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2016, Number 2

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Revista Cubana de Cirugía 2016; 55 (2)

Primary suture in colon and rectum traumatic lesions

Pinilla GRO, Morales CJA, Gutiérrez GF

Language: Spanish
References: 25
Page: 138-150
PDF size: 150.30 Kb.


ABSTRACT

Introduction: In civilian life, the current trend in the treatment of colon and rectum traumatic lesions is for the primary closure, but there is still no consensus.
Objective: to identify the characteristics and outcome of 36 patients with colon trauma colonist who underwent primary suture.
Methods: A descriptive study of retrospective cohort was carried out; we studied patients treated in Havana Province teaching hospitals, from November 2008 to January 2012, as well as the factors related to the occurrence of complications and costs. Data were collected from the medical records and the operative report, in each of the hospitals. The information was processed in an automated system (SPSS 15,0). Analysis of frequency distribution and homogeneity test were used to identify variables related to the occurrence of complications.
Results: The most frequent cause of injury was stab (86,1 %). The factors related to the occurrence of complications and the severity of lesions were the causative agents, as measured by the Flint scale (p= 0,02 and p= 0,04). Average costs per surgical and stay time turned out to be: $ 1091,88 and $ 1250,82.
Conclusions: The main complications from the use of primary suture in teaching hospitals of Havana are: surgical site infection and postoperative bleeding, and other factors related to them: the causative agent and the severity of lesions. The use of primary suture is a therapeutic option that seems to be reasonable and less expensive than the colostomy.


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