Examinando por Materia "Prostatectomía"

Mostrando 1 - 3 de 3

Acceso abierto
Effectiveness of robotic surgery in patients undergoing prostatectomy
(Universidad Privada Norbert Wiener, 2019-01-06) Solis Mendoza, Angel David; Loayza Del Aguila, Noylalith Esther; Calsin Pacompia, Wilmer
Robotic surgery in prostatectomy is a minimally invasive technique, with a rapid recovery of the physiological functions of the surgically operated patient, since it implements the best techniques of regular surgery and incorporates them into a robot-assisted procedure. The robotic surgery procedure is a relatively new technique in Latin America. Its advantages of this robotic surgery are: ergonomic position for the surgeon, provides a three-dimensional vision in real time, improves the accuracy of movements by eliminating involuntary tremors, 360º rotation of the robot's wrist. Therefore, robotic surgery aims to reduce and recover functions in older adults in terms of; bleeding 60%, urination 60%, fistula reduction, 70% recovery of sexual activity, 70% recovery of perioperative time. Nursing staff should be aware of the need to adapt their work to new techniques related to robotic manipulation. For this, the nurse must update the knowledge in relation to this type of intervention through the Da Vinci system since it works in this novel technique and the continuous attention to the care provided at the time of surgery, the safety of the patient. and reducing surgical times speeds up surgery sessions.
Acceso abierto
Efficacy of continuous bladder irrigation in the management of Hematuria
(Universidad Privada Norbert Wiener, 1905-07-09) Rojas Reyes, Luz; Sanchez Espejo, Eloisa Ada; Gómez Gonzales, Walter Edgar
Objective: Determine the effectiveness and uses of continuous bladder irrigation in the management of urological events. Materials and methods: Systematic Reviews are an observational and retrospective research design, which synthesizes the results of multiple primary investigations. They are an essential part of evidence-based nursing due to their rigorous methodology, identifying relevant studies to answer specific questions of clinical practice. Results: The reviewed articles were found in the databases Scielo, Dialnet, Ebsco, Lilacs, the results show that there is a lower incidence of immediate postoperative complications inherent to the operation of the urethrovesical catheter, in patients left without irrigation, likewise the average day in the hospital stay of these patients was shorter, concluding that continuous bladder irrigation as a post-prostatectomy treatment is not essential. The other authors also agree that the use of continuous bladder irrigation as a treatment using a continuous antibiotic regimen is recommended. Conclusions: The reviewed articles show that continuous bladder irrigation as a post-prostatectomy treatment and intervention is not essential in patients. The use of continuous bladder irrigation as a treatment using a continuous antibiotic regimen is recommended, it reduces hospital stay, reduces fever and quickly improves the patient's general conditions as well as making cultures negative in a shorter period of time. The management of hematuria of bladder origin through continuous bladder irrigation as a treatment with the application of intravesical bismuth solution is effective in shortening the time of hematuria control.
Acceso abierto
Evidence-based nursing care to reduce complications in patients after radical prostatectomy
(Universidad Privada Norbert Wiener, 2018-12-02) Chuquihuanga Manrique, Gina Liliana; Uturunco Vera, Milagros Lizbeth
Objective: Systematize the evidence of nursing care to reduce the most frequent complications in postoperative radical prostatectomy patients. Material and method: The systematic review of the 10 scientific articles found on nursing care based on evidence to reduce complications in postoperative radical prostatectomy patients, were discovered in the following databases Lilacs, Scielo, Pubmed, all of them were analyzed according to the Grade scale to determine its strength and quality of evidence. Results: Of the 10 articles reviewed, 80% (8/10) belong to the methodological design of methodological review and 20% (2/10) are descriptive, transversal. Of the 10 articles systematically investigated, 100% (10/10) show that the nurse plays an important role in reducing the complications of a patient after radical prostatectomy surgery. Conclusions: The study concluded that the nurse plays a very important role in all the pre, intra and post-operative stages, because it is the health personnel who remains in contact with the patient from the beginning of the disease when they are diagnosed for the first time with prostate cancer, the fear of the unknown on the part of the patient and family is immense, full of doubts, being the nurse, the health personnel efficient in responding, helping with a scientific basis using the protocols, nursing process favoring recovery, achieving patient independence, thus managing to reduce the complications of a post-radical prostatectomy patient.