Laparorrhaphy in patients with colorectal cancer. Enrique cabrera hospital. 2019-2021

Abstract

Introduction: Until now, no ideal technique has been established that allows performing a laparotomic closure with a guarantee of greatly reducing the incidence of complications. Objective: To compare the results of abdominal wall closure using internal subtotal points (PS) and total points (PT) in patients operated on for colorectal cancer. Methodological design: An observational, descriptive, prospective and cross-sectional study was carried out at the General Teaching Hospital "Dr. Enrique Cabrera" between January 2019 and December 2021. Results: The median age in the PT group was 70 ± 18 years and in the PS 68 ± 18 years. 65% of the PT group and 61.7% of the PS were women. The tumor was located in the sigmoid colon in 35% of the PT cases and in 31.7% of the PS group. Surgery was urgent in 80% of the PT group and elective in 75% of the PS. The incision was medium supra and infraumbilical in 70% of the patients in the PT group and xipho-pubic in 66.7% of those in the PS. There was a median of 3 ± 2 and 1 ± 0 complications for the PT and PS group, respectively. The median hospital stay was 8 ± 6 days in the PT group and 7 ± 2 days in the PS. Conclusions: The results of the use of internal subtotal stitches in the closure of the abdominal wall were superior with respect to the total stitches.