A Prospective Observational Study of Ventral Hernia

Jadhav, Gauri S; Adhikari, Geet R; Purohit, Rajashree S

doi:10.7759/cureus.28240

Cited by 9 publications

(19 citation statements)

References 17 publications

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“…El estudio de Sazhin et al también encontró el IMC, sobrepeso, obesidad y edad como predictores de hernia incisional.9 La frecuencia superior de presentación en el sexo femenino coincidió con estudios previos, así como la historia de cirugía ginecológica previa. 3,4 La hernia incisional es la hernia ventral más común, siendo los factores predisponentes más importantes la obesidad y la constipación según estudios previos. 10 En este estudio el 38% de pacientes presentó obesidad y sólo 1 paciente tuvo antecedente de constipación.…”

Section: Discussionunclassified

“…3,4 La hernia incisional es la hernia ventral más común, siendo los factores predisponentes más importantes la obesidad y la constipación según estudios previos. 10 En este estudio el 38% de pacientes presentó obesidad y sólo 1 paciente tuvo antecedente de constipación.…”

Section: Discussionunclassified

“…2 Los factores que se han visto asociados son la obesidad, la edad avanzada, desnutrición, ascitis, constipación, embarazo, entre otros. 2, 3,4 Se estima que el 10 al 20% de las cirugías abdominales desarrollan una hernia incisional. 2 Estas cuentan alrededor del 15 al 20% del total de hernias de pared abdominal.…”

Section: Introductionunclassified

“…1 Por otro lado, se ha visto que un gran porcentaje de hernias ventrales ocurren luego de cirugías ginecológicas. 3 La obesidad es un problema de salud creciente e importante. Se ha asociado a deficiencia en la cicatrización y dehiscencia fascial (se plantea como causas probables la escasa vascularización del tejido adiposo, insuficiencia vascular relativa, menor capacidad para combatir infecciones y fallo en la cascada de cicatrización).…”

Section: Introductionunclassified

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Sobrepeso y obesidad en pacientes operados de hernia incisional en Clínica Internacional durante los años 2019 a 2023

Sarmiento-Chia,

Luna-Cydejko

2024

Interciencia méd.

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La obesidad es un problema de salud frecuente en Perú. En estudios previos se ha encontrado como factor predictor importante para el desarrollo de una hernia incisional/eventración. Objetivo: Describir las características de pacientes operados de hernia incisional/eventración en Clínica Internacional durante los años 2019 al 2023. Metodología: Se incluyó un total de 50 pacientes durante el periodo de estudio según el diagnóstico establecido en el reporte operatorio y se describió las características de estos (tiempo de enfermedad, comorbilidades, índice de masacorporal, etc.). Resultados: El 20% de los operados tenía el peso dentro de los valores normales, el 42% sobrepeso, y el 38% obesidad. Se encontró además que el 12% tenía diabetes, el 24% hipertensión, el 12% asma y el 40% fueron adultos mayores. Discusión y conclusiones: La obesidad es un factor importante asociado al desarrollo de eventraciones, se encontró que el mayor porcentaje de pacientes presentó sobrepeso y en segundo lugar de frecuencia obesidad. Se recomienda realizar un estudio prospectivo para identificar los factores de riesgo asociados al desarrollo de hernia incisional y poder prevenirlos.

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Section: Discussionunclassified

Section: Introductionunclassified

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Sobrepeso y obesidad en pacientes operados de hernia incisional en Clínica Internacional durante los años 2019 a 2023

Sarmiento-Chia,

Luna-Cydejko

2024

Interciencia méd.

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“…However, a very large percentage of asthma and COPD patients are unable to use their inhalers correctly, and the repercussions are very costly for both patients and healthcare systems [11]. There are studies that have concluded that older people and women are more likely to make mistakes in handling inhaler devices [12][13][14]. The authors of the studies went further and concluded that a higher education level correlates with a lower level of inhaler device handling errors [12,15,16].…”

Section: Introductionmentioning

confidence: 99%

COPD Patients’ Behaviour When Involved in the Choice of Inhaler Device

et al. 2023

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Background: Inhaler therapy plays a crucial role in controlling respiratory symptoms in patients with chronic obstructive pulmonary disease (COPD). Incorrect or partially correct use of inhaler devices causes many chronic obstructive pulmonary disease (COPD) patients to continue to have respiratory symptoms due to poor drug deposition in the airways as a result of poor inhaler technique, leading to increased healthcare costs due to exacerbations and multiple emergency room presentations. Choosing the right inhaler device for each individual patient is a bigger challenge for doctors and chronic obstructive pulmonary disease (COPD) patients. The type of inhaler device and the correct inhaler technique depends on the control of symptoms in chronic obstructive pulmonary disease (COPD). Physicians treating patients with chronic obstructive pulmonary disease (COPD) play a central role in educating patients about the correct use of inhalation devices. The steps for the correct use of inhalation devices should be taught to patients by doctors in the presence of the family so that if the patient has difficulties handling the device correctly, the family can support them. Methods: Our analysis included 200 subjects divided into two groups—recommended group (RG) and chosen group (CG)—and aimed primarily to identify the behaviour of chronic obstructive pulmonary disease (COPD) patients when faced with deciding which type of inhaler device is most suitable for them. The two groups were monitored three times during the 12-month follow-up period. Monitoring required the physical presence of the patient at the investigating physician’s office. The study included patients who were smokers, ex-smokers, and/or with significant exposure to occupational pollutants, aged over 40 years diagnosed with chronic obstructive pulmonary disease (COPD), risk group B and C according to the GOLD guideline staging, and on inhaled ICS+LABA treatment, although they had an indication for LAMA+LABA dual bronchodilation treatment. Patients presented for consultation on their own initiative for residual respiratory symptoms under background treatment with ICS+LABA. The investigating pulmonologist who offered consultations to all scheduled patients, on the occasion of the consultation, also checked the inclusion and exclusion criteria. If the patient did not meet the study entry criteria, they were assessed and received the appropriate treatment, and if the study entry criteria were met, the patient signed the consent and followed the steps recommended by the investigating pulmonologist. As a result, patient entry into the study was randomised 1:1, meaning that the first patient was recommended the inhaler device by the doctor and the next patient entered into the study was left to decide for themselves which type of device was most suitable for them. In both groups, the percentage of patients who had a different choice of inhaler device from that of their doctor was statistically significant. Results: Compliance to treatment at T12 was found to be low, but compared to results previously published on compliance, in our analysis, compliance was higher and the only reasons identified as responsible for the better results were related to the selection of the target groups and the regular assessments, where, in addition to reviewing the inhaler technique, patients were encouraged to continue treatment, thus creating a strong bond between patient and doctor. Conclusions: Our analysis revealed that empowering patients by involving them in the inhaler selection process increases adherence to inhaler treatment, reduces the number of mistakes in inhaler use of the inhaler device, and implicitly the number of exacerbations.

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