Hernández-Flores Antonio Jhonatan, Rodríguez-Alfaro Sergio Elihu, Mendoza-Rodríguez Raúl, Méndez-Martínez Socorro, Ayón-Aguilar Jorge, García-Flores Máximo Alejandro, Aguilar-Cózatl Israel
Instituto Mexicano del Seguro Social, Hospital General de Zona No. 20, Servicio de Cirugía General. Puebla, Puebla, México.
Universidad Popular Autónoma del Estado de Puebla, Campus Central Puebla, Departamento de Ciencias de la Salud. Puebla, Puebla, México.
Rev Med Inst Mex Seguro Soc. 2025 Jul 1;63(4):e6168. doi: 10.5281/zenodo.15644313.
Acute appendicitis is the most common surgical emergency worldwide. Closure of the appendiceal stump is a critical step to prevent postoperative complications.
To compare postoperative outcomes of appendectomy using the Pouchet technique versus other appendiceal stump closure techniques.
This retrospective study analyzed medical records of patients over 18 years of age who underwent surgery for acute appendicitis at a secondary-level hospital. Postoperative outcomes were assessed based on the presence of infectious complications, operative time, and length of hospital stay, comparing the surgical techniques used: Pouchet, Halsted, Zuckerman, and Parker. Descriptive and inferential statistics were applied, using the chi-square test to estimate differences in postoperative outcomes, with a significance level of ≤ 0.05.
A total of 118 medical records were analyzed, of which 70 corresponded to female patients (59.3%), with a median age of 39 years (interquartile range: 18-92 years). The most commonly used surgical techniques were: Pouchet (74 cases; 62.7%), Halsted (27; 22.8%), Zuckerman (12; 10.1%), and Parker (5; 4.2%). The Pouchet and Halsted techniques showed statistically significant differences compared to other techniques in terms of shorter operative time and hospital stay (p = 0.000 and p = 0.011, respectively). Additionally, the Pouchet and Parker techniques were associated with statistically significant differences in the incidence of infectious complications (p = 0.030).
The Pouchet technique demonstrated the best postoperative outcomes in terms of operative time, hospital stay duration, and lower incidence of infectious complications.
急性阑尾炎是全球最常见的外科急症。阑尾残端的闭合是预防术后并发症的关键步骤。
比较使用普歇技术与其他阑尾残端闭合技术进行阑尾切除术后的结果。
这项回顾性研究分析了一家二级医院中18岁以上因急性阑尾炎接受手术的患者的病历。根据感染并发症的发生情况、手术时间和住院时间评估术后结果，比较所使用的手术技术：普歇、霍尔斯特德、朱克曼和帕克。应用描述性和推断性统计，使用卡方检验估计术后结果的差异，显著性水平≤0.05。
共分析了118份病历，其中70份对应女性患者（59.3%），中位年龄为39岁（四分位间距：18 - 92岁）。最常用的手术技术为：普歇（74例；62.7%）、霍尔斯特德（27例；22.8%）、朱克曼（12例；10.1%）和帕克（5例；4.2%）。在手术时间和住院时间方面，普歇和霍尔斯特德技术与其他技术相比有统计学显著差异（分别为p = 0.000和p = 0.011）。此外，普歇和帕克技术在感染并发症发生率方面有统计学显著差异（p = 0.030）。
就手术时间、住院时间和较低的感染并发症发生率而言，普歇技术显示出最佳的术后结果。
