[Comparative study of the use of manual and mechanical suturing in the closure of the mucosal defect in total laryngectomy].
With the present study we try to achieve an objective confirmation of the efficacy given by the mechanical suture in the closing of the pharyngeal defect following a total laryngectomy against the conventional manual suture with absorbable material. Therefore we have studied three random groups of patients: in the first one we include those who had a manual suture (n = 50), in the second one those who had performed a mechanical suture with closed technique (n = 38) and in the third one those who had a mechanical suture with an open technique (n = 12). We have checked that mechanical suture with a closed technique improves significantly the surgical length (212 minutes), the beginning of the oral feeding (10.73 days) and the time of in-hospital stay (13.5 days). Mechanical sutures with a closed technique also reduce the rate of complications such as fistulae (5.26%), infection (0%) and haemorrhage (0%).
Hospital de Basurto, Servicio de ORL, Avda. Montevideo 18, s/n. 48013 Bilbao, Vizcaya. fsantaol@hbas.osakidetza.net
F
F
Santaolalla Montoya
J C
JC
Ruiz de Galarreta
A
A
Sánchez del Rey
A
A
Martínez Ibargüen
A
A
Zabala López de Maturana
D002277:Carcinoma / Q000601:surgery; D004396:Coloring Agents; D004435:Eating; D006801:Humans; D007822:Laryngeal Neoplasms / Q000601:surgery; D007825:Laryngectomy / Q000379:methods*; D007902:Length of Stay; D009092:Mucous Membrane / Q000601:surgery; D010613:Pharyngostomy; D010614:Pharynx / Q000601:surgery; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control; D013528:Surgical Staplers; D017792:Surgical Stapling / Q000009:adverse effects; D013536:Suture Techniques / Q000009:adverse effects; D014048:Tolonium Chloride
D004396:Coloring Agents; D014048:Tolonium Chloride