%0 Journal Article
%T Nuevo m¨¦todo de sutura subcut¨¢nea percut¨¢nea continua New method of continuous percutaneous subcutaneous suture
%A Germ¨¢n Brito Sosa
%A Reinaldo Echevarr¨ªa Romero
%J Revista Cubana de Cirug¨ªa
%D 2012
%I Editorial Ciencias M¨¦dicas
%X Objetivos: realizar un m¨¦todo de sutura continua, en las personas operadas en el Hospital "Julio Trigo L¨®pez", que disminuya los granulomas a nivel de la herida quir¨²rgica, y compararlas con el m¨¦todo tradicional. M¨¦todos: se realiz¨® un estudio experimental sobre la aplicaci¨®n de un m¨¦todo de sutura subcut¨¢nea percut¨¢nea continua, en un grupo de pacientes operados de diversas enfermedades, ya sea de urgencia, electivo o ambulatorio, en el Hospital "Julio Trigo L¨®pez", en los a os 2008 y 2009. Resultados: con el m¨¦todo de sutura subcut¨¢nea percut¨¢nea continua con nylon no se forman granulomas, mientras que con el m¨¦todo tradicional, s¨ª ocurre en un porcentaje no despreciable. Las ventajas del m¨¦todo de sutura subcut¨¢nea percut¨¢nea continua con nylon son: en el plano celular subcut¨¢neo de la pared abdominal no queda sutura, no se producen granulomas y es m¨¢s econ¨®mica. Conclusiones: la sutura de nylon es menos rechazada que la del cromado, ya que no se producen granulomas. El m¨¦todo de sutura subcut¨¢nea percut¨¢nea continua es una sutura m¨¢s hemost¨¢tica que el m¨¦todo tradicional, ya que el por ciento de hematomas es menor. El gasto econ¨®mico es menor con el m¨¦todo de sutura subcut¨¢nea percut¨¢nea continua. Con el m¨¦todo de sutura subcut¨¢nea percut¨¢nea continua la sutura es extra¨ªda al 10mo. d¨ªa de haberla aplicado. Objectives: to apply a continuous suture method to reduce granulomas in surgical wounds in patients operated on at "Julio Trigo Lopez" hospital, and to compare the results with those of the traditional method. Methods: an experimental study was conducted on the application of a continuous percutaneous subcutaneous suture in a group of patients operated on from several diseases, either under emergency, elective or outpatient conditions at "Julio Trigo Lopez" hospital during 2008 and 2009. Results: the continuous percutaneous subcutaneous suture method with nylon prevents formation of granulomas, whereas the traditional method did show a percentage of granulomas that is not small at all. The advantages of the former are the following: there is no suture left at subcutaneous cellular level of the abdominal wall, granulomas are absent and it is a more economic option. Conclusions: the nylon suture is less rejected than the chromated suture since granulomas do not appear. The continuous percutaneous subcutaneous suture method offers a more hemostatic suture than the traditional method, being the number of hematomas lower. The economic cost is reduced and the suture may be taken out ten days after surgery.
%K sutura subcut¨¢nea
%K subcutaneous suture
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034-74932012000200005