Examinando por Materia "Laparoscopía"

Mostrando 1 - 20 de 22

Acceso abierto
Conocimiento y práctica del proceso de esterilización del instrumental de laparoscopía del personal de enfermería en la central de esterilización en un Hospital Público Chanchamayo, 2025
(Universidad Privada Norbert Wiener, 2025-10-05) Zambrano Rivera, Christel Liz; Mejía Quispe, Juan Carlos
Objetivo: “Determinar la relación entre el conocimiento y la práctica del proceso de esterilización del instrumental de laparoscopía por parte del personal profesional de enfermería en la central de esterilización de un hospital público en Chanchamayo, 2025”. Métodos: Se realiza una investigación cuantitativa, práctica, con un diseño no experimental, de tipo correlacional y con un enfoque transversal. La población censal estará formada por 80 enfermeros de la central de esterilización. Se utilizará un cuestionario validado de 20 ítems para evaluar el conocimiento en tres dimensiones: limpieza, desinfección y esterilización, con una confiabilidad de alfa de Cronbach de 0.845. Para evaluar las prácticas, se utilizará una lista de cotejo validada, con un coeficiente de confiabilidad KR-20 de 0.823, centrada en actividades como inspección, empaque y secado. Los datos se recopilarán mediante encuestas y observaciones directas, y se analizarán con SPSS 26. Los hallazgos se mostrarán mediante tablas y gráficos, con el objetivo de mejorar la formación del personal y hacer más eficientes los procesos de esterilización, lo que ayudará a garantizar la seguridad de los pacientes durante las cirugías.
Acceso abierto
Effectiveness of heated and humidified CO2 for reducing intraoperative hypothermia in patients undergoing laparoscopic surgery
(Universidad Privada Norbert Wiener, 2021-11-07) Jesús Arias, Henry Ramón; Bastidas Solis, Miriam Cecilia
Objective: To analyze and systematize the evidence on the effectiveness of heated and humidified CO2 for reducing intraoperative hypothermia in patients undergoing laparoscopic surgery. Materials and methods: The type of research was quantitative, the study design was a systematic review, the population was 45 articles, and the sample was 10 scientific articles published and indexed in scientific databases, the instrument was a search in the databases: Cochrane Library, Scielo, PubMed and EBSCO, for the evaluation of the articles the GRADE system was used which evaluated the quality of evidence and the strength of recommendation. Results: Of the 100% articles, 10% correspond to Canada, 10% France, 20% Australia, 10% United Kingdom, 20% New Zealand, 10% Sweden, 10% Austria and 10% Germany. In relation to the designs and types of studies, 50% were randomized clinical trials, 20% systematic review, 20% meta-analysis and 10% retrospective. Conclusions: It was concluded that 60% of the studies showed that heated and humidified carbon dioxide (CO2) was effective in reducing intraoperative hypothermia in patients undergoing laparoscopic surgery, reducing postoperative pain, reducing the consumption of analgesics, therefore reducing the cost per patient, improving patient survival and patients had fewer adverse effects and 40% showed that carbon dioxide (CO2) was not effective since it was not able to show significant changes in the intraoperative body temperature of patients operated on with this gas and there was fogging of the chamber.
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 laparoscopic gastrectomy in patients with gastric cancer
(Universidad Privada Norbert Wiener, 2018-11-25) Peña Lorenzo, Lis Oliva; Reyes Tineo, Thalia del Pilar; Calsin Pacompia, Wilmer
The type of research was quantitative, systematic review study design, the population is 18 articles; The sample includes 10 scientific articles published and indexed in scientific databases, the database search instrument: Scielo, Pubmed, EBSCO, Lilacs, Lipecs, cochrone plus, World Journal of Gastroenterology, for the evaluation of the articles is the Method GRADE, which evaluated the quality of evidence and the strength of recommendation.
Acceso abierto
Effectiveness of laparoscopic surgery versus conventional surgery to promote recovery of patients after appendicitis surgery
(Universidad Privada Norbert Wiener, 1905-07-09) Mego Guevara, Alidia; Remuzgo Artezano, Anika
Objective: Determine the effectiveness of laparoscopic surgery versus conventional surgery to promote the recovery of patients after appendicitis surgery. Methodology: Systematic observational and retrospective review, the search has been restricted to articles with full text, and the selected articles were subjected to a critical reading, using the Jover evaluation to identify their degree of evidence. Results: in the final selection, 15 articles were chosen, most of which are of a quasi-experimental quantitative type where it is evident that laparoscopic surgery has multiple advantages in patient recovery. When small incisions are made, the patient's recovery is faster, there is less pain and the disability is shorter, they can resume their normal activities quickly, they can walk, go up and down stairs, leave their house, shortly after be intervened. Conclusions. It was evident in the research reviewed that laparascopic surgery has more advantages and benefits the patient compared to conventional surgery.
