Browsing by Author "León Acuña, Paula Blanca"

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    Bariatric surgery before and after the SARS-CoV-2 pandemic: a comparative study of cases before the onset of the pandemic in a high volume academic center
    (2023) León Acuña, Paula Blanca; Muñoz Claro, Rodrigo Edgardo; Pontificia Universidad Católica de Chile. Facultad de Medicina
    Introduction: At the beginning of the pandemic, studies showed a higher risk of severe surgical complications and mortality among patients with perioperative SARS-CoV-2 infection, which led to the suspension of elective surgery. Confinement and lockdown measures were shown to be associated with weight gain and less access to medical and surgical care in patients with obesity, with negative health consequences. To evaluate the safety of Bariatric Surgery during the pandemic, we compared 30-day complications between patients who underwent Bariatric Surgery immediately before with those who underwent bariatric surgery during the opening phase of the pandemic. Methods: Observational analytical study of a non-concurrent cohort of patients who underwent Bariatric Surgery in 2 periods: pre-pandemic March 1 to December 31, 2019, and pandemic March 1 to December 31, 2020. Surgical complications were defined using the Clavien-Dindo classification. Results: Pre-pandemic and pandemic groups included 256 and 202 patients who underwent primary Bariatric Surgery, respectively. The mean age were 37.6 + 10.3 years. The overall complication rate during the first 30 days of discharge was 7.42%. No differences between groups were observed in severe complications (pre-pandemic 1.56% vs. pandemic 1.98%, p: 0.58). No mortality was reported. Overall 30-day readmission was 3.28% with no differences between groups. Conclusion: The findings of this study suggest that bariatric surgery can be successfully conducted during the pandemic, enabling patients with obesity to obtain a treatment that was delayed at the beginning of the pandemic due to safety concerns.
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    Intervencionismo en dolor oncológico: una buena alternativa para el paciente que sufre
    (2023) Strange Guarda, Erick; Lacassie, Martín; Vega Pérez, Eduardo Andrés; León Acuña, Paula Blanca; Elgueta Le-beuffe, María Francisca
    Pain Interventionism is dedicated to the practice of “minimally invasive” interventions to relieve pain in cases where the use of medications and non-pharmacological measures are not useful. Chronic pain is a common clinical condition that affects a significant portion of the oncology population. The objective of this review is to show the different interventional therapy alternatives that exist for these patients where pharmacological treatment is not enough to manage their pain. These techniques have proven to be an excellent alternative in this population; however, they should always be considered as a part of the interdisciplinary management of the oncological patient.