Características: síntesis cutánea postcolecistectomía laparascópica en Hospitales José Carrasco Arteaga y Vicente Corral Moscoso 2013

Abstract

Laparoscopic cholecystectomy is the gold standard for cholelithiasis. We have options like nylon and polyglactin 910 to close skin in laparoscopic procedures. These materials have specific physical characteristics and tissue effects that make a difference in the patient. Objective: To describe the clinical features presented in the close skin wounds after laparoscopic cholecystectomy with polyglactin 910 and nylon in and José Carrasco Arteaga and Vicente Corral Moscoso Hospitals 2013. Materials and methods: a longitudinal study. All patients between 18 to 90 years old that came to the surgery department of José Carrasco Arteaga and Vicente Corral Moscoso Hospitals were included in this research. Results: in patients that the skin wound were closed with nylon the postoperative pain at the 8 hours after operation were low in 94.06 % of patients; there were no pain in 98.75% at 7th day. Scars at 7th days were grade 1 in 99.06 %. The 1.56 % of patients showed signs of infection at 7th day and 0.31 % at 15th day. For polyglactin 910 the postoperative pain were low in 70.93 % of patients and there was no pain in the 100% at 7th day. Scars at 7th day were grade 1 in the 100%. Signs of infection were observed in the 1.16 % of the patients at 7 and 15 days. Discussion: apparently the use of absorbable sutures has a better outcome in terms of postoperative pain and scarring. The rate of infection is similar with these sutures and it is less than the expected laparoscopy index infections (1 to 3%). Conclusion: polyglactin 910 shows better results in terms of postoperative pain and scarring and similar rates of infection compared to nylon. DeCS Descriptors: NYLONS/ADVERSE EFFECTS, POLYGLACTIN 910/ADVERSE EFFECTS, CICATRIX/SURGERY, PAIN POSTOPERATIVE, SURGICAL WOUND INFECTION/COMPLICATIONS.