Sutura primaria e ileostomía transcecal en urgencias quirúrgicas del colon izquierdo

introduction: a controversy about surgical alternative to the solution of surgical emergencies of left colon gives rise. objective: to compare primary suture and transcecal ileostomy with a conventional colostomy probe in patients operated on left colon. methods: an analytical, observational, prospective and longitudinal study. target group: 70 patients having the diagnosis of surgical emergencies due to left colon conditions. sample: 34 patients who underwent left colon surgeries from january 2006 and 2010 at "abel santamaria cuadrado" and "leon cuervo rubio" provincial general university hospitals. two groups chosen at random were included: group-a (sample), 34 patients with suture or intestinal resection plus primary anastomosis and transcecal ileostomy with probe; group-b (control) 36 patients with intestinal resection and conventional colostomy. chi square test with a significance level of 0,05 and percentages were applied. results: traumatic sigmoid perforations prevailed (37,1%) and sigmoid volvulus with vascular compromise (31,4%) in both groups, male sex and ages from 51 to 60 predominated. in group-a the 11,7% of patients presented complications that were not related to dehiscence of anastomosis; in group-b the complications reached 55,5% prevailing the infection of surgical wound and the general ones. global mortality of the primary suture with transcecal ileostomy was 2,9% and 11,1% with conventional colostomy. the probe of the ileostomy was removed at 7 days on average; currently the quality of life of these patients is satisfactory. conclusion: primary suture and transcecal ileostomy present much less complications as well as mortality, it minimizes psychological damage, and this is the most physiologic surgical alternative.