Nylon de pescar en las derivaciones bilio-digestivas

Abstract

Con el fin de evaluar el Nylon de pescar en la construcción de derivaciones bilio-digestivas, estudiamos a 15 pacientes en quienes se realizó coledoco-duodenoanastomosis (14) y hepático-yeyunoanastomosis (I). Hubieron 8 mujeres y 7 hombres cuyas edades variaron entre 40 y 76 años; 10 fueron operados electivamente; los diagnósticos incluyeron: colecistitis crónica calculosa + coledocolitiasis, colecistitis aguda + coledocolitiasis con y sin colangitis, parasitosis biliar y litiasis residual coledociana + colangitis. En 5 pacientes utilizamos Nylon de pescar tradicional con aguja traumática y en 10 Nylon de pescar con aguja atraumática (WENCHY (MR)). Todas las anatomosis fueron en un solo plano y puntos separados. No encontramos ninguna complicación dependiente del material utilizado en la anastomosis, no hubo escape anastomótico y se restableció la ingesta oral total a los 4 días en promedio. La utilización del Nylon de pescar, tanto el tradicional como el comercial (WENCHY (MR )) determinaron reducción de costos respecto a otras suturas comerciales. El uso del nylon con aguja atraumática facilitó la realización de la anastomosis, sobre todo cuando estuvo presente un proceso inflamatorio agudo.

In order to determinate the use of fishing nylon in the biliary-enteric derivations, we studied 15 patients in whose we made choledochus-duodenum anastomosis (n=14) and hepatic-jejunum anastomosis Roux-en-Y loop (n=l). There were 8 women and 7 men, aged from 40 to 70 years; IO were operated electively with these diagnostics: Gallstone cronic cholecystitis plus choledocholithiasis; acute cholecystitis plus choledocholithiasis with and without cholangitis; biliary parasitosis and retained duct stones plus cholangitis. In 5 patients we used traditional fishing nylon with traumatic needle and in 10 fishing nylon with atraumatic needle (WENCHY TM). In all of them the anastomosis were in a single level. We didn't find any complication depending Of the material used in the anastomosis, there was not anastomotic evasion and the oral food intake was restored in approximately 4 days. The use of fishing nylon, traditional as the commercial (WENCHY TM ), determinated Iower cost compared to other commercial sutures. The use of atraumatic needle facilited that anastomosis construction, and it was most evident when there was an inflamatory process.