ABSTRACT
Durante el período de enero de 1982 a diciembre del 2004 se aplicó la sutura intestinal monoplano extramucosa, discontinua y a bordes invertidos (SIMEDI) en 580 pacientes con 25 enfermedades del tubo digestivo. El estudio fue prospectivo, analítico y descriptivo. La técnica se aplicó 703 veces porque hubo pacientes con más de una sutura y se empleó solamente en segmentos intestinales con serosa. Se realizaron 463 anastomosis, 171 enterorrafias y 69 cierres de un extremo intestinal. Se operaron 373 pacientes de forma programada y 207 pacientes, de urgencia. Hubo 85 pacientes que presentaron complicaciones, 13 de las cuales eran dependientes de la técnica y 72, no dependientes de ella. Las complicaciones dependientes fueron 12 dehiscencias de suturas y 1 estenosis. La combinación anastomótica término-lateral más latero-lateral y cierre de un extremo intestinal fue la que más complicaciones presentó. La neoplasia maligna gástrica y de colon derecho fueron las enfermedades con más complicaciones dependientes. Se ahorró material de sutura. La SIMEDI constituye una buena opción en la cirugía del tubo digestivo(AU)
In the period from January 1982 to December 2004, discontinuos extramucosal single layer intestinal suture on reversed edges was performed in 580 patients who had presented with 25 diseases of the digestive tract. A prospective, analytical and descriptive study was conducted. The technique was applied 703 times because there were patients with more than one suture and it was used only in intestinal segments with serose. Four hundred and sixty three anastomoses, 171 enterorrhaphies and 69 closures of an intestinal end were performed. Three hundred and seventy three patients were scheduled to be operated on whereas 207 patients were operated on due to emergency situation. There were 85 patients who developed complications, 13 had surgical technique-depending complications and 72 did not. Depending complications covered 12 suture dehiscence and one stenosis. The combination of termino-lateral plus latero-lateral anastomosis and closure of one intestinal end exhibited the highest number of complications. Malignant gastric and right colon neoplasias were the diseases with more surgical technique-depending complications. Suture material was saved. The discontinuos extramucosal single layer intestinal suture on reversed edges is a good choice in digestive tract surgery(AU)