Examinando por Materia "Blood Loss, Surgical"

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Acceso abierto
Effectiveness of laparoscopic distal gastrectomy compared to open distal gastrectomy in reducing intraoperative blood loss and hospital stay in patients with early gastric cancer
(Universidad Privada Norbert Wiener, 2018-11-25) Ildefonso Alberto, Ximena Genoveva; Villa Collazos, Katherin; Rivera Lozada De Bonilla, Oriana
Material and Methods: Systematic observational and retrospective quantitative review, subjected to critical selection, using the Grade evaluation system to identify the level of evidence, found in the following databases: Cochrane Library, British Medical Journal, PubMed, Lancet , Wiley Online Library, Journal of Rheumatology. The 10 articles reviewed systematically, 60% (n= 6/10) are Meta-analysis, 20% (n= 2/10) are cohort studies and 20% (n= 2/10) are randomized clinical trials. These studies come from the countries of China (50%), followed by Japan (10%), Australia (10%), Korea (10%), the USA (10%), and England (10%). Results: The evidence found, 100% (n=6/10) indicates that Laparoscopic Distal Gastrectomy is effective in reducing intraoperative blood loss and hospital stay in patients with early gastric cancer. Conclusion: Laparoscopic Distal Gastrectomy is effective in reducing intraoperative blood loss and hospital stay in patients with early gastric cancer.
Acceso abierto
Effectiveness of the harmonic scalpel for controlling intraoperative bleeding in patients undergoing surgery
(Universidad Privada Norbert Wiener, 2017-11-12) Huamán Islachín, Angela Rocío; Mendoza Valencia, María Eugenia; Perez Siguas, Rosa Eva
Objective: To systematize the evidence on the effectiveness of the harmonic scalpel for controlling intraoperative bleeding in patients undergoing surgical intervention. Materials and Methods: This is an observational and retrospective systematic review that synthesizes the results of multiple primary studies, which are an essential part of evidence-based nursing due to their rigorous methodology, identifying relevant studies to answer specific clinical practice questions. The search was restricted to full-text articles, and the selected articles underwent critical reading using the GRADE system to assign the strength of recommendations. Results: The studies were found in the following databases: Lilacs, Scielo, Pubmed, Medline, Ebsco. All studies correspond to the following study types and designs: systematic review and meta-analysis (3), meta-analysis (4), controlled clinical trial (1), randomized clinical trial (1), and meta-analysis of randomized clinical trials (1). 100% (n=10/10) of the studies evidence that the use of the harmonic scalpel is highly effective in controlling intraoperative bleeding during surgical interventions. Conclusions: All the scientific articles included in this systematic review provide evidence that the harmonic scalpel is effective in controlling intraoperative bleeding in patients undergoing surgical interventions. It should be emphasized that the evidence supporting this conclusion comes from studies of the highest level regarding the quality of evidence and strength of recommendation, and therefore, the use of the harmonic scalpel should be implemented in all surgical interventions.
Acceso abierto
Effectiveness of the harmonic scalpel for controlling intraoperative bleeding in patients undergoing surgery
(Universidad Privada Norbert Wiener, 2017-11-12) Huamán Islachín, Angela Rocío; Mendoza Valencia, María Eugenia; Perez Siguas, Rosa Eva
Objective: To systematize the evidence on the effectiveness of the harmonic scalpel for controlling intraoperative bleeding in patients undergoing surgical intervention. Materials and Methods: This is an observational and retrospective systematic review that synthesizes the results of multiple primary studies, which are an essential part of evidence-based nursing due to their rigorous methodology, identifying relevant studies to answer specific clinical practice questions. The search was restricted to full-text articles, and the selected articles underwent critical reading using the GRADE system to assign the strength of recommendations. Results: The studies were found in the following databases: Lilacs, Scielo, Pubmed, Medline, Ebsco. All studies correspond to the following study types and designs: systematic review and meta-analysis (3), meta-analysis (4), controlled clinical trial (1), randomized clinical trial (1), and meta-analysis of randomized clinical trials (1). 100% (n=10/10) of the studies evidence that the use of the harmonic scalpel is highly effective in controlling intraoperative bleeding during surgical interventions. Conclusions: All the scientific articles included in this systematic review provide evidence that the harmonic scalpel is effective in controlling intraoperative bleeding in patients undergoing surgical interventions. It should be emphasized that the evidence supporting this conclusion comes from studies of the highest level regarding the quality of evidence and strength of recommendation, and therefore, the use of the harmonic scalpel should be implemented in all surgical interventions.