Examinando por Materia "Surgery, Plastic"

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Acceso abierto
Safety of the Veress needle insertion technique vs. direct trocar insertion to reduce complications in adult patients undergoing laparoscopic surgery.
(Universidad Privada Norbert Wiener, 2017