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2015, Number 2

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Rev Mex Cir Pediatr 2015; 19 (2)

Comparación de dos estrategias para preparación en el cierre de colostomía en pacientes pediátricos

Licona-Islas C, Moreno-riesgo RE, Gonzalez CHJ, Curiel-Montaño NC, Rivera-Pereira BMY

Language: Spanish
References: 35
Page: 68-78
PDF size: 215.12 Kb.


ABSTRACT

Colorectal surgery is classified as a contaminated surgery, mechanical bowel preparation (PMC) is considered necessary. It has been proposed the no mechanical bowel preparation strategy with favorable results.
Objective: To compare the frequency of postoperative complications with two bowel preparation strategies in pediatric patients undergoing colostomy closure.
Material and methods: observational, retrospective, comparative, analytical study. Total of 34 patients divided into two groups undergoing elective colostomy closure, Group I: 25 patients with mechanical bowel preparation (CPMI) and group II: 9 patients without mechanical bowel preparation (SPMI).
Results: Median age was 17 and 19 months in the SPMI and CPMI groups respectively. Found statistically significant differences in the variables of hospital stay [6 days vs 10 days (SPMI vs CPMI)] with p = 0.007 and the feedings (4 vs 6 days) with p = 0.00039. No statistically significant difference was found in the variables of time, bleeding, wound infection, residual abscess and anastomosis dehiscence.
Conclusions: SPMI strategy has better results in hospital stay and start of feedings, found no difference in other variables related to the procedure.


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