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Revista Cubana de Cirugía
versión On-line ISSN 1561-2945
Resumen
PEREZ MORALES, José Miguel y MOYA HERNANDEZ, Eida María. Discontinuos extramucosal single layer intestinal suture on reversed edges: Application of this technique for 22 years. Rev Cubana Cir [online]. 2007, vol.46, n.2, pp. 0-0. ISSN 1561-2945.
summary In the period from January 1982 to December 2004, discontinuos extramucosal single layer intestinal suture on reversed edges was performed in 580 patients who had presented with 25 diseases of the digestive tract. A prospective, analytical and descriptive study was conducted. The technique was applied 703 times because there were patients with more than one suture and it was used only in intestinal segments with serose. Four hundred and sixty three anastomoses, 171 enterorrhaphies and 69 closures of an intestinal end were performed. Three hundred and seventy three patients were scheduled to be operated on whereas 207 patients were operated on due to emergency situation. There were 85 patients who developed complications, 13 had surgical technique-depending complications and 72 did not. Depending complications covered 12 suture dehiscence and one stenosis. The combination of termino-lateral plus latero-lateral anastomosis and closure of one intestinal end exhibited the highest number of complications. Malignant gastric and right colon neoplasias were the diseases with more surgical technique-depending complications. Suture material was saved. The discontinuos extramucosal single layer intestinal suture on reversed edges is a good choice in digestive tract surgery
Palabras clave : intestinal suture; dehiscense.