Laparorraphy in patients with colorectal cancer. Enrique Cabrera Hospital, 2019-2021
<p><strong>Foundation</strong>: an ideal technique has not been established yet to allow laparotomic closure to guarantee the reduction of complications.<br /><strong>Objective</strong>: to compare the results of abdominal wall closure using internal subtotal poin...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | Spanish |
| Published: |
Centro Provincial de Información de Ciencias Médicas. Cienfuegos
2023-07-01
|
| Series: | Medisur |
| Subjects: | |
| Online Access: | http://medisur.sld.cu/index.php/medisur/article/view/5704 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | <p><strong>Foundation</strong>: an ideal technique has not been established yet to allow laparotomic closure to guarantee the reduction of complications.<br /><strong>Objective</strong>: to compare the results of abdominal wall closure using internal subtotal points and total points in patients operated on for colorectal cancer.<br /><strong>Methods</strong>: a descriptive, prospective and cross-sectional study was carried out at the Dr. Enrique Cabrera General Teaching Hospital, from 2019 to 2021, with 80 patients operated on for colorectal cancer. The Chi-square test, Fisher's exact test and the Mann-Whitney U test, among others, were used.<br /><strong>Results</strong>: the tumor was located in the sigmoid colon in 35% of patients with total suture closure; and in 31.7% of the group with closure by subtotal points. Surgery was urgent in 80% of the group with total stitch closure; and elective in 75% of the closing cases with subtotal points. The incision was median supra and infraumbilical in 70% of the patients in the group with total suture closure; and xiphopubic in 66.7% of those at closure with subtotal points. There were medians of 3 ± 2 and 1 ± 0 complications for closure with total stitches and closure with subtotal stitches, respectively. Median hospital stay was longer in the total stitch closure group (8 ± 6 days).<br /><strong>Conclusions</strong>: in the patients where internal subtotal sutures were applied for abdominal wall closure, the results were better than in the group where total sutures were used.</p> |
|---|---|
| ISSN: | 1727-897X |