Examinando por Materia "Colorectal Surgery"

Mostrando 1 - 4 de 4

Acceso abierto
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.
Acceso 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.
Acceso 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.
Acceso abierto
Mechanical vs. Manual Anastomosis: A Comparative Analysis of Postoperative Complications in Colon Cancer Patients at Guillermo Almenara Hospital in 2023
(Universidad Privada Norbert Wiener, 2023-09-10) Vasquez Moori, Angelo Fabrizio; Contreras Pulache, Hans Lenin
Introduction: Colorectal cancer represents a significant public health concern. Resection is the only curative treatment, but its complications significantly affect morbidity and mortality. In Peru, there are few comparative reviews on post-surgical complications related to the type of intestinal anastomosis (mechanical vs. manual). Objective: To compare post-operative complications between mechanical and manual anastomosis in patients with colon cancer operated on at the Guillermo Almenara Irigoyen National Hospital (HNGAI) in 2023. Method: A retrospective, observational, and analytical study was conducted using electronic medical records of 60 post-operative patients with mechanical and manual anastomosis. Results: No significant differences were found in the incidence of post-operative complications between the techniques (p=0.357), nor in specific complications such as ileus, ISO, and dehiscence. Predictors of dehiscence were identified, including perioperative transfusion (p=0.044) and a CRP value on the third post-operative day (PO3) ≥140 mg/l (p=0.012). Conclusions: Neither technique showed superiority in terms of post-operative complications. Both techniques are equally effective, and the choice will depend on individual factors, material availability, and surgeon preferences. Perioperative transfusion and elevated CRP in the post-operative period could predict complications such as anastomotic leakage.