Obstrucción intestinal mecánica: beneficios de la descompresion proximal intraoperatoria
Bloating is a key problem in patients with Intestinal Obstruction because of increased intra-abdominal pressure, risk of wound dehiscence and ventilatory mechanics impairments. Objective: outcomes compare of patients with intestinal obstruction if the retrograde intestinal decompression procedure is...
שמור ב:
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2017
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| גישה מקוונת: | http://hdl.handle.net/10872/16332 |
| תגים: |
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| סיכום: | Bloating is a key problem in patients with Intestinal Obstruction because of increased intra-abdominal pressure, risk of wound dehiscence and ventilatory mechanics impairments. Objective: outcomes compare of patients with intestinal obstruction if the retrograde intestinal decompression procedure is made or not. Method: Patients of both sexes were evaluated, aged between 18 and 75 years , that were admitted in the Emergency Room of General Surgery of Hospital "Dr. Miguel Perez Carreño" with the diagnosis of intestinal obstruction from June to August 2016. It was compared the clinical outcome between two groups of patients of whom were made retrograde intestinal decompression or not . Results: The difficulty degree of closing the abdominal wall was between very easy and easy in 86,7% of patients with intestinal decompression, and between intermediate and difficult in 73,3% of cases that the technique was not made (p = 0.004). There was not difference between groups regarding the presence of bowel movements and the enteral diet start ; flatus expulsion in the intestinal decompression group was seen sooner (p = 0.012). There was no significant difference between the groups for the presence of lower respiratory tract infection, or the time of discharge from the institution. Conclusions: Intraoperative proximal decompression is a safe and effective procedure, showing statistically significant advantages over abdominal wall closure and flatus expulsion |
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