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ResumenIntroducciónLa evisceración posquirúrgica es una complicación con origen multifactorial. Los estudios para prevenirla modifican la técnica de cierre. La técnica reinforced tensión line (RTL) se ha usado en el tratamiento de hernias incisionales.Material y métodosEnsayo clínico en pacientes sometidos a laparotomía media. Se formaron dos grupos: 1) control con cierre habitual, y 2) grupo experimental con la técnica RTL. Se evaluó la presencia de evisceración posquirúrgica.ResultadosTerminaron el estudio 89 pacientes. Se presentaron un total de 9 (20%) y 2 (4.5%) evisceraciones, con diferencia a favor de la técnica RTL con una p de 0.0273.ConclusionesSe encontró que la técnica RTL reduce la incidencia de evisceración posquirúrgica.AbstractBackgroundPostsurgical evisceration is a complication, its origin is multifactorial. There are reports in the literature to prevent changing the closing technique. Reinforced tension line technique (RTL) has proven useful in the treatment of incisional hernias.Material and methodsClinical trial in patients undergoing midline laparotomy first time, two groups were formed the control group was sutured with the principles of Jenkins and the experimental group with RTL technique. The presence of postoperative evisceration between the two groups and associated complications were evaluated.ResultsCompleted the study 89, a total of 9 (20%) evisceration in the control group and 2 (4.5%) occurred in the study group, with statistical significance in favor of the RTL technique with p 0.0273.ConclusionIt was found that the RTL technique reduces the incidence of postoperative evisceratio

Comparación de dos técnicas de sutura para cierre aponeurótico en laparotomía media en pacientes con alto riesgo de evisceración posquirúrgica