Ventajas de la desinvaginación neumática asistida por la laparoscopia versus técnica convencional.

Abstract

Introduction. It is relatively common to observe in infants the condition of intestinal invagination, its diagnosis and treatment are well defined given the clinical picture that is presented. Goal. To compare the surgical techniques, laparoscopy-assisted pneumatic disinvagination with the conventional technique (Laparotomy) in pediatric patients who underwent surgery during the period from January 2019 to December 2021 at the hospital Roberto Gilbert Elizalde. Methodology. A quantitative, retrospective relational study was used as a methodology, based on the analysis of the medical records of patients treated surgically during the period from January 2019 to December 2021; The data collected was processed in the statistical program SPSS Version 25, where percentage frequencies have been obtained and to observe the association between variables, the χ2 test, Results, was used. The average age was 1.3 years, of the total of 50 (100%) patients, 41 (82%) male and 9 (18%) female. 31 patients (62%) underwent pneumatic laparoscopy, while 18 (36%) underwent exploratory laparotomy + disinvaginating taxia. In a majority percentage, 47 patients (94%) underwent ultrasound while only 3 patients (6%) underwent tomography. In relation to surgical time, in 26 (52%) it was used up to 60 minutes, in 22 patients (44%) between 61 and 119 minutes and to a lesser degree, with 2 (4%) it was used from 120 or more. Conclusion. The procedure through laparoscopic-assisted pneumatic disinvagination, achieved advantages over the surgical procedure by laparotomy, since the former allowed to provide an excellent minimally invasive surgical treatment, appreciating significant differences regarding the different values of time, an early gastrointestinal transit and by making less invasive incisions, the recovery of patients has been faster.