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2018, Número 2

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Cir Gen 2018; 40 (2)


Drenaje profiláctico en cirugía abdominal en adultos: ¿verdadera utilidad?

Guzmán-Valdivia GG, Linares-Rivera E

Idioma: Español
Referencias bibliográficas: 44
Paginas: 105-111
Archivo PDF: 416.38 Kb.


RESUMEN

Antecedentes: El “drenaje profiláctico” es aquél en el que se deja un drenaje en un espacio para vaciar posibles colecciones que pudiesen alojarse posterior a una cirugía. Las indicaciones son muy discutidas. Material y métodos: Para actualizar la información sobre este concepto se realizó una revisión descriptiva de 1980 a noviembre de 2016 identificando los artículos relacionados con drenajes en cirugía abdominal. Resultados: No fue posible realizar un metaanálisis de segundo orden (second-order meta-analysis) por no ser lo suficientemente similares. Se analizaron las diferentes técnicas quirúrgicas sobre los órganos intraabdominales. Discusión: El uso de drenajes “profilácticos” abdominales data desde que se tiene evidencia de la práctica de la medicina y actualmente algunos cirujanos lo usan incluso de manera rutinaria. Los diferentes estudios demuestran que no es necesario drenar la cavidad abdominal en cirugía digestiva, excepto en cirugía esofágica y posterior a exploración de vías biliares cuya descripción es escasa. El uso de drenajes de la cavidad abdominal puede contribuir a infección del sitio quirúrgico y estancia hospitalaria prolongada, entre otras complicaciones.


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