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>Journals >Cirujano General >Year 2017, Issue 2


Rivera PMÁ, Quezada GBK, Quiñónez EM, Almada VRR
Management of complicated stomas and/or hostile abdomen with Rivera’s condom technique. Ten years of experience
Cir Gen 2017; 39 (2)

Language: Español
References: 25
Page: 82-92
PDF: 4. Kb.


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ABSTRACT

Introduction: It is estimated that half of the patients with intestinal stoma will have complications. In some cases, an adequate control of the free intestinal leakage to the abdominal cavity will not be achieved. For these situations, a latex splint on the distal end of the intestine was designed to externalize the intestinal material and avoid both chemical and bacterial contamination into the abdominal cavity. Material and methods: A prospective collection of made of all patients with a complicated stoma or some degree of Björck that required the use of latex splint for the control of intestinal leakage from August 1, 2006 to July 31, 2016. It is a descriptive, prospective, longitudinal, cohort-type study. Results: A total of 658 patients were included: 380 had condoms used on them and 278 were treated with other methods. In those in whom the condom was placed, the decrease in APACHE II values was from 24 to seven points. In relation to the Mannheim index, in those in whom the condom was placed, the values ​​decreased from 31 to 15 points. Conclusions: There are other systems for the control of stomas; none of them has shown the versatility, ease of use, practicality and low cost of a latex splint for the control of intestinal expense, which shows that it is a viable technique in all institutions.


Key words: Hostile abdomen, dysfunctional stoma, Rivera condom.


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