| Summary: | <div style="left: 138.222px; top: 849.036px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.42509);" data-canvas-width="123.98259507745033">Introducción:</div><div style="left: 262.212px; top: 849.036px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.15805);" data-canvas-width="280.24725418836726">persisten las discrepancias sobre</div><div style="left: 542.263px; top: 849.036px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.21061);" data-canvas-width="245.7545581667282">la reintervención quirúrgica o</div><div style="left: 138.222px; top: 868.727px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.17296);" data-canvas-width="206.44177281005346">relaparotomías en pacien</div><div style="left: 344.579px; top: 868.727px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.22002);" data-canvas-width="163.48258417391887">tes con peritonitis.</div><div style="left: 138.222px; top: 888.515px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.37469);" data-canvas-width="83.85588041732468">Objetivo:</div><div style="left: 221.954px; top: 888.515px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.19255);" data-canvas-width="289.7897613420248">caracterizar las relaparotomías en</div><div style="left: 511.459px; top: 888.515px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.16929);" data-canvas-width="164.86951970699906">pacientes con perito</div><div style="left: 676.195px; top: 888.515px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.17511);" data-canvas-width="133.96299619636434">nitis ingresados</div><div style="left: 138.222px; top: 908.304px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.1763);" data-canvas-width="323.48155092906813">en la Unidad de Cuidados Intensivos de</div><div style="left: 461.65px; top: 908.304px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.1702);" data-canvas-width="173.18950504687345">l Hospital General Do</div><div style="left: 634.767px; top: 908.304px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.20363);" data-canvas-width="156.47139715399345">cente "Dr. Enrique</div><div style="left: 138.222px; top: 927.994px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.17827);" data-canvas-width="89.54850196565974">Cabrera".</div><div style="left: 138.222px; top: 947.782px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.3424);" data-canvas-width="171.82698739289674">Material y método:</div><div style="left: 309.975px; top: 947.782px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.18722);" data-canvas-width="249.31631279862907">se realizó un estudio descripti</div><div style="left: 559.126px; top: 947.782px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.22907);" data-canvas-width="255.64705492086958">vo, transversal y retrospectivo</div><div style="left: 138.222px; top: 967.473px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.17063);" data-canvas-width="241.14934616780351">de los pacientes relaparotomi</div><div style="left: 379.184px; top: 967.473px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.15903);" data-canvas-width="239.91868506098584">zados por diagnóstico de peri</div><div style="left: 618.976px; top: 967.473px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.19314);" data-canvas-width="195.67511598400588">tonitis ingresados en la</div><div style="left: 138.222px; top: 987.261px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.17023);" data-canvas-width="339.36782307382146">Unidad de Cuidados Intensivos del Hospit</div><div style="left: 477.733px; top: 987.261px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.16507);" data-canvas-width="315.7345718188233">al General "Enrique Cabrera" desde el</div><div style="left: 138.222px; top: 1006.95px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.17879);" data-canvas-width="359.53210763751207">2006 al 2010. Se analizaron variables como</div><div style="left: 497.423px; top: 1006.95px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.18975);" data-canvas-width="291.48924572763013">tipo de relaparotomía, diagnóstico</div><div style="left: 138.222px; top: 1026.74px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.17391);" data-canvas-width="642.1299896542455">preoperatorio, indicaciones y complicaciones. La información se obtuvo de las</div><div style="left: 138.222px; top: 1046.43px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.18102);" data-canvas-width="288.1700420281576">historias clínicas de los pacientes.</div><div style="left: 138.222px; top: 1066.22px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.31111);" data-canvas-width="112.7552542656497">Resultados:</div><div style="left: 251.001px; top: 1066.22px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.17724);" data-canvas-width="274.2958031215349">se relaparotomizaron 44 paciente</div><div style="left: 525.105px; top: 1066.22px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.18547);" data-canvas-width="271.47309629716744">s, 27 relaparotomías a demanda</div><div style="left: 138.22px; top: 1086.01px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.17638);" data-canvas-width="354.09017631463985">(RD), 15 relaparotomías programadas (RP)</div><div style="left: 492.06px; top: 1086.01px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.20229);" data-canvas-width="331.83083772386675">y 2, por técnica abdomen abierto (AA).</div><div style="left: 138.22px; top: 1105.7px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.19612);" data-canvas-width="301.42243894694394">45,5% de los pacientes fueron por sí</div><div style="left: 439.325px; top: 1105.7px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.18802);" data-canvas-width="294.6293849803434">ndromes peritoneales y de ellos los</div><div style="left: 138.22px; top: 1125.49px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.18809);" data-canvas-width="346.9210870098451">perforativos los más frecuentes. Las princi</div><div style="left: 484.847px; top: 1125.49px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.15623);" data-canvas-width="168.8089375357011">pales indicaciones fu</div><div style="left: 653.579px; top: 1125.49px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.21131);" data-canvas-width="162.31540955277043">eron por peritonitis</div><div style="left: 138.22px; top: 1145.18px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.15377);" data-canvas-width="309.2101145223615">fecaloidea, abscesos intrabdominales</div><div style="left: 447.318px; top: 1145.18px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.22137);" data-canvas-width="277.25199435166826">y peritonitis fibrinopurulenta. Las</div><div style="left: 138.22px; top: 1164.96px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.17783);" data-canvas-width="318.01357386848565">complicaciones más frecuentes fueron</div><div style="left: 456.09px; top: 1164.96px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.13577);" data-canvas-width="46.56652330902859">shock</div><div style="left: 502.685px; top: 1164.96px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.18884);" data-canvas-width="324.55268189240945">séptico e infección del sitio quirúrgico.</div><div style="left: 138.22px; top: 1184.66px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.16749);" data-canvas-width="476.33421839991945">Las complicaciones más graves se presentaron en la RD.</div><div style="left: 138.22px; top: 1204.44px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.28549);" data-canvas-width="125.97834972951175">Conclusiones:</div><div style="left: 264.257px; top: 1204.44px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.18939);" data-canvas-width="255.7186806995733">las relaparotomías se realizan</div><div style="left: 519.743px; top: 1204.44px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.21676);" data-canvas-width="279.85494026410413">fundamentalmente por peritonitis<div style="left: 138.222px; top: 115.038px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.17421);" data-canvas-width="655.2098335607002">fecaloidea o fibrinopurulenta constatándose que las complicaciones más graves</div><div style="left: 138.222px; top: 134.729px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.19535);" data-canvas-width="474.55334108396903">fueron más frecuentes en las relaparotomías a demanda.</div><div style="left: 138.222px; top: 177.228px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.28114);" data-canvas-width="131.95747439266148">Palabras clave</div><div style="left: 270.205px; top: 177.228px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.22096);" data-canvas-width="234.42466226269275">: relaparotomías, peritonitis,</div><div style="left: 504.539px; top: 177.228px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.19388);" data-canvas-width="228.03043365478305">relaparotomía a demanda,</div><div style="left: 138.222px; top: 197.016px; font-size: 16.2786px; font-family: sans-serif; transform: scaleX(1.1857);" data-canvas-width="380.6112487382816">relaparotomía programada, abdomen abierto.</div></div>
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