNM was of 68.5%. It was not associated with the age, or the sex, neither the ASA, quantification with the BNM residual; likewise, the nutritional condition was not associated. The BNM residual increase the risk of hyphoxemy, disnea, disartria, visual disturbance and muscular weakness. Conclusions: The prevalence of BNMR is high in our population, similar to what the world literature has reported. It has not been related to demographic nor nutritional variables, but it increased the post-anesthetic health worsening. Key Words: RESIDUAL NEURO-MUSCULAR BLOCKING, POST ANESTHESIA RISK, TRAIN OF FOUR AND COMPLICATIONS.
Radiología del adomen agudo
(1962) Rodas Andrade, Edgar; Carvallo Valdiviezo, Honorato
Sensibilidad y especificidad del ultrasonido en apendicitis aguda en mujeres en el Hospital Vicente Corral Moscoso, 2013
(2014) Cevallos Agurto, Cecibel Yadira; Salamea Molina, Juan Carlos; Tenezaca Tacuri, Ángel Hipólito
Objective: To validate the effectiveness of abdominal ultrasound in women with clinical suspicion of acute appendicitis. Methodology: Descriptive study of diagnostic test, 323 patients with clinically suspected acute appendicitis who presented to the emergency area Vicente Corral Moscoso hospital between February and July 2013 were included. An abdominal ultrasound was performed to confirm the diagnosis and sensitivity, specificity, positive and negative predictive values in both women and men was measured and a general evaluation of the results was performed. Result: 323 abdominal ultrasounds were performed to assess the probable diagnosis of acute appendicitis determined by the patient's clinical, obtaining globally sensitivity 78.52% (73.29%-83.74%), specificity 78.52% (73.29%-83.74%), positive predictive value 84.81% (80.03%-89.59%) and negative predictive value of 36.05% (25.32%-46.78%). Correspond to 170 women and 153 men, in women there was sensitivity 76.38% (68.6%-84.16%), specificity 41.86% (25.95%-57.77%), positive predictive value 79.51% (71.94%-87.08%) and negative predictive value of 37.5% (22.76%-52.24%). In men found sensitivity of 80.62%, specificity 54.17%, positive predictive value 90.43% and negative predictive value of 34.21%. Conclusions: The diagnosis of acute appendicitis remains a clinical but abdominal ultrasound has an overall performance in our acceptable medium, due to its accessibility and low cost is the ideal test when faced with borderline cases especially women adnexal pathology and its use in men is restricted to cases greater diagnostic doubt. My results validated the sensitivity of the test with low level of specifity. Keywords: ACUTE APPENDICITIS, ACUTE ABDOMEN, ABDOMINAL ULTRASOUND.
Uso de analgesia durante el proceso de diagnóstico del dolor abdominal agudo y/o abdomen agudo por los cirujanos generales de la zona de planificación 6, Cuenca-Ecuador, 2014
(2014) Cárdenas Arias, Geovanna Vanessa; Serrano Béjar, Leonardo Alfredo; Roldán Fernández, José Vicente; Mosquera Vallejo, Lorena Elizabeth
Introduction Knowledge of avoiding the use of analgesia during the diagnostic process in acute abdominal pain are rooted in older publications, however current evidence says it is safe and appropriate to control pain and may even improve the diagnostic accuracy. Objective To identify the use and characteristics of analgesia during the diagnostic process of acute abdominal pain by surgeons of the area 6. Methodology A quantitative descriptive study was conducted, having as universe all physicians who worked as General Surgeons in the area 6. We used a validated questionnaire, adapted from previously published works. Data collection was performed between March and April 2014 through an online survey using Google Drive© software. For tabulation and analysis of data, IBM-SPSS 18 software was used. Frequency distribution, percentages and measures of central tendency were used to examine the association of the independent and dependent variables. Chi Square and Fisher Exact Test were used to assess the level of statistical significance. Results A return of 73,68 % was obtained. 54,8 % of the surgeons use analgesia and 73,8 % have read current evidence related to the topic. The most commonly used analgesics are NSAIDs and opioids with 39,1 % each. The most important finding of our study is the statistically significant relationship found between those surgeons who read current evidence on the use of analgesia in acute abdominal pain and the decision to use it (p = 0.043). Conclusions The results showed us that although most surgeons use analgesia and know the current scientific evidence, they don’t use opioids as their first option.
"Validez de la ecografía como método de diagnóstico imagenológico frente al diagnóstico quirúrgico de abdomen agudo en pacientes atendidos en el Hospital Vicente Corral Moscoso durante el año 2009"
(2011) Rodríguez Contreras, María Verónica; Coronel Montero, Jorge Sebastián; Astudillo Molina, Rubén Arturo
Objective: To determine the characteristics of Actinic Keratosis and Solar Lentigo. Methods and materials: A descriptive and quantitative, retrospective and transversal study. Interviews and a physical examination in which skin was evaluated observing and identifying dermatology injuries were carried out. Before performing the interview, participants attended a speech about Skin Care. Results: It was observed that a 99,1% of the participants presented Solar Lentigo from which 33.1% also presented Actinic Keratosis. The most dominant factors were: Former occupation performed under ultraviolet exposure in 58,94%; the time of exposure to UV radiation was of two hours with a 38,08%; the time of the day for sun exposure for more than one hour was from 11 a.m to 3: p.m. in a 39,74%; 22.92% looked for shadow as the main protection and 27,81% used sunscreen everyday. The prevailing skin phototype in all of the participants was phototype III with a 48.01%; participants who suffer keratosis have phototype I and II and they represent 33.82% for both cases. The most common body location for the participants with solar lentigo were the hands with 26, 25%; for the ones with actinic keratosis it was the cheekbones with 24.58%. From the people with actinic keratosis a 33,82 % are between 70 and 74 years old. Conclusions From the 302 participants of the research, 99,1% presents Solar Lentigo and 33,1% has also Actinic Keratosis.
Vida, trabajo y salud: intervención de enfermería en abdomen agudo inflamatorio y laparotomía exploratoria más drenaje de absceso subdiafragmático
(2005) Chunir Chillpe, Martha Fabiola; Iturralde Aguilar, María Augusta

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