Acceso abierto
Effectiveness of laparoscopic surgery versus robot- assisted surgery in hysterectomy
(Universidad Privada Norbert Wiener, 2019-12-14) Aliaga Sihuayro, Luz Marina; Sosa Colqui, Amparo Soledad; Calsin Pacompia, Wilmer
Objective: To analyze and systematize the evidence on the effectiveness of laparoscopic surgery versus robot-assisted surgery in hysterectomy. Materials and methods: Quantitative type and systematic review design, with a population of 22 articles, and a sample of 10 articles. Results: Michele Scandola, in his study, concluded that robot-assisted surgery is more effective, with a shorter operative time compared to conventional laparoscopic surgery. Ahmet Gocmen, in his study, concluded that conventional laparoscopic surgery is more effective due to a shorter operative time and shorter hospital stay. Conclusions: It was concluded that the effectiveness of laparoscopic surgery was 60%, while robot-assisted surgery accounted for 40%.
Acceso abierto
Effectiveness of laparoscopic versus robotic surgery for the care of patients with gastric cancer in the removal of tumors
(Universidad Privada Norbert Wiener, 2020-02-29) Delesma Ventura, Josseline Lizet; Díaz Cubas, Natolía; Fernández Rengifo, Werther Fernando
Objective: To systematize the evidence on the effectiveness of laparoscopic surgery versus robotic surgery for the treatment of gastric cancer patients in tumor removal. Materials and Methods: A quantitative research approach was used, and the study design involved a systematic review. The population consisted of 46 articles, with a sample of 10 scientific articles published and indexed in scientific databases. The search covered the following databases: Scielo, PubMed, Epistemonikos, Cochrane Plus, and EBSCO. The articles were evaluated using the GRADE system, which assessed the quality of evidence and the strength of recommendations. Results: Ten articles were analyzed in this study. These articles showed that the most commonly used method was meta-analysis, which accounted for a higher percentage (40%) compared to other research designs. Conclusions: It was concluded that 60% of the studies demonstrate that laparoscopic surgery was effective in the treatment of gastric cancer, as it showed the patient's quick recovery, was cost-effective, and resulted in fewer adverse effects, thus reducing the incidence of possible complications. However, 40% of the studies indicate that robotic surgery is a promising approach for the treatment of gastric cancer, particularly regarding safety, feasibility, technique, and oncological efficacy.
Acceso abierto
Effectiveness of vaginal hysterectomy versus vaginal hysterectomy assisted by laparoscopy in patients with uterine pathologies
(Universidad Privada Norbert Wiener, 2018-11-04) Sanchez Julián, Sandra Marisol; Calsin Pacompia, Wilmer
Materials and Methods: The study design of this research was quantitative, and the study design was a systematic review. The population consisted of a total of 50 scientific articles, and the sample was made up of the bibliographic review of 10 scientific articles. The quality of the evidence and the strength of recommendations were evaluated using the GRADE system. Results: In summary, 8 out of the 10 pieces of evidence found indicate that vaginal hysterectomy is more effective, as the patient underwent surgery with a shorter time, not prolonged. Additionally, bleeding was less, and patients were reintegrated into their daily activities in a minimal amount of time, with a reduction in postoperative pain. Conclusions: It was concluded that out of the 10 studies, 100% of the articles, 80% of them show the effectiveness of vaginal hysterectomy, as it is a useful method with better outcomes in managing patients with various uterine pathologies, unlike 20% of the articles that also support elective surgery, but the benefits are not the same.
Acceso abierto
Efficacy of conventional surgery versus laparoscopic surgery in patients with appendectomy
(Universidad Privada Norbert Wiener, 2017-11-12) Guerrero Macha, Patricia Mabel; Paredes Ursula, Cecilia Margaret; Calsin Pacompia, Wilmer
Materials and methods: Systematic observational and retrospective review, the search has been restricted to articles with full text and the selected articles were subjected to a critical reading, using the Grade evaluation to identify their level of evidence. In the final selection, 10 articles were chosen, the majority having been analyzed according to research design: longitudinal studies with 50%, systematic review with 20%, descriptive studies with 20% and cohort studies with 10%. Results: It was evident in the research reviewed that 70% of the effectiveness of laparoscopic surgery is greater than conventional surgery, since the results presented benefits in terms of decreased hospital stay (60%), less pain in the recovery (40%) and prompt reintegration to daily activities (30%), on the other hand, 30% of the studies reveal that both procedures are effective, and that although the laparoscopic approach presents fewer alterations in the surgical wound It still presents a higher economic cost compared to the conventional one, and in terms of the other variables, no major difference was found in both procedures. Conclusion: It is concluded that laparoscopic surgery is more effective compared to conventional surgery since it presents greater benefits.
