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- Title
Neurocirugía en el Hospital General "María Ignacia Gandulfo" de Comitán; segundo nivel de atención.
- Authors
García-González, Omar Adrián; García-González, Adriana Guadalupe
- Abstract
OBJECTIVE: To describe the frequency of neurosurgical pathologies after two years of the Neurosurgery Department incorporation in a second-level health care center. METHODS: A retrospective analysis was performed from March 9, 2012 to March 9, 2014 using the database of the Comitán General Hospital. The description includes: etiologic diagnosis, neurosurgical treatment, age, gender, and postoperative outcome. A total of 159 procedures performed on 141 patients were included. RESULTS: During the study period the number of hospital admissions was 11,750. Neurosurgical procedures have been performed to 141 patients, representing 1.2% of total admissions. One or more procedures were performed in some patients, for a total of 159 procedures, of which 61% were of traumatic etiology, 15% malignant, 10% vascular, 7% infectious, 4% congenital, 2% degenerative and 1% other etiologies. A 34% of procedures were performed in women and 66% in men. The mean age of traumatic pathology is 40.5 years. Chronic subdural hematoma was the main cause of neurosurgical care, accounting for 17% of all procedures. Neoplastic disease ranked the second, with high-grade glioma malignancy diagnosed more frequently. In the third place was vascular disease; the most common diagnosis was subarachnoid hemorrhage. A total of 83% of patients were discharged with improvement. CONCLUSION: These data are the first report of neurosurgical pathology in the Chiapas State. This information does not differ from that reported in the literature reviewed.
- Subjects
NEUROSURGERY; BRAIN diseases; POSTOPERATIVE period; SUBDURAL hematoma; SUBARACHNOID hemorrhage
- Publication
Revista Mexicana de Neurociencia, 2014, Vol 15, Issue 6, p323
- ISSN
1665-5044
- Publication type
Article