Sánchez CIA, Basilio OA, Escobedo AJF, Cedillo TÓM, Rivera PJR, Campos PR, González CJ, Vásquez NLC

Language: Spanish
References: 14
Page: 33-37
PDF size: 130.21 Kb.

ABSTRACT

Objectives: To analyze the two years experience of surgical treatment of small bowel injuries in the Surgery and Trauma Department in five of the Mexico City Sanity Department General Hospitals (SSDF). To describe an interrupted suture technique and postsurgical morbimortality. Place: Second level attention General Hospitals. Design: descriptive, retrospective and observational study. Patients and methods: We reviewed the clinical records of 653 patients with abdominal trauma and intestinal injury registered from August 2005 to August 2007 and included only the patients than requirement resection and anastomosis of small bowel. We considered the following variables: Mechanism and grade of injury, gender, age, diagnosis, morbidity and mortality. All patients were classified according to the American Association of Surgery and Trauma (AAST) small bowell injury scale. Results: We excluded 467 clinical records with injury class I, II and III; there were 158 males and 28 females with an average age of 26 years (between 14 and 62 years old). Small bowel injury was caused by gunshot in 83 patients (45.09%) by stabbing in 65 patients (35.29%) and blunt trauma in 38 patients (19.60%). Injury class IV was the most frequent with 136 patients (73.33%), followed by class V with 50 patients (26.63%). In all the cases the surgical technique was resection and single layer suture end to end anastomosis with SSDF surgical technique. Morbidity was 3.76%, in 7 patients, with five abscesses (2.6 %), and Two leaks (1.07 %), no reported enterocutaneous fistulae. Hospitalary stay was 5 days. Mortality was 0%. Conclusions: In this study we noted that single layer end to end enteroanastomosis with SSDF surgical technique has a low morbidity and no mortality.

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