Acceso abierto
Efficacy of laparoscopic inguinal hernia surgery versus conventional inguinal hernia in patients who have undergone this surgical intervention
(Universidad Privada Norbert Wiener, 2017-07-02) Vargas Rengifo, Liz Yuliana; Paucar Zuasnabar, Graciela; Remuzgo Artezano, Anika
Materials and Methods: In the final selection, 10 studies were chosen, the systematic review of the 10 scientific articles on the effectiveness of laparoscopic inguinal hernia surgery versus conventional inguinal hernia in patients who have undergone this surgical intervention, were found in the following Lilacs, Scielo, Pubmed, Medline and Cochrane databases, all of them correspond to the type and design of studies Meta-analysis 01, Systematic Review and Meta-analysis 01, Systematic Review 07 and Randomized Clinical Trial 01. Results: The 10 articles systematically reviewed, 80% (n=08/10) of these, show the better effectiveness of laparoscopic inguinal hernia surgery compared to conventional surgery, it has a better result and is a viable and safe strategy for the patient undergoing this surgical intervention, in addition to reducing the days of hospital stay. Conclusion: The evidence confirms that the best intervention for cases of inguinal hernia is laparoscopic surgery.
Acceso abierto
Efficacy of laparoscopic versus conventional surgery in decreasing complications in adult patients with obesity.
(Universidad Privada Norbert Wiener, 2018-03-25) Barbarán Rojas, Katherin; Rivera Vega, Maribel Nagelly; Gamarra Bustillos, Carlos
It is an observational and retrospective systematic review. In the final selection, 10 articles were chosen that demonstrate the effectiveness of laparoscopic interventions compared to conventional ones in reducing surgical complications in obese patients; reducing hospitalization days, lower risk of infection, wound dehiscence and intra-abdominal access.
Acceso abierto
Efficacy of laparoscopic versus open nephrectomy in reducing complications and hospital stay in adult living donors.
(Universidad Privada Norbert Wiener, 2017-08-05) Gutierrez Comun, Pilar; Pecho Zegarra, Leonor Dolores; Remuzgo Artezano, Anika
Objective: To evaluate whether laparoscopic nephrectomy is more effective than open nephrectomy in reducing complications and hospital stay in adult living donors. Materials and methods: The systematic review of 10 scientific articles found in the following databases: PubMed, Clinical Key, Springer Link, OvidInsights beta, Wiley One Library. These sources allowed us to find 10 scientific pieces of evidence. Among the 10 pieces of evidence, 60% (6/10) are experimental studies, 30% (3/10) are systematic reviews, and 10% (1/10) is a meta-analysis. Results: 100% (n = 10/10) of the evidence found (15,16,17,18,19,20,21,22,23,24,25) indicate that laparoscopic nephrectomy is more effective in reducing complications and hospital stay in adult living donors. Conclusion: Laparoscopic nephrectomy is more effective than open nephrectomy in reducing complications and hospital stay in adult living donors.
Acceso abierto
Efficacy of laparotomy compared to laparoscopic surgery in decreasing hospital stay in adults with endometrial cancer.
(Universidad Privada Norbert Wiener, 2018-07-08) Ramírez Arratea, Diané Carolina; Barrios Orosco, Isabel Rosa; Rivera Lozada de Bonilla, Oriana
In summary, 90% of studies indicate that recurrence after laparoscopic surgery for endometrial cancer was similar to those of laparotomy procedures, and 10% reported that hospital stay was shorter after laparoscopy compared to laparotomy, due to its effectiveness in managing patients with endometrial cancer. It is concluded that 9 out of 10 studies show laparoscopy as the most effective method, allowing complete treatment, postoperative recovery, and lower morbidity compared to laparotomy. The best evidence indicates that survival in patients with endometrial cancer treated via laparoscopy compared to laparotomy has a greater advantage, making laparoscopy a viable alternative to laparotomy for endometrial cancer.
Acceso abierto
Efficacy of total abdominal hysterectomy versus total laparoscopic hysterectomy in patients with cervical cancer and uterine fibroids.
