EARLY INTESTINAL RESTITUTION FOR INTEGRAL MANAGEMENT OF PATIENTS UNDERGOING DERIVATIVE OSTOMY

Abstract

Objective: To analyze the feasibility of the generalization of this procedure and its advantages. Methods: We conducted a descriptive, retrospective and transversal study, which included 6 patients betwen 28 and 76 years, with Fournier disease by different etiologies, aside, some with comorbidities, operated in the Service of Surgery of the Hospital Luis Razetti, from June 2013 until June 2015. The procedure consists of early return back to a protective colostomy by a lesion in the resolute perineal genital region. The average time of the refund was 18 days. Results: Six patients with an average of 50 years, 83% male and 17% female. There was a surgical history of perineal genital injuries for various reasons. Of the total of patients 50% had DM II; 83.3% were positive. It took into account the serum albumin for anastomosis, which was end
to end in all patients. In 50% of patients the skin for a close wound left open by second intention, since the main complication was infection of the surgical site, 17% of chronic complications. The average time was 70 minutes in the first surgery and 80 minutes definitive surgery. It was started the oral route in 50% of patients within 72 hours. Conclusion: Early intestinal restitution is considered a simple surgical procedure; it is however an intervention associated with high morbidity, even more so when there are comorbidities such as diabetes mellitus.

there are comorbidities such as diabetes mellitus.