Objetivo: Reportar y caracterizar las complicaciones quirúrgicas de las apendicectomías laparoscópicas electivas profilácticas, realizadas a pacientes destinados a dotación antártica, realizadas en Hospital clínico de la Fuerza Aérea de Chile (FACh).Material y método: Análisis retrospectivo descriptivo de fichas clínicas de todos los pacientes sometidos a apendicectomía laparoscópica profiláctica entre los años 2013 y 2017 en Hospital FACh. Se registraron variables demográficas y quirúrgicas de los pacientes. Las complicaciones fueron registradas y clasificadas de acuerdo a Clavien-Dindo.Resultados: Se incluyeron 200 pacientes, 96% hombres y solo 4% mujeres. Se registraron 6 pacientes (3%) con complicaciones quirúrgicas, clasificadas como Grado I según Clavien-Dindo.Discusión: No existen reportes de complicaciones en apendicectomías profilácticas. En nuestra serie éstas alcanzan el 3%Conclusiones: La apendicectomía profiláctica es una cirugía segura, con escasas complicaciones, pero existen y se desarrollan en un paciente que estaba previamente sano.
Introduction:The delivery of shifts of the different clinical teams of patient care is an act of utmost importance in the day to day, it points to the optimal and continuous care of the patient. In the continuum of care by different Clinical Units, a protocol defined by the Quality Units of Establishments and Clinical Services as part of the Health Accreditation System must be complied with, aiming at improving the safety of patient care. It was proposed to replace old paper reports with cumulative digital databases, easy to fill, with alternative pre-reports and quick series analysis, allowing better informed decisions in the future. This tool as described at the beginning considers the continuum from the patient's admission to the Emergency Unit of our motherhood until the resolution of this mother in our Service or the transfer of this or her newborn within the Public Network as the first instance or private according to established protocols.Materials and methods: Application development through Microsoft access and MySQL programs. Parameterization of variables according to the MINSAL perinatal guide and recommendations of experts employed in the Obstetric Gynecology Unit of the establishment.Results: Creation of own application "Shift Delivery System" (SET). Implementation through white march as of August 2019. Adequate reception by women service personnel and newborn HCSBA. Conclusion:Medical informatics allows progress and speed up clinical management processes. It is possible to implement own creation systems in Chilean public health care. The SET tool will allow obtaining accurate results and rapid analysis of series obtained.
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