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espanolRESUMEN Objetivo: Establecer si los cateteres incisionales proporcionan la misma analgesia para el control del DAP (dolor agudo postoperatorio) con menor numero de efectos secundarios que la analgesia epidural en pacientes postoperados de cirugia de colon abierta. Material y metodos: Se trata de un estudio de cohortes retrospectivo de 33 pacientes en los que se ha utilizado analgesia epidural entre noviembre de 2013 y noviembre de 2014 y prospectivo donde se utilizo un cateter colocado en la herida quirurgica entre noviembre de 2014 y noviembre de 2015 en 25 pacientes. Las variables a estudio fueron: demograficas (sexo, fecha de nacimiento, IMC, peso y altura, alergias medicamentosas, antecedentes personales y riesgo anestesico segun la escala ASA), duracion de la intervencion desde la hora de la incision quirurgica hasta la del cierre de la herida, tecnica quirurgica (colon derecho, izquierdo o sigma) y numero de cateteres utilizados. Resultados: Se incluyeron a 58 pacientes. Al 56,9 % se les suministro analgesia epidural. Los pacientes del grupo Incisional presentaron un aumento significativo del dolor entre los 150 minutos y las 24 horas (1,20 frente a 3,50 p EnglishABSTRACT Objective: To establish if the incisional catheters provide the same analgesia for the control of DAP (postoperative acute pain) with fewer side effects than epidural analgesia in postoperative patients of open colon surgery. Material and methods: This is a retrospective cohort study of 33 patients in whom epidural analgesia was used between November 2013 and November 2014, and prospective where a catheter placed in the surgical wound was used between November 2014 and November 2015 in 25 patients. The variables studied were: demographic (sex, date of birth, BMI, weight and height, drug allergies, personal history and anesthetic risk according to the ASA scale), duration of the intervention from the time of the surgical incision to the wound closure, surgical technique (right left or sigma colon) and number of catheters used. Results: We included 58 patients. 56.9 % were given epidural analgesia. Patients in the Incisional group had a significant increase in pain between 150 minutes and 24 hours (1.20 vs. 3.50 p

Analgesia epidural vs. analgesia en la herida quirúrgica para el control del dolor agudo postoperatorio en cirugía de color abierta