Epidemiological analysis of the clinical profile of patients with incarcerated hernia at the Ceilândia Regional Hospital in the Federal District

Abstract

The patient with the picture of incarcerated inguinal hernia is in an emergency stage, requiring an emergency surgical procedure. Seeking to evaluate this picture, to understand the clinical profile, to foster a clinical-epidemiological analysis, analyzing the important variables in this type of patient, define the risk factors and most commonly found conditions. It is also necessary to address the intraoperative findings, complications and postoperative time. Thus, changes could be made in relation to the conditions encountered, which may change the clinical outcome of many patients. In a descriptive qualitative observational study, with 40 patients with the clinical picture of incarcerated hernia, all patients underwent hernioplasty. Following the same surgical technique. The primary outcome was that only patients with comorbidities/risk factors had complications and the second outcome was that patients undergoing the surgical procedure did not die. After the follow-up of similar pictures for 12 months. The first outcome, it was possible to observe that the patients with previous comorbidities/risk factors, 35 (87.5%) of the 40 selected, had the following conditions: 14 (35%) patients with obesity, 7 (17.5%) were chronic smokers and 14 (35%) of the patients had previous tenesmus and 5 patients had no risk factors. Among the comorbidities, 1 patient had Down syndrome, 3 patients had liver cirrhosis, 8 had systemic arterial hypertension, 5 were defined as difficult to control, 4 with diabetes mellitus, 6 patients with anterior diverticulosis and 6 with chronic constipation. The secondary outcome occurred with 40 patients, since all of the group were operated on as a matter of urgency, in addition to patients who are not submitted to the surgical procedure die. It is concluded that the 5 patients who did not present comorbidities/risk factors, arrived at the hospital in a milder picture compared to the other (35) patients, having a better recovery and fewer days of hospitalization. Since preventive measures can be implemented for patients who have hernia, it is recommended to monitor the risk factors, in order to avoid severe conditions and long hospitalizations.

DOI:https://doi.org/10.56238/globalhealthprespesc-003