Introduction
Anastomotic leakage is a complication of intestinal anastomosis, with an incidence of 2%–7% in centers of experience. To be able to achieve an early detection, serological markers such as Procalcitonin were included.
Methods
Descriptive retrospective cohort study of patients taken to colorectal surgery with intestinal anastomosis, the objective is to estimate association between procalcitonin (≥2 ng/dl) as an early inflammatory marker and anastomotic leakage in a Coloproctological Service of a highest level of health care hospital, between September 2017 and January 2019.
Results
Cohort of 237 patients, 51% women (18–89 years), with multiple comorbidities in 81% of patients, colon cancer was the most operated pathology (53.1%). Laparoscopic approach was the most applied 60.34%, colorectal anastomosis was the most frequently performed (47.26%). Ileocolic anastomosis presented a higher frequency (43.75%-n:7) of dehiscence. Anastomotic leakage was associated with a serum procalcitonin positive 3 days postoperatively (p-value <0.05). Patients with a positive result had 4.28 times higher risk of presenting an anastomotic leak, compared to this risk in those patients with negative results 3 days postoperatively, this association was statistically significant 95% CI (1.34–14.16); p value <0.05.
Conclusion
Anastomotic leakage is a source of morbidity in patients taken to intestinal anastomosis. It's necessary to guarantee an early diagnosis of this complication, prevent abscesses and secondary peritonitis, providing adequate treatment and even reducing the associated mortality. We recommend including the procalcitonin in the assessment protocol on the third day of postoperative follow-up.
SUMMARYObjective: To make the cheiloscopic analysisin dental students of the city of Calithrough the impression of the lip furrowsin fine cardboard paper and digital photographyof the lips.Material and Methods: Observationalstudy of descriptive type that determinedthe pattern of lip furrows through Renaud’smethod in 47 dental students (24 womenand 23 men) of the University del Vallebelonging to predominantly Caucasoid raciallymixed ethnic group. The contingencycoefficient was used to associate the patternof lip furrows between gender, superior andinferior lips, right and left quadrants, andphotographs and impressions. A p<0.05was considered statistically significant.Results: The more frequent patterns of lipfurrows for men and women were the A andthe C. There were not associations betweensex and the patterns of lip furrows in thesuperior and inferior lips, or right and leftsides. There was a high correlation betweenthe digital photography and the labial paperimpression. It was not observed sexual dimorphism,but it was observed bilateralityin the same lip.Conclusions: The Renaud’s method demonstratedto be very limited since therewere found 19 identical cheiloscopic formulas,since the description of the patternof labial prints does not consider either thenumber or distribution of furrows withinthe lip. For that reason, and given to the lowcorrelation between men and women andaccording to the findings of this study, thepattern of labial furrows can be consideredonly and unique.Key words: Forensic Sciences, forensicodontology, cheiloscopy, lip prints.
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