Examinando por Materia "Cirugía Colorrectal"

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    Effectiveness of Enhanced Recovery Program Versus Conventional Care in Decreasing Hospital Stay in Colorectal Surgery Patients
    (Universidad Privada Norbert Wiener, 2020-01-25) Niebles Sotelo, Estefania; Padilla Chacpi, Jackeline Fabiola; Basurto Santillán, Ivan Javier
    Material and methods: Systematic retrospective and quantitative observational review, subject to criticism, using the Grade evaluation method to establish the level of evidence, located in the following information sources: Researchgate, Sciencedirect, Epistemonikos, PubMed, Scielo. Of the 10 articles systematically reviewed, 80% are of high quality as described below: 50% (n= 5/10) are meta-analysis, 20% (n= 2/10) systematic review, 10% ( n= 1/10) is a randomized controlled trial and 20% of moderate quality as described below: 20% (n= 2/10) cohort studies. They come from the countries of the United States (20%), England (20%), China (20%), Italy (10%), Norway (10%), New Zealand (10%) and Holland (10%). Results: Of the evidence found, 100% (n=10/10) evidence concludes that the enhanced recovery program is more effective than conventional care in reducing hospital stay in colorectal surgery patients. Conclusion: 10/10 evidence concludes that the enhanced recovery program is more effective than conventional care in reducing hospital stay in colorectal surgery patients.
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    ÍtemAcceso abierto
    Effectiveness of Surgical Care Bundles in Reducing the Risk of Surgical Site Infections in Patients Undergoing Colorectal Surgery
    (Universidad Privada Norbert Wiener, 2020-08-02) Rodriguez Oro, Kharen Fabiola; Arevalo Marcos, Rodolfo Amado
    Objective: Systematize evidence on the effectiveness of surgical care bundles to reduce the risk of surgical site infections in patients undergoing colorectal surgery. Material and methods: Systematic retrospective and observational review subject to critical reading and using the GRADE system as an evaluation tool to identify the quality of scientific evidence published in the following sources of information. Epistemonikos, Scielo, Sciencedirect Researchgate and PubMed. Of the 10 articles systematically reviewed, 20% of high quality and 80% of moderate quality are described below: 20% (n= 2/10) are meta-analyses and 80% (n= 8/10) are cohort studies respectively and belong to the countries of the United States (60%), Japan (10%), Australia (10%), Holland (10%) and England (10%).Results: 100% (n=10/10) indicate that surgical care bundles are effective in reducing the risk of surgical site infections in patients undergoing colorectal surgery. Conclusion: Surgical care bundles are effective in reducing the risk of surgical site infections in patients undergoing colorectal surgeries.
  • Miniatura
    ÍtemAcceso abierto
    Effectiveness of versus colorrectal laparoscopic surgery open colorrectal surgery in reducing postoperative stay
    (Universidad Privada Norbert Wiener, 2019-11-17) Meza Huaynates, Iris Marleny; Fernández Concha Lozano, Pamela Milagros; Calsin Pacompia, Wilmer
    Objective: Systematize evidence on the effectiveness of laparoscopic colorectal surgery versus open colorectal surgery in reducing postoperative stay. Materials and methods: The research type was quantitative, with a systematic review study design. The population consisted of 24 articles, and the sample was made up of 10 scientific articles. The instrument used was a search in databases: Scielo, PubMed, and EBSCO. The articles were evaluated using the GRADE system. Results: Of the articles, 60% showed more effective results in postoperative quality of life, and 40% showed more effective results in both intraoperative and postoperative quality of life. Study designs included 60% systematic reviews, 30% meta-analyses, and 10% randomized clinical trials. Conclusions: It was concluded that 90% of the studies show that laparoscopic colorectal surgery was more effective than open surgery due to less pain, shorter hospital stay, minimal invasiveness, smaller incision length, less blood loss, normal intestinal function, better aesthetics, faster mobilization, and better postoperative recovery. On the other hand, 10% of studies show that open colorectal surgery was more effective than laparoscopic surgery due to fewer intraoperative complications.