Archives in Cancer Research

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Nausea and postoperative vomiting in patients submitted to breast surgery at the ambulatory surgery unit of the National Institute of Cancerology

Joint Event on 5th Edition of International Conference on Clinical Oncology and Molecular Diagnostics & 5th World Congress on Medical Imaging & Clinical Research
June 17-18, 2019 Rome, Italy

Giancarlo Ferretiz Lopez and Cardenas N

National Institute of Cancer, Mexico

Posters & Accepted Abstracts: Arch Cancer Res


Introduction: Postoperative nausea and vomiting (PONV) are a frequent problem in surgical patients, with an incidence of 50% and 30% respectively. In patients with the risk of presenting this complication, the incidence of up to 80% can be increased. PONV can prolong the length of stay in the postoperative recovery unit with the time of surgery. Each episode of vomiting can increase the stay in a postoperative recovery unit by 20 minutes.

Objective: Evaluation of the incidence of postoperative nausea and vomiting in the patient in outpatient surgery of the mother in the ambulatory surgery unit of the National Cancer Institute.

Materials & Methods: An observational, analytical, cross-sectional and retrospective study was carried out in which the clinical files of the patients of the National Institute of Cancer were reviewed and a surgical procedure with the diagnosis of breast cancer in the ambulatory surgery a period comprised between May 1 and October 15, 2017.

Results: 165 women were included, with an average age of 52.8±11.2 years, 154 were graduated from home (93.4%), the remaining 11 patients (6.7%) required hospitalization for pain (4.2%), pain and hematoma (1.8%) and reintervention (0.6%), none for PONV. A history of nausea and vomiting was observed in 21.2%. Only 3 patients were presented with postoperative nausea and vomiting (1.8%). The antiemetic treatment is applied in all patients with a combination of any of the drugs (metoclopramide, dexamethasone and on dansetron).

Conclusion: In our study we observed a very low rate of PONV and it was possible to demonstrate that, in an ambulatory surgery unit, the pre-medication prior to the surgical event in patients with breast cancer significantly decreases the presence and control of nausea and vomiting post-operative improving comfort during your hospital stay and your immediate discharge.

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