Círugia menor en un centro de Atencion Primaria rural: 2 años de experiencia

Abstract

Objective: to describe the results derived from performing minor surgery (MS) for the phisician of Primare Health Care (PHM) and analyse the presurgical-pathology diagnosis concordance in a rural Health Center. Design: descriptive prospective study. Participants: interventions performed during two years for two GP. Setting: Primare Health Care Casas Ibáñez and Pathology Service of General Hospital Albacete. Measurements and main results: variable descriptives (sex, age, location, lesion diagnosis, motive of MS, sort of intervention, awaiting time and histological results) of all interventions were analysed. It was compared (simple according) previous diagnosis with respect to patholoy diagnosis. Four hundred and twenty-five interventions were performed. Complete data were achieved in 404 persons (229 men, 56,7% and 175 women, 43,7%); mean age of 43,9 years old and standard deviation of 23,9). The most habitual cause for MS was the aesthetic one, continued for malignancy fear and pain. The thecnical of surgery most frequent used were surgical removal in 45,7% and electrosurgery in 19,2%. Lesions treated mainly were epidermal cyst 43 cases, warts 77 cases and nails 46 cases. Two hundred and twenty cases were sent to Pathology Service and the diagnosis concordance with its report was of 66,2%. The standby time average was of 12 days. Conclusions: performing minor surgery in Primary Health Care is feasible, accepting the proper training of phisician of PC. This activity in our health center has low standby times and high histopathological concordance.