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Cirujano general
Print version ISSN 1405-0099
Abstract
RIVERA PEREZ, Miguel Ángel; QUEZADA GONZALEZ, Bertha Karina; QUINONEZ ESPINOZA, Marlon and ALMADA VALENZUELA, Ramón René. Management of complicated stomas and/or hostile abdomen with Rivera’s condom technique. Ten years of experience. Cir. gen [online]. 2017, vol.39, n.2, pp.82-92. ISSN 1405-0099.
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.
Keywords : Hostile abdomen; dysfunctional stoma; Rivera condom.