(Universidad Privada Norbert Wiener, 2018-11-25) Riega Medrano, Cynthia Fiorella; Salazar Chumbimuni, Joselyn Maritza; Calsin Pacompia, Wilmer
The study was quantitative, with a systematic review design. Data collection was done through a literature review of national and international research articles that aimed to evaluate the effectiveness of total abdominal hysterectomy versus laparoscopic hysterectomy in patients with cervical cancer and uterine fibroids. Twenty scientific articles were reviewed, with a sample of 10 articles published in scientific databases in Spanish and English, no older than ten years. The selected articles were evaluated using the GRADE method, which allowed for the assessment of the quality of evidence and grading the strength of recommendations in the context of clinical practice guidelines development and systematic reviews. Ten scientific articles were reviewed, of which 30% were retrospective, 20% were quasi-experimental, 20% experimental, 20% systematic review, 10% prospective, and 10% observational. Ninety percent of the reviewed articles concluded that total laparoscopic hysterectomy is more effective than total abdominal hysterectomy. In the systematic review of the 10 scientific articles, it was concluded that 90% of them found that total laparoscopic hysterectomy is more effective than total abdominal hysterectomy in patients with cervical cancer and uterine fibroids.
Acceso abierto
Efficiency of reprocessing single-use medical devices
(Universidad Privada Norbert Wiener, 1905-07-09) Enciso Luque, Doris Angelica; Espinoza Dominguez, Ana Luz; Mendigure Fernández, Julio
Of the articles reviewed, 44.44% agree that the reprocessing of single-use medical devices is effective until the fourth reprocessing without altering its functionality; changes in mechanical and structural properties were more evident from the fifth reprocessing. Regarding single-use medical devices that were subjected to challenge contamination, 66.67% of the articles reviewed demonstrated absence of bacterial growth. Microbiological results regarding laparoscopic surgery instruments, high-resolution forceps, cardiac catheters, high-rotation handpieces and electric scalpels; It was negative in all cases.
Acceso abierto
Knowledge about cleaning laparoscopic surgery instruments and the practices of nursing professionals in the Surgical Center, General Hospital Jaen Cajamarca 2024
(Universidad Privada Norbert Wiener, 2024-05-05) Suárez Bazán, Gladys Cecilia; Mori Castro, Jaime Alberto
The aim of this study was to determine the relationship between the knowledge about cleaning laparoscopic surgery instruments and the practices of nursing professionals in the Surgical Center. Methods: We will work with an applied methodology, under a quantitative approach, of non-experimental cross-sectional design, with the contribution of information from 30 nursing professionals of the Surgical Center of the General Hospital Jaén Cajamarca 2024. For data collection, the survey and observation technique were used, with a questionnaire and a collation sheet as instruments, both validated and reliable. After its application, it will be possible to collect data that will be coded and recorded in a data matrix which will receive a statistical treatment through the Spss 25.0 program, with a descriptive and inferential technique, the latter being through Spearman's Rho, which is a test that will corroborate the validity and veracity of the study hypotheses. with which to be able to provide the conclusions reached in the measurement of the study variables.
Acceso abierto
Knowledge and practice of the cleaning, disinfection and sterilization process of laparoscopic instruments in the surgical center nurses of a national hospital III-1 in Lima, July-October 2020
(Universidad Privada Norbert Wiener, 2020-10-04) Torres Huacani, Betzabe Adelaida; Pretell Aguilar, Rosa María
Objective: determine the levels of knowledge and practice of the cleaning, disinfection and sterilization processes of laparoscopic instruments in the surgical center nurses of a national level III-1 hospital in Lima, July-October 2020. Material and methods: quantitative research , descriptive and cross-sectional; It will be carried out in a national hospital of level of care III-1 in the department of Lima, in the surgical center service to a population of 34 nurses who make up the total sample of the population. The techniques to be used will be the survey and observation; and, the instruments will be the questionnaire and checklist, which were designed by the researchers fernández and rosillo in their work entitled “knowledge and practice of the cleaning, disinfection and sterilization process of laparoscopic surgery instruments, hospital iii josé cayetano heredia piura, 2016”; which were validated through expert judgment using the corrected rank proportion coefficient, obtaining 0.929 and 0.957 respectively; and were subjected to pilot testing, they have Crombach's alpha reliability of 0.864 for the questionnaire, and 0.893 for the checklist. The information will be tabulated in Microsoft Excel, and its analysis will be processed in frequencies and percentages.
