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Revista de cirugía

versión impresa ISSN 2452-4557versión On-line ISSN 2452-4549

Resumen

BARRERA E., Alejandro et al. Elective ambulatory surgery in proctological pathology. 14 years of prospective experience in a public teaching hospital. Rev. cir. [online]. 2019, vol.71, n.4, pp.293-298. ISSN 2452-4557.

Introduction:

We present our prospective experience in ambulatory anorectal surgery between August 2003 and December 2017.

Materials and Method:

The series corresponds to the analysis of 1399 patients treated between August 2003 and December 2017 prospectively.

Results:

The etiology of the surgerys were anal fistula (20%), hemorrhoidal disease (19%), sacrococcygeal pilonidal disease (15%), anal fissure (13%), rectal surgical biopsy or local resection (12%), condylomata (10%) and others (10%). The immediate morbidity was seen one case, a hematoma after an EPSC surgery that required hemostasis and primary closure. The immediate hospitalization rate was 0.3% and corresponds to 5 cases of acute urinary retention. The late hospitalization was 1.6% and corresponds to 22 patients, due to late bleeding (9), severe pain (9) and fever (4). All were treated conservatively with resolution between 2 and 5 days. No major morbidity is recorded in this series.

Conlusion:

We concluded that outpatient surgery in proctologic pathology is feasible and safe.

Palabras clave : proctologic pathology; ambulatory surgery.

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