EVALUATION OF POSTOPERATIVE COMPLICATIONS OF PATIENTS SUBMITTED TO OPEN INGUINAL HERNIOPLASTY BASED ON THE CONUT INDEX

• DOI: 10.22533/at.ed.1592512201091

• Palavras-chave: Malnutrition, Inguinal hernia, Nutritional Assessment, Surgery.

• Keywords: Malnutrition, Inguinal hernia, Nutritional Assessment, Surgery.

• Abstract:

  Different tools can be used to assess nutritional status in hospitalized patients. The nutritional control index (CONUT) estimates the risk of malnutrition based on unique analytical parameters (serum albumin, total plasma cholesterol and plasma lymphocytes). The objective of this study was to correlate preoperative CONUT to surgical complications in patients undergoing open inguinal hernioplasty. Prospective observational clinical study carried out at Hospital Municipal Santa Isabel, in João Pessoa-PB with quantitative analysis of data collected in a questionnaire applied to the study. Of the 107 patients, 8.41% (n=09) had some type of postoperative complication: hematoma (n=02), seroma (n=02), surgical site infection (n=01), paresthesia (n=01) =01), suture dehiscence (n=01), femoral artery injury (n=01) and surgical wound granuloma (n=01). All complications affected men, with a mean age of 54.33 years and a mean BMI of 27.12. In 28% (n=31) of the patients, a CONUT ≥ 2 (malnourished) was obtained, with post-surgical complications in 9.7% (n=03). No significant difference was observed between the groups with and without complications through the statistical tests used. The objective analysis of laboratory parameters allows an impartial view of the nutritional status and possible repercussions of the surgical procedure. However, subjective clinical factors measured by other nutritional instruments cannot be excluded. In this study, it was not possible to identify an explicit correlation between malnutrition and the rates of postoperative complications. Thus, it is necessary to analyze according to the association of other nutritional parameters (laboratory and clinical) and perform the test on a larger sample for a more assertive screening of the association. It is known that nutritional deficiencies are considered a problem of clinical relevance with repercussions on surgical results. However, in this study, no correlation was identified between malnutrition and the rates of postoperative complications, requiring analysis of other nutritional parameters to prove the suggested association.

• Número de páginas: 16