Resumen
Introducción: La evisceración posquirúrgica es una complicación con origen multifactorial. Los estudios para prevenirla modifican la técnica de cierre. La técnica reinforced tensión line (RTL) se ha usado en el tratamiento de hernias incisionales.
Material y métodos: Ensayo clínico en pacientes sometidos a laparotomía media. Se formaron dos grupos: 1) control con cierre habitual, y 2) grupo experimental con la técnica RTL. Se evaluó la presencia de evisceración posquirúrgica.
Resultados: Terminaron el estudio 89 pacientes. Se presentaron un total de 9 (20 %) y 2 (4.5 %) evisceraciones, con diferencia a favor de la técnica RTL con una p de 0.0273.
Conclusiones: Se encontró que la técnica RTL reduce la incidencia de evisceración posquirúrgica.
Palabras clave: Evisceración posquirúrgica Laparotomía Hernia incisional
Abstract
Background: Postsurgical evisceration is a complication, its origin is multifactorial. There are reports in the literature to prevent changing the closing technique. Reinforced tension line technique (RTL) has proven useful in the treatment of incisional hernias.
Material and methods: Clinical trial in patients undergoing midline laparotomy first time, two groups were formed the control group was sutured with the principles of Jenkins and the experimental group with RTL technique. The presence of postoperative evisceration between the two groups and associated complications were evaluated.
Results: Completed the study 89, a total of 9 (20 %) evisceration in the control group and 2 (4.5 %) occurred in the study group, with statistical significance in favor of the RTL technique with p 0.0273.
Conclusion: It was found that the RTL technique reduces the incidence of postoperative evisceration
Keywords: Postoperative evisceration Laparotomy Incisional Hernia