Analysis on amputation levels: Retrospective study

Análisis sobre niveles de amputación: Estudio retrospectivo

Henderson, Eduardo - Balboa, Oscar - Castro, Danilo - Bisio, Hugo

Resumen:

Retrospective study of 100 amputations at the Hospital de Clínicas in the period 1977-1980 evidencing the incidence of poor risk factors in amputations due to vascular problems in lower extremities.Prevíous treatment, especially vascular surgery in patients that have had a limb amputated has not delayed amputation for more than five years and in fifty per cent of the patients amputation occurs immediately alter vascular surgery. There exist a disproportionated percentage of amputation of the thigh as compared with amputation of the leg, evidencing error in the approach to the problem and technique employed. A High percentage of mortality is reported (15%), sharply increasing in emergency amputations (60%). Rehabilitation is not satisfactorily conducted there being an extremely low percentage of self-sufficient amputees.


Estudio retrospectivo sobre 100 amputaciones del Hospital de Clínicas entre 1977 y 1980 que muestra la incidencia de factores de riesgo en las amputaciones por causa vascular de los miembros inferiores. El tratamiento previo sobre todo la cirugía vascular en los pacientes amputados no retrasó la amputación más de cinco años y el cincuenta por ciento de los pacientes que llegan a ella lo hacen inmediatamente a la cirugía vascular. Existe un desmesurado porcentaje de amputaciones en muslo en relación a pierna existiendo con respecto a éstas errores en la táctica o la técnica. Existe un alto porcentaje de mortalidad (15%) que es mucho mayor aún en las amputaciones de urgencia (60%). La rehabilitación no se realiza en forma adecuada existiendo un bajísimo porcentaje de pacientes autosuficientes.


Detalles Bibliográficos
1986
amputación
amputation
Español
Sociedad de Cirugía del Uruguay
Revista Cirugía del Uruguay
https://revista.scu.org.uy/index.php/cir_urug/article/view/3692
Acceso abierto
Resumen:
Sumario:Retrospective study of 100 amputations at the Hospital de Clínicas in the period 1977-1980 evidencing the incidence of poor risk factors in amputations due to vascular problems in lower extremities.Prevíous treatment, especially vascular surgery in patients that have had a limb amputated has not delayed amputation for more than five years and in fifty per cent of the patients amputation occurs immediately alter vascular surgery. There exist a disproportionated percentage of amputation of the thigh as compared with amputation of the leg, evidencing error in the approach to the problem and technique employed. A High percentage of mortality is reported (15%), sharply increasing in emergency amputations (60%). Rehabilitation is not satisfactorily conducted there being an extremely low percentage of self-sufficient amputees.