Comparison of mechanical suture with manual suture of the pharynx in total laryngectomy
Main Article Content
Keywords
Mechanical suture, pharyngocutaneous fistula, total laryngectomy, pharyngorraphy, laryngeal cancer
Abstract
Introduction: Mechanical suture is an option for the closure of the pharyngorrhaphy in total laryngectomy due to laryngeal cancer. Aim: To compare the use of linear mechanical suture with manual pharyngeal suture during total laryngectomy for laryngeal cancer. Material and Method: A prospective experimental study was carried out. Two patient groups were compared: patients with mechanical suture from 2018 to March 2020 and patients with manual suture prior to January 2018 at the otorhinolaryngology service of the Barros Luco Hospital. Postoperative pharyngocutaneous fistula (FFC), operative time, hospital stay and cost were analyzed. Results: The study included 14 patients, each group with n = 7. The group with me- chanical suture presented 0% of FFC and the group with manual suture 28%. The group with mechanical suture restarted feeding at 7 days and the group with manual suture on average at 11.5 (7-23) days (p = 0.0023). The average surgery time for the experimental group was 288 ± 37.4 minutes, while for the group with manual suture was 311 ± 32.4 minutes (p = 0.0176). The mean hospitalization for the experimental group was 11 ± 2.6 days (9 to 16), and for the control group it was 21 ± 14 days (10 to 49) (p < 0.0001). Conclusion: The mechanical suture is an easy to use and safe procedure. There would be a benefit in the use of mechanical suture for pharyngeal closure when buying it with manual suture by reducing the number of FFCs, operative time and days of hospitalization.
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
El envío de un manuscrito supone que los autores declaran ser titulares originarios y exclusivos de los derechos de autoría sobre el artículo, de conformidad a lo dispuesto en la ley 17.336 sobre Propiedad Intelectual en Chile.
La Revista de Otorrinolaringología y Cirugía de Cabeza y Cuello da acceso libre (Open Access) a su contenido.
Esta obra está bajo una licencia Creative Commons CC BY 4.0. Esta licencia permite el uso de los contenidos, pero no permite un uso comercial de la obra original, y el artículo puede ser modificado y distribuido, pero bajo la misma licencia que el material original. Además, permite a terceros utilizar el contenido publicado siempre que hagan referencia a su publicación en esta revista.
La Revista de Otorrinolaringología y Cirugía de Cabeza y Cuello no realiza cargos por acceder a los artículos publicados ni se realizan cobros a los autores por la recepción y publicación de artículos.