Acceso abierto
Knowledge and practice of the cleaning, disinfection and sterilization process of laparoscopic surgery instruments at the Moquegua regional hospital, Lima - Peru, 2021
(Universidad Privada Norbert Wiener, 2021-09-05) Copa Linares, Diana Leidy; Fernández Rengifo, Werther Fernando
Objective: Determine the relationship between the level of knowledge and the practice of the cleaning, disinfection and sterilization process of laparoscopic surgery instruments at the Moquegua Regional Hospital. Methodology: It is a cross-sectional, non-experimental correlational study. The population will be made up of the registered personnel of the surgical center and sterilization center service. The technique that will be used are Instruments that will help collect the data: The collection of information will be carried out through the survey and observation technique; A questionnaire and a checklist will be used as instruments. During processing, authorization will be requested and applied. The reliability through the SPS - VS 17 program, the reliability through the analysis of Crombach's Alpha coefficient, the Spearman Rank correlation test and for the analysis of Chi square variables, and it will be supported by the average of the correlations within the items. The data will be processed by the SPSS version 17 statistical package. In the final presentation, it will be observed through simple tables and bar graphs, which will lead to the interpretation of the results obtained and to be able to carry out the discussion. At the end, the conclusions and recommendations of the study.
Acceso abierto
Knowledge and practice of the sterilization process of laparoscopy instruments in the nurses of the sterilization center of the Lambayeque Regional Hospital, 2022
(Universidad Privada Norbert Wiener, 2022-11-27) Díaz Chilón, Nancy; Gamarra Bustillos, Carlos
Introduction: The UPSS Central Sterilization has the purpose of providing safe supplies to be used on the patient with criteria of efficiency, timeliness and quality. The objective of the work under study is: Determine the relationship between knowledge and practice of the sterilization process of laparoscopy instruments in the nurses of the sterilization center of the Lambayeque Regional Hospital, 2022. Material and methods: Hypothetical-deductive, with a quantitative approach , applied, cross-sectional, with descriptive correlational design. The population will be made up of the nurses from the sterilization center in a sample of 13 professionals. The technique used will be the survey and observation, the questionnaire will be applied through two instruments for knowledge and the checklist for practice, taken from the thesis carried out by the authors Fernández Rodríguez, Rosa and Rosillo Moscol, Alma, whose Validity of the questionnaire was CPRic=0.92962667, the checklist CPRic=095740444 and Crombach's Alpha reliability for the questionnaire was 0.864, for the Crombach's Alpha checklist it was 0.893, both instruments are reliable. The data obtained will be processed in the SPS statistical program, the statistical tests to be used will be Spearman and phi coefficient.
Acceso abierto
Laparoscopia en apendicitis aguda con peritonitis complicada en gestante de primer trimestre en clínica particular de Lima marzo 2022
(Universidad Privada Norbert Wiener, 2024-12-30) Portales Tapia, Araceli Del Rosario; Arone Palomino, Susana Filomena
Objetivo: Describir el manejo de apendicitis aguda complicada mediante tecnica laparoscopica en gestante de primer trimestre en Clínica privada de Lima en marzo 2022. Material y métodos: Estudio observacional, descriptivo, retrospectivo y revisión de caso clínico sobre el manejo de Laparoscopia en apendicitis aguda con peritonitis complicada en gestante de primer trimestre en clínica privada de Lima en marzo, 2022. Se realizó revisión de literatura para discusión de caso clínico. Descripción del caso clínico: Se presenta el caso de un paciente primigesta 7ss, quien ingreso por un cuadro de 2 días de evolución, caracterizado por dolor abdominal difuso de moderada intensidad asociado a nauseas, vómitos y deposiciones liquidas, mismas que fueron aumentando de intensidad paulatinamente. Mediante la correlación clínico-patológica se llegó al diagnóstico de Abdomen agudo - Apendicitis aguda. Al paciente se le realizaron exámenes para descartar etiologías infecciosas, fue tratado mediante antibióticos y analgesia, continuando el pase a sala de operaciones donde confirman el diagnostico de apendicitis con peritonitis generalizada. Paciente continua hospitalización por 5 días con monitoreo continuo antibiótico terapia analgesia horaria, control de drenaje Jackson pratt y BHE; al encontrarla estable al PO5 se le procede a retiro de drenaje y alta con indicaciones. Paciente continúa su gestación llegando a término en octubre 2022 vía parto por cesárea con recién nacido vivo sin complicaciones Conclusión: El diagnostico de apendicitis aguda en gestante del primer trimestre de una clínica en Lima se basa principalmente en el cuadro clínico correlacionados con exámenes e imágenes diagnósticas. En este caso en específico se utiliza laparoscopia como técnica menos invasiva donde no evidenciamos complicaciones a corto o largo plazo sobre la madre, el embrión o nacido vivo. A continuación se presenta el caso, junto con una revisión sobre el tema de apendicitis aguda; abarcando aspectos relevantes sobre su incidencia en la gestación, cuadro clínico y tratamiento.