Preoperative Assessment Proposal

Authors

  • Víctor Macedo Peña Servicio de Cirugía Centro Médico Naval Callao, Perú
  • Pedro Cornejo Servicio de Cirugía Centro Médico Naval Callao, Perú
  • Roberto Ventura Servicio de Cirugía Centro Médico Naval Callao, Perú
  • Helena Hinostroza Servicio de Cirugía Centro Médico Naval Callao, Perú

DOI:

https://doi.org/10.15381/anales.v61i3.4345

Keywords:

Intraoperative Complications, Risk, Surgery, complications, Clinical Protocols, Postoperative Complications

Abstract

OBJECTIVES: To design two different surgical patient groups with nonsimilar surgical risks one of them in normal range an the other in high risk. MATERIALS AND METHODS: Two groups of patients of a hundred cases each were evaluated. The first group of healthy kidney donors underwent unilateral nephrectomy, were thoroughly studied in accordance to a preestablished protocol. This protocol was analyzed and we established twelve types of surgical risks, having a risk scale that ranges from I to IV. In the second group of patients who underwent high risk major abdominal surgery we established a scoring method that allows us to determine the patient prognosis. RESULTS: The study demostrated differences in the preoperative assessments.In the fisrt group 99,75% of patients presented risk I, in the other group more than 40 % presented risk II to IV. The morbimortality had a significative difference: 1 % in donors and 19% in the ones of major surgery. Only in the second group there was 4% of mortality. CONCLUSIONS: Group I patients had excellent course, high risk patients had high morbi-mortality, the here proposed preoperative assessment must be used in high risk patients since it allows us to establish the patient prognosis.
Vol 61, No 3 (2000)

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Published

2000-09-18

Issue

Vol. 61 No. 3 (2000)

Section

Trabajos originales

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Copyright (c) 2000 Víctor Macedo Peña, Pedro Cornejo, Roberto Ventura, Helena Hinostroza

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How to Cite

1.
Macedo Peña V, Cornejo P, Ventura R, Hinostroza H. Preoperative Assessment Proposal. An Fac med [Internet]. 2000 Sep. 18 [cited 2024 Jul. 18];61(3):184-92. Available from: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/4345