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2020, Number 4

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Rev Mex Cir Endoscop 2020; 21 (4)

Results of abdominal cavity lavages with neutral electrolyzed water in patients with acute abdomen approached by laparoscopic surgery compared to physiological saline solution lavages or no lavages

Valdés PJO, Gutiérrez HLR, López CJ, Ruiz MG, Rosa BA, Benítez TA, Mervitch SN, Cabrera LA

Language: Spanish
References: 14
Page: 191-199
PDF size: 219.03 Kb.


ABSTRACT

Introduction: Neutral electrolyzed water (SES) is a well-recognized broad-spectrum antiseptic that does not cause tissue damage. This work explored whether peritoneal lavages with neutral electrolyzed water during laparoscopic procedures, in patients with acute surgical abdomen admitted to the National Homeopathic Hospital in Mexico City, offers advantages over lavages with normal saline solution, or over intervening without lavages. Material and methods: A retrospective cohort study was carried out where development of postoperative complications and length of hospital stay were compared between groups without peritoneal lavages, lavages with normal saline solution, and those with electrolyzed water, with 0.002% of active chlorine and oxygen species. Data were analyzed with two-tailed ANOVA and odds ratio tests. Results: No patient lavaged with SES developed postsurgical difficulties, and this was significant with respect to not lavage [OR = 0.02343 (95% CI 0.001286-0.4268)] or lavage with physiological saline solution [OR = 0.05051 (95% CI 0.002632-0.9690)]. The group lavaged with SES showed greater significance in the reduction of days of hospital stay (1.61 ± 0.76) than the group lavaged with physiological saline solution (2.40 ± 1.14) or the group without lavages (2.36 ± 1.46). Conclusions: A positive association was found between peritoneal lavages during laparoscopic surgery and a lower incidence of both postoperative complications and length of hospital stay, which was more significant with electrolyzed water than with physiological solution, while no lavages was associated with a greater number of patients with postoperative complications and longer hospital stay.


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