Ramírez-Oropeza FJ, Saynes-Marín FJ

Language: Spanish
References: 0
Page: 23-30
PDF size: 132.66 Kb.

ABSTRACT

Surgical time of suture in rhinoseptoplasty is important to avoid formation of haematomas, splint recently mobilized tissues, and control immediate postoperative bleeding. Running suture technique offers adequate results and more safety for doctor and patient, and decreases risks of complications and inconveniences for the patient. Our objective is to present running suture technique of hemitransfixion, intercartilaginous and marginal incisions, in rhinoseptoplasty, and the use of septal transfixion points. We carried out a descriptive, observational, transversal study, in which we include results of 250 patients postoperated of rhinoseptoplasty, on which running suture of nasal incisions was used. We present the technique’s characteristics and advantages. The staying time of the suture was valued, finding that in 61% of patients the suture remained for a week, and two weeks in 23%. None of the patients had infection from data surgical wound, nasal postoperative bleeding or septal perforation, and 100% referred ability to breath through the nose in the immediate postoperatory period. Running suture offers a useful method to close hemitransfixion, intercartilaginous, marginal-type incisions. Combined with transeptal points, it allows splinting of the nasal structures, avoids formation of hematomas, significantly reduces immediate postoperative bleeding, avoids use of a nasal blockage, improves healing results by having better coping of the wound’s rigdes, and maintains proper cleaning of the nose.