Martha Medina-Escobedo1, Gloria Martín-Soberanis. 1. Departamento de Investigación, Hospital General "Dr. Agustín O'Horán," Servicios de Salud de Yucatán, Mérida, Yucatán, México. marthamedinaescobedo@hotmail.com
Abstract
BACKGROUND: urolithiasis is endemic in Yucatan, Mexico, and its complications are abscesses and renal exclusion which end up in a nephrectomy. Our objective in this paper was to know the nephrectomy indications in Yucatecan population. METHODS: the nephrectomies from four concentrations hospitals of the Health Services, were analyzed. Patients older than 18 years were included; surgical indication, evolution time of the disease, and associated illnesses were registered. The diagnosis was confirmed by laboratory, X-rays or anatomopathological study. Statistics were t Student test and chi(2). RESULTS: 206 (70.5 %) women and 86 (29.5 %) men were included; they were 48 + or - 14 years of age with an evolution time 40 + or - 70 months. Nephrolithiasis was observed in 59.6 %, renal tumors 21.9 %, hydronephrosis 7.9 % and abscess 3.4 %. No cases with nephrolithiasis had metabolic studies. The cases with lithiasis (n = 174) had a longer evolution time and were younger at the time of the surgical procedure (p < 0.05) than those not related to lithiasis (n = 118). CONCLUSIONS: nephrolithiasis is the most frequent indication for nephrectomy in the Yucatecan population which differs from others reports.
BACKGROUND:urolithiasis is endemic in Yucatan, Mexico, and its complications are abscesses and renal exclusion which end up in a nephrectomy. Our objective in this paper was to know the nephrectomy indications in Yucatecan population. METHODS: the nephrectomies from four concentrations hospitals of the Health Services, were analyzed. Patients older than 18 years were included; surgical indication, evolution time of the disease, and associated illnesses were registered. The diagnosis was confirmed by laboratory, X-rays or anatomopathological study. Statistics were t Student test and chi(2). RESULTS: 206 (70.5 %) women and 86 (29.5 %) men were included; they were 48 + or - 14 years of age with an evolution time 40 + or - 70 months. Nephrolithiasis was observed in 59.6 %, renal tumors 21.9 %, hydronephrosis 7.9 % and abscess 3.4 %. No cases with nephrolithiasis had metabolic studies. The cases with lithiasis (n = 174) had a longer evolution time and were younger at the time of the surgical procedure (p < 0.05) than those not related to lithiasis (n = 118). CONCLUSIONS:nephrolithiasis is the most frequent indication for nephrectomy in the Yucatecan population which differs from others reports.
Authors: Luis A May-Ix; J Gabriel Rosado-Rubio; Martha Medina-Escobedo; Arturo F Castellanos-Ruelas; Luis A Chel-Guerrero; David A Betancur-Ancona Journal: ISRN Toxicol Date: 2012-09-27