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Cirujano general

Print version ISSN 1405-0099

Abstract

CERDA CORTAZA, Juan Luis et al. Results of a National Survey on the preparation, management and monitoring of colonic anastomosis. Cir. gen [online]. 2019, vol.41, n.3, pp.168-176.  Epub Nov 27, 2020. ISSN 1405-0099.

Introduction:

In colorrectal surgery, every surgeon must know the anatomical and functional characteristics of colon and rectum. Also to date guides and techniques must be used in order not to expose the patient to life threatening complications.

Objective:

This study aims to review the way colorrectal surgery is performed, the surgical techniques and prevention measures in Mexico.

Material and methods:

This is a cross sectional survey, study applied to surgeons members of the “Asociación Mexicana de Cirugía General” from July of 2017 to August of 2018.

Results:

1,216 surgeons answered the survey. Out of 10 anastomosis performed, 612 surgeons (50.3%) reported not presenting anastomotic leaks events, 489 surgeons (40.2%) reported to have one anastomosis leak, 80 surgeons (6.6%) reported 2 events, and 6 surgeons (0.5%) reported 3 or more events of anastomosis leak. Eight hundred nineteen surgeons (67.3%) prescribe antibiotics a day before the surgical event.

Conclusion:

To know the tendency of colorrectal surgery performed by the members of the “Asociación Méxicana de Cirugía General” in regards of colic anastomosis reveals the need to improve the patient selection and their proper pre-surgical preparation.

Keywords : Colorectal surgery; intestinal anastomosis; anastomotic leak.

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