Download - Apendicitis hlhi cirugia mayo 2014 slide
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APENDICITIS AGUDA MANEJO BASADO EN EVIDENCIA
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Inflamación aguda del Apéndice cecal, que en general es causada por obstrucción del lumen por fecalitos, tejido linfoide hiperplásico, parásitos o tumores
Es una urgencia quirúrgica, dado el riesgo de evolucionar a gangrena cecal, posterior perforación y peritonitis final
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TRATAMIENTO ANTIBIOTICO PUEDE FALLAR SI HAY RIESGO DE RECURRENCIA
ANTIBIOTICO TERAPIA TIENE MENOS COMPLICACIONES PERO PUEDE AUMENTAR LA MORBIMORTALIDAD LA BAJA EFICACIA PREVIENE DE SER UNA ALTERNATIVA A
LA CIRUGIA.
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El diagnóstico precoz y el tratamiento oportuno de infecciones intraabdominales pueden minimizar las complicaciones (Recomendación 1C).
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El abdomen abierto sigue siendo una opción viable para el tratamiento de la sepsis intraabdominal. Los beneficios de mantener abdomen abierto incluyen la facilidad de la posterior exploración, el control del contenido abdominal, disminución riesgo de hipertensión intra-abdominal y síndrome compartimental, y la preservación de la fascia para asegurar el cierre adecuado de la pared abdominal. Sin embargo, la exposición prolongada de vísceras abdominales puede resultar en complicaciones adicionales, incluida la infección, sepsis, y la formación de fístulas (Recomendación 1C).
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“LA MANO DEL CIRUJANO, SU EXPERIENCIA Y LA INTUICION
CLINICA ES LA QUE DETERMINARA EL DIAGNOSTICO.” “LOS EXAMENES AUXILIARES
NEGATIVOS NO DESCARTAN JAMAS EL DIAGNOSTICO
QUIRURGICO”
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“ Si ya sabes lo que tienes que hacer y no lo haces, entonces, estás peor que antes ”
CONFUCIO
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MUCHASGRACIAS