Experiencia y aprendizajes en el manejo del trauma de cuello en un hospital de tercer nivel del Seguro Social Guatemalteco.

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Bibliographic Details
Title:	Experiencia y aprendizajes en el manejo del trauma de cuello en un hospital de tercer nivel del Seguro Social Guatemalteco.
Alternate Title:	Experience and lessons learned in the management of neck trauma in a third-level hospital of the Guatemalan Social Security.
Authors:	Fuentes-López, Andy¹ andxyx@gmail.com, Hidalgo-López, Adonys¹, Marroquín-Mazariegos, Hilda¹
Source:	Revista de Cirugia. 2026, Vol. 78 Issue 3, p231-235. 5p.
Abstract (English):	Objective: To characterize patients with neck trauma, focusing on diagnosis and intervention (surgical vs. conservative). Design: Descriptive retrospective study. Introduction: Neck trauma poses significant diagnostic and therapeutic challenges due to the complex anatomy of the region. Diagnostic and the rapeutic management depend on the mechanism of injury, the anatomical zone involved, and the availability of complementary studies, in order to provide an individualized and appropriate therapeutic approach. Materials and Methods: A descriptive retrospective study was conducted at the Guatemalan Social Security Institute (IGSS) El Ceibal (a tertiary trauma hospital) from July 2024 to July 2025, Guatemala. Twenty-five patients with neck trauma were included. Variables analyzed included sex, age, mechanism of injury, anatomical surgical zone, use of computed tomography, therapeutic management, associated injuries, complications, and mortality. Main Results: Males accounted for 92% of the cases, with the most affected age groups being 20-30 and 30-40 years. The predominant mechanism of injury was penetrating trauma (60%), being Zone II the most frequently involved (52%). Most patients received conservative management (76%), while those who underwent surgical treatment presented associated aerodigestive injuries. No postoperative complications or morbidity were recorded, and one death was reported, unrelated to the described trauma. Conclusions: These findings highlight the importance of continuing to refine protocols that balance timely diagnosis with the reduction of unnecessary interventions, as described in current literature, demonstrating low morbidity and mortality rates in this institution. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Objetivo: Caracterizar al paciente con trauma de cuello, diagnóstico e intervención (quirúrgica vs conservador). Diseño: Estudio descriptivo retrospectivo Introducción: El trauma de cuello reviste una alta complejidad diagnóstica/terapéutica debido a sus estructuras anatómicas. El manejo diagnóstico y terapéutico dependen del mecanismo, la zona afectada y los estudios complementarios disponibles, para proveer el abordaje terapéutico adecuado por individual. Materiales y Métodos: Estudio descriptivo retrospectivo, se realizó en el Instituto Guatemalteco de Seguridad Social (IGSS) El Ceibal (hospital de tercer nivel de trauma) durante julio de 2024 a julio de 2025, Guatemala. Se incluyeron 25 pacientes con trauma de cuello; incluyendo variables: sexo, edad, tipo de mecanismo, zona anatómica quirúrgica, realización de tomografía, manejo terapéutico, lesiones asociadas, complicaciones y mortalidad. Resultado principal: El 92% correspondió al sexo masculino, siendo los grupos de edad más afectados los comprendidos entre 20-30 y 30-40 años. El mecanismo de lesión predominante fue la lesión penetrante en el 60%, la zona II fue la más comprometida en un 52%, la mayoría recibió manejo conservador 76%, y los que se sometieron a tratamiento quirúrgico se evidenció lesión aerodigestiva asociada, No se registraron complicaciones postoperatorias ni morbilidad, una mortalidad no causada por el trauma descrito. Conclusiones: Estos hallazgos subrayan la importancia de continuar perfeccionando protocolos que permitan un equilibrio entre diagnóstico oportuno y reducción de intervenciones innecesarias, tal como se describe en la literatura actual, demostrando las bajas tasas de morbimortalidad en esta institución. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Objective: To characterize patients with neck trauma, focusing on diagnosis and intervention (surgical vs. conservative). Design: Descriptive retrospective study. Introduction: Neck trauma poses significant diagnostic and therapeutic challenges due to the complex anatomy of the region. Diagnostic and the rapeutic management depend on the mechanism of injury, the anatomical zone involved, and the availability of complementary studies, in order to provide an individualized and appropriate therapeutic approach. Materials and Methods: A descriptive retrospective study was conducted at the Guatemalan Social Security Institute (IGSS) El Ceibal (a tertiary trauma hospital) from July 2024 to July 2025, Guatemala. Twenty-five patients with neck trauma were included. Variables analyzed included sex, age, mechanism of injury, anatomical surgical zone, use of computed tomography, therapeutic management, associated injuries, complications, and mortality. Main Results: Males accounted for 92% of the cases, with the most affected age groups being 20-30 and 30-40 years. The predominant mechanism of injury was penetrating trauma (60%), being Zone II the most frequently involved (52%). Most patients received conservative management (76%), while those who underwent surgical treatment presented associated aerodigestive injuries. No postoperative complications or morbidity were recorded, and one death was reported, unrelated to the described trauma. Conclusions: These findings highlight the importance of continuing to refine protocols that balance timely diagnosis with the reduction of unnecessary interventions, as described in current literature, demonstrating low morbidity and mortality rates in this institution. [ABSTRACT FROM AUTHOR]
ISSN:	24524557
DOI:	10.35687/s2452-454920260032963