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Title: Factores de riesgo para recidiva en pacientes post hernioplastia inguinal
Advisor(s): Urcia Bernabe, Felix
Issue Date: 2018
Institution: Universidad Privada Antenor Orrego - UPAO
Abstract: Objetivo: Nos preguntamos determinar los factores de riesgo para la recidiva en pacientes post hernioplastía inguinal. Material y Métodos: Se realizó un estudio comparativo, de casos y controles, de corte retrospectivo. Se estudiaron 156 pacientes, 48 casos que presentaron recidiva y 107 controles sin recidiva, que tuvieron hernioplastía inguinal en Clínica San Gabriel Lima en el periodo 2017. Se realizó un análisis univariado, bivariado y multivariado de los factores asociados. Resultados: Las variables con nivel de significancia aceptado fueron antecedente de hipertensión (OR 0.383 IC 95% 0.179-0.819; p=0.012), antecedente de tabaquismo (OR 21.805 IC 95% 8.348-56,954 ; p=0.000), antecedente de herniorrafía (OR 3.603 IC 95% 1,450-8,955; p=0.004), complicación postquirúrgica dolor inguinal crónico (OR 2.335 IC 95% 1,166-4.674; p=0.016 .El análisis multivariado indicó que tabaquismo obtuvo(p=0,001; OR 35.98 IC 95% 11,82 -109.57) antecedente de herniorrafía (p=0.001; OR 8,99 IC 95% 2.64 - 30.67) y edad (p=0,020; OR1,04 IC95% 1.01-1.08) con significancia para factores de riesgo para recidiva de hernia inguinal postoperatoria. Conclusiones: El tabaquismo y la herniorrafia son más probables de encontrar en pacientes con recidiva de hernia inguinal postoperatoria, frente a aquellos pacientes que no presentan estos factores de riesgo.

Objective: To determine the risk factors for recurrence in patients after inguinal hernioplasty at Clínica San Gabriel. Material and Methods: A comparative study of cases and controls, retrospective. 156 patients, 48 cases and 107 controls were enrolled, whose information was randomly extracted from the clinical records of the institution. A univariate, bivariate and multivariate analysis of the associated factors was performed. Results: The variables with accepted level of significance were antecedents of hypertension(OR 0.383 IC 95% 0.179-0.819; p=0.012), antecedent of smoking(OR 21.805 IC 95% 8.348-56,954 ; p=0.000) , antecedent of herniorrafia(OR 3.603 IC 95% 1,450- 8,955; p=0.004), , postsurgical complications (OR 2.335 IC 95% 1,166-4.674; p=0.016, The multivariate analysis indicated that smoking obtained (p=0,001; OR 35.98 IC 95% 11,82 -109.57) and antecedent of herniorrafia (p=0.001; OR 8,99 IC 95% 2.64 -30.67). Conclusions: Smoking and history of herniorrafia are more likely to be found in patients with postoperative inguinal hernia recurrence, compared to patients who do not present these risk factors.
Discipline: Medicina Humana
Grade or title grantor: Universidad Privada Antenor Orrego. Facultad de Medicina Humana
Grade or title: Médico Cirujano
Register date: 2-May-2018



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