Examinando por Autor "Quispe Abarca, Alicia Maribel"

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    Effectiveness of primary closure versus delayed closure surgical techniques in reducing complications in neonates with gastroschisis treated in critical care units
    (Universidad Privada Norbert Wiener, 2019-06-30) Contreras Sánchez, Patricia; Quispe Abarca, Alicia Maribel; Calsin Pacompia, Wilmer
    Objective: Systematize the evidence on the effectiveness of the primary closure versus delayed closure surgical technique in reducing complications in neonates with gastroschisis treated in critical units. Materials and Methods: The type of research was quantitative, the study design was carried out through systematic review, the population was made up of 86 articles, and the sample was made up of 10 scientific articles published and indexed in scientific databases, the instrument was search in databases: Scielo, Cochrane library, Pubmed, Medline, EBSCO, TRIPDatabase, Dialnet and Lilacs. To evaluate the articles, the GRADE system was used, which evaluated the quality of evidence and the strength of recommendation. Results: The study included 10 scientific articles, of which in the primary closure group better results were evident through a significant reduction in complications such as: early initiation of enteral feeding, duration of parenteral feeding and hospital stay; On the other hand, in the delayed closure group the mechanical ventilation time was significantly shorter. Conclusions: 50% of the authors conclude that the primary closure surgical technique is effective, since fewer complications occur such as: early start of enteral feeding, duration of parenteral feeding is shorter, hospital stay and decreased surgical wound infections take less time; while 30% of the authors conclude that delayed closure is effective because it presents fewer days of mechanical ventilation, and less incidence of intra-abdominal pressure; and 20% of the authors conclude that both techniques are effective since there was a lower incidence in cases of sepsis, a shorter hospital stay, and a faster start of enteral feeding and a shorter time of mechanical ventilation.