Abstract

CUENCA, Osmar et al. Technique of reinforcement for the abdominal wall with longitudinal suture lateral to the incision (reiforced tension line-RTL) for midline closure in order to prevent evisceratio. Cir. parag. [online]. 2025, vol.49, n.1, pp.12-15. ISSN 2307-0420.  https://doi.org/10.18004/sopaci.2025.abril.12.

Introduction: Evisceration is a complication after a laparotomy, the RTL technique can prevent it. Objective: To describe results using the RTL technique for the prevention of evisceration in at-risk patients. Material and method: Prospective, observational, descriptive, cross-sectional study in a patient with risk factors for evisceration with a score greater than 6 on the Van Ramshorst scale using RTL technique for midline closure from March 2023 to February 2024, at the IICCQ Hospital de Clínicas FCM-UNA. Results: 30 patients with 6 or more risk factors for evisceration according to the Van Ramshorst scale were studied. Risk factors found: age, type of surgery, anemia, ascites, cough. Mean age was 55.2 ± 10.3 years, incision greater than 18 cm (63%) of patients, surgical time was 180 ± 165 minutes (50%), surgical site infection (20%), 1 (3.3%) death due to abdominal sepsis. 2 (6.7%). Conclusion: The RTL technique is a safe, fast, easy to perform technique, it can prevent eviscerations.

Keywords : Evisceración; cierre de línea media.

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