ABSTRACT
El drenaje percutáneo de los abscesos intraabdominales se ha convertido en el procedimiento más adecuado para su tratamiento, pero en ocasiones y, sobre todo, cuando el absceso es multiloculado, su resolución es complicada. Hace años que se viene utilizando con éxito la urocinasa intracavitaria para tratar los empiemas pleurales tabicados. Presentamos 2 casos de pacientes con abscesos intraabdominales tratados con drenaje percutáneo e instilación de urocinasa (AU)
Subject(s)
Adult , Aged , Female , Male , Humans , Abdominal Abscess/therapy , Suction , Drainage/methods , Urokinase-Type Plasminogen Activator/therapeutic use , Empyema, Pleural/therapy , Appendicitis/complications , Crohn Disease/complicationsABSTRACT
HYPOTHESIS: The elective treatment of a spigelian hernia is still under discussion, fundamentally owing to its rarity. The purpose of the study is to analyze the elective surgical treatment of spigelian hernia. DESIGN: A prospective, randomized controlled trial. SETTING: University teaching hospital. PATIENTS AND INTERVENTIONS: Two surgeons performed 11 conventional and 11 laparoscopic repairs for a spigelian hernia, alternating roles as primary surgeon and assistant. Each time the type of technique was randomly chosen using a computerized program. MAIN OUTCOME MEASURES: Epidemiological, clinical, and surgical factors are analyzed according to treatment, ie, the open or laparoscopic approach. RESULTS: The statistical study shows no significant differences for epidemiological or diagnostic factors, but it does show significant advantages for laparoscopy in terms of morbidity (P<.05) and hospital stay (P<.001). CONCLUSION: The approach using extraperitoneal laparoscopy is the technique that offers best results in the elective treatment of spigelian hernia.