Patología quirúrgica complicada no traumática atendido en la emergencia del Hospital Vicente Corral Moscoso durante el periodo marzo - septiembre 2020. Cuenca

Abstract

Background: Atraumatic complicated surgical pathology is an urgent surgery. In Ecuador, in 2019, cholelithiasis was the leading cause of morbidity, and in this same year in the HVCM, acute appendicitis was the most frequent surgical emergency. Its importance is due to the fact that the WHO declared a global pandemic, caused by COVID-19 and due to this, the health system was affected, delaying the care of various pathologies and causing their complications.

Objective: To determine the complicated non-traumatic surgical pathology treated in the emergency room of the Vicente Corral Moscoso Hospital during the period March-September 2020. Cuenca.

Methodological design: A descriptive, cross-sectional observational study was carried out, working with a total of 373 medical records of patients who attended the HVCM emergency due to abdominal pathology. Statistical analysis was performed in SPSS.

Results: The most frequent atraumatic surgical pathology found in the study was acute appendicitis and it was evidenced that complications did not increase during the pandemic, however, acute appendicitis in the necrotic phase presented a higher prevalence within the pathologies that were complicated.

Conclusions: The main non-traumatic surgical pathology treated in the emergency room of the Vicente Corral Moscoso Hospital during the period March-September 2020 was acute appendicitis. This study showed that the majority of the patients treated did not develop complications related to their underlying pathology and that the main complication was the presentation of acute appendicitis in the necrotic phase