Complicaciones y factores asociados a apendicectomía abierta y laparoscópica. Hospitales Vicente Corral Moscoso - José Carrasco Arteaga, 2018

Abstract

Background: Appendicitis is one of the most common surgical problems. One in 2,000 people has an appendectomy at some point in their life. Objective: to determine the prevalence and factors associated with postappendectomy laparoscopic and conventional complications in patients treated at the José Carrasco Arteaga and Vicente Corral Moscoso hospitals, during the year 2018. Methodology: this is a cross-sectional analytical study. The sample consisted of 440 patients who met the inclusion criteria. The information was collected using a form prepared by the author. The associated factors were analyzed with the Odds Ratio statisticians with their 95% CI, plus the binary logistic regression. The hypothesis was accepted with a p value <0.05 of Pearson's Chi2. Results: the prevalence of complications was 6.4%. The factors associated with statistical significance were: age 34 years (OR 2, 8; 95% CI 1.30 - 6.42; p 0.007), overweight / obesity (OR 3.9; 1.0 - 16.4; p 0.04), surgical time greater than 60 min (OR 7.3; 95% CI 3.05 - 17.80; p 0.000) and the least surgical experience (OR 8.2; 95% CI 2.8 - 24.3; p 0.000). Male sex was an associated factor, but not with statistical significance (OR 1.9; 95% CI 0.4 - 8.89; p value 0.37). Conclusions: the prevalence of post-appendectomy complications was lower than that reported in the literature and the associated factors were age> 34 years, male sex, overweight / obesity, surgical time greater than 60 min., And the curve of less learning