COVID 19 in phase 2 sustained. Initial surgical experience at the Maciel Hospital
Introduction. In Uruguay, the start of the pandemic was decreed by Covid. 19 on March 13, 2020, In this context, the Maciel Hospital (HM) established guidelines and recommendations to face the disease that radically modified its usual benefits. The objective of this communication is to present the s...
I tiakina i:
| Kaituhi matua: | |
|---|---|
| Ētahi atu kaituhi: | , , , , , , , , , , , , , |
| Hōputu: | article |
| Reo: | Pāniora |
| I whakaputaina: |
2020
|
| Ngā marau: | |
| Urunga tuihono: | https://revista.scu.org.uy/index.php/cir_urug/article/view/1844 |
| Ngā Tūtohu: |
Kāore He Tūtohu, Me noho koe te mea tuatahi ki te tūtohu i tēnei pūkete!
|
| _version_ | 1868890250455023616 |
|---|---|
| author | Ruso Martínez, Luis |
| author2 | Rodríguez Temesio, Gustavo Perdomo, Mauro Olivera Pertusso, Eduardo Bruno, Gerardo González González, Daniel Rodríguez, María Ángeles Camejo, Eduardo Crestanello, José Charlone, Rogelio Fernández Casas, Ricardo Mouro, Laura Piñeyrúa, María Tarigo, Alejandro Viacava, Felipe |
| author2_role | author author author author author author author author author author author author author author |
| author_browse | Bruno, Gerardo Camejo, Eduardo Charlone, Rogelio Crestanello, José Fernández Casas, Ricardo González González, Daniel Mouro, Laura Olivera Pertusso, Eduardo Perdomo, Mauro Piñeyrúa, María Rodríguez Temesio, Gustavo Rodríguez, María Ángeles Ruso Martínez, Luis Tarigo, Alejandro Viacava, Felipe |
| author_facet | Ruso Martínez, Luis Rodríguez Temesio, Gustavo Perdomo, Mauro Olivera Pertusso, Eduardo Bruno, Gerardo González González, Daniel Rodríguez, María Ángeles Camejo, Eduardo Crestanello, José Charlone, Rogelio Fernández Casas, Ricardo Mouro, Laura Piñeyrúa, María Tarigo, Alejandro Viacava, Felipe |
| author_role | author |
| collection | Revista Cirugía del Uruguay |
| dc.creator.none.fl_str_mv | Ruso Martínez, Luis Rodríguez Temesio, Gustavo Perdomo, Mauro Olivera Pertusso, Eduardo Bruno, Gerardo González González, Daniel Rodríguez, María Ángeles Camejo, Eduardo Crestanello, José Charlone, Rogelio Fernández Casas, Ricardo Mouro, Laura Piñeyrúa, María Tarigo, Alejandro Viacava, Felipe |
| dc.date.none.fl_str_mv | 2020-07-07 |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | https://revista.scu.org.uy/index.php/cir_urug/article/view/1844 10.31837/cir.urug.4.2.6 |
| dc.language.none.fl_str_mv | spa |
| dc.publisher.none.fl_str_mv | Sociedad de Cirugía del Uruguay |
| dc.relation.none.fl_str_mv | https://revista.scu.org.uy/index.php/cir_urug/article/view/1844/1720 |
| dc.rights.none.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.source.none.fl_str_mv | Cirugía del Uruguay; Vol. 4 No. 2 (2020): Cirugía del Uruguay; 1-13 Cirugía del Uruguay; Vol. 4 Núm. 2 (2020): Cirugía del Uruguay; 1-13 Cirugía del Uruguay; v. 4 n. 2 (2020): Cirugía del Uruguay; 1-13 1688-1281 0009-7381 reponame:Revista Cirugía del Uruguay instname:Sociedad de Cirugía del Uruguay instacron:Sociedad de Cirugía del Uruguay |
| dc.subject.none.fl_str_mv | COVID 19 cirugía epidemiología Uruguay COVID 19 surgery epidemiology Uruguay |
| dc.title.none.fl_str_mv | COVID 19 in phase 2 sustained. Initial surgical experience at the Maciel Hospital COVID 19 en fase 2 sostenida. Experiencia quirúrgica inicial en el Hospital Maciel |
| dc.type.none.fl_str_mv | info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/publishedVersion |
| description | Introduction. In Uruguay, the start of the pandemic was decreed by Covid. 19 on March 13, 2020, In this context, the Maciel Hospital (HM) established guidelines and recommendations to face the disease that radically modified its usual benefits. The objective of this communication is to present the surgical experience developed in the care context of a sustained phase 2 of Covid infection.19 Material and methods The surgical activity of the HM is retrospectively analyzed from its record of Operative Descriptions, during the period between 13.3.2020 and 30.4.2020 (49 days) and performs a critical analysis from the governing documents of our surgical conduct. Results: 403 cases, 149 coordination and 254 emergency were operated. 287 patients with multiple etiologies, although predominantly oncological (27%) and infectious / inflammatory processes (19%), were operated by the general and specialty surgery services. Laparoscopy involved 62 cases, 43 of which were urgent, mostly due to infectious / inflammatory pathologies: appendicitis (35%), cholecystectomies (24%), and diagnostic laparoscopies (11%). 55% of the cases underwent surgery for cancer and the rest cholecystectomies and others. Conclusions: The HM operated three times more than the rest of the public system; Even so, with respect to its usual production, the number of surgeries decreased significantly (35%), especially coordination (59%). Covid.19 positive patients were not operated. A high number of justified operations were carried out in terms of quantity and type of pathology, using the protocol for maximum protection against Covid.19 rationally, within the established sanitary guidelines and without infectious impact by the coronavirus |
| eu_rights_str_mv | openAccess |
| format | article |
| id | anni_fe2f037eb237962ba0da899c1fc2cf0e |
| identifier_str_mv | 10.31837/cir.urug.4.2.6 |
| instacron_str | Sociedad de Cirugía del Uruguay |
| institution | Sociedad de Cirugía del Uruguay |
| instname_str | Sociedad de Cirugía del Uruguay |
| language | spa |
| network_acronym_str | anni |
| network_name_str | oai-lr-anni |
| oai_identifier_str | oai:ojs2.revista.scu.org.uy:article/1844 |
| publishDate | 2020 |
| publishDateSort | 2020 |
| publisher.none.fl_str_mv | Sociedad de Cirugía del Uruguay |
| reponame_str | Revista Cirugía del Uruguay |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| spelling | COVID 19 in phase 2 sustained. Initial surgical experience at the Maciel HospitalCOVID 19 en fase 2 sostenida. Experiencia quirúrgica inicial en el Hospital MacielRuso Martínez, LuisRodríguez Temesio, GustavoPerdomo, MauroOlivera Pertusso, EduardoBruno, GerardoGonzález González, DanielRodríguez, María ÁngelesCamejo, EduardoCrestanello, JoséCharlone, RogelioFernández Casas, RicardoMouro, LauraPiñeyrúa, MaríaTarigo, AlejandroViacava, FelipeCOVID 19cirugíaepidemiologíaUruguayCOVID 19surgeryepidemiologyUruguayIntroduction. In Uruguay, the start of the pandemic was decreed by Covid. 19 on March 13, 2020, In this context, the Maciel Hospital (HM) established guidelines and recommendations to face the disease that radically modified its usual benefits. The objective of this communication is to present the surgical experience developed in the care context of a sustained phase 2 of Covid infection.19 Material and methods The surgical activity of the HM is retrospectively analyzed from its record of Operative Descriptions, during the period between 13.3.2020 and 30.4.2020 (49 days) and performs a critical analysis from the governing documents of our surgical conduct. Results: 403 cases, 149 coordination and 254 emergency were operated. 287 patients with multiple etiologies, although predominantly oncological (27%) and infectious / inflammatory processes (19%), were operated by the general and specialty surgery services. Laparoscopy involved 62 cases, 43 of which were urgent, mostly due to infectious / inflammatory pathologies: appendicitis (35%), cholecystectomies (24%), and diagnostic laparoscopies (11%). 55% of the cases underwent surgery for cancer and the rest cholecystectomies and others. Conclusions: The HM operated three times more than the rest of the public system; Even so, with respect to its usual production, the number of surgeries decreased significantly (35%), especially coordination (59%). Covid.19 positive patients were not operated. A high number of justified operations were carried out in terms of quantity and type of pathology, using the protocol for maximum protection against Covid.19 rationally, within the established sanitary guidelines and without infectious impact by the coronavirusIntroducción. En el Uruguay se decretó el inicio de la pandemia por Covid.19 el 13 de marzo de 2020, En este contexto el Hospital Maciel (HM) estableció pautas y recomendaciones para enfrentar la enfermedad que modificaron radicalmente sus prestaciones habituales. El objetivo de esta comunicación es presentar la experiencia quirúrgica desarrollada en el contexto asistencial de una fase 2 sostenida de infección por Covid.19 Material y métodos Se analiza en forma retrospectiva la actividad quirúrgica del HM a partir de su registro de Descripciones Operatorias, durante el periodo entre el 13.3.2020 y el 30.4.2020 ( 49 días) y realiza un análisis crítico desde los documentos rectores de nuestra conducta quirúrgica. Resultados: Se operaron 403 casos, 149 de coordinación y 254 de urgencia .Los servicios de cirugía general y especialidades operaron 287 pacientes de múltiples etiologías,v aunque predominantemente oncológicos (27%) y procesos infecciosos /inflamatorios (19%). Por laparoscopia se intervinieron 62 casos, 43 de urgencia en su mayoría por patologías infeccioso/inflamatorias: apendicitis (35 %) , colecistectomias (24%) y laparoscopias diagnosticas ( 11 %) .De coordinación se operaron 55% de los casos por cáncer y el resto colecistectomías y otros. Conclusiones: El HM opero tres veces más que el resto del sistema público; aun así, respecto a su producción habitual descendió significativamente el número de cirugías (35%), especialmente de coordinación (59 %). No se operaron pacientes Covid.19 positivos. Se realizaron un alto número de operaciones justificadas en cantidad y tipo de patología, utilizando con racionalidad el protocolo de protección máxima contra el Covid.19, dentro de las pautas sanitarias establecidas y sin impacto infectológico por el coronavirus.Sociedad de Cirugía del Uruguay2020-07-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://revista.scu.org.uy/index.php/cir_urug/article/view/184410.31837/cir.urug.4.2.6Cirugía del Uruguay; Vol. 4 No. 2 (2020): Cirugía del Uruguay; 1-13Cirugía del Uruguay; Vol. 4 Núm. 2 (2020): Cirugía del Uruguay; 1-13Cirugía del Uruguay; v. 4 n. 2 (2020): Cirugía del Uruguay; 1-131688-12810009-7381reponame:Revista Cirugía del Uruguayinstname:Sociedad de Cirugía del Uruguayinstacron:Sociedad de Cirugía del Uruguayspahttps://revista.scu.org.uy/index.php/cir_urug/article/view/1844/1720info:eu-repo/semantics/openAccessoai:ojs2.revista.scu.org.uy:article/18442026-06-16T04:48:04Z |
| spellingShingle | COVID 19 in phase 2 sustained. Initial surgical experience at the Maciel Hospital Ruso Martínez, Luis COVID 19 cirugía epidemiología Uruguay COVID 19 surgery epidemiology Uruguay |
| status_str | publishedVersion |
| title | COVID 19 in phase 2 sustained. Initial surgical experience at the Maciel Hospital |
| title_full | COVID 19 in phase 2 sustained. Initial surgical experience at the Maciel Hospital |
| title_fullStr | COVID 19 in phase 2 sustained. Initial surgical experience at the Maciel Hospital |
| title_full_unstemmed | COVID 19 in phase 2 sustained. Initial surgical experience at the Maciel Hospital |
| title_short | COVID 19 in phase 2 sustained. Initial surgical experience at the Maciel Hospital |
| title_sort | COVID 19 in phase 2 sustained. Initial surgical experience at the Maciel Hospital |
| topic | COVID 19 cirugía epidemiología Uruguay COVID 19 surgery epidemiology Uruguay |
| url | https://revista.scu.org.uy/index.php/cir_urug/article/view/1844 |