Colo-rectal suture failure: laparoscopic resolution (video)

Falla de sutura colo-rectal: resolución laparoscópica (video)

Chinelli, Javier - Rodríguez Temesio, Gustavo

Resumen:

The colorectal suture failure has a variable incidence, between 5-10%, although some series report up to 20%. Several risk factors are recognized, including: a distance less than 5 cm from the anal margin, prolonged operative time, difficult anastomosis, renal failure, hypoalbuminemia and anemia. There are several therapeutic options, from the conservative management expectant (antibiotic therapy), drainage collections, endoscopic treatment with stents, clips or vacuum and vacuum devices, and finally the surgery.


La falla de sutura colo-rectal tiene una incidencia variable, entre 5-10%, aunque algunas series reportan hasta 20%. Se reconocen diversos factores de riesgo, entre los que se destacan: una distancia menor a 5 cm del margen anal, tiempo operatorio prolongado, anastomosis dificultosa, insuficiencia renal, hipoalbuminemia y anemia. Existen diversas opciones terapéuticas, desde el manejo conservador expectante (antibioticoterapia), el drenaje de colecciones, el tratamiento endoscópico con stents, clips o dispositivos de aspirado y vacío, y finalmente la cirugía.


Detalles Bibliográficos
2019
cirugía laparoscópica
falla de sutura
laparoscopic surgery
suture failed
Español
Sociedad de Cirugía del Uruguay
Revista Cirugía del Uruguay
https://revista.scu.org.uy/index.php/cir_urug/article/view/53
Acceso abierto
Resumen:
Sumario:The colorectal suture failure has a variable incidence, between 5-10%, although some series report up to 20%. Several risk factors are recognized, including: a distance less than 5 cm from the anal margin, prolonged operative time, difficult anastomosis, renal failure, hypoalbuminemia and anemia. There are several therapeutic options, from the conservative management expectant (antibiotic therapy), drainage collections, endoscopic treatment with stents, clips or vacuum and vacuum devices, and finally the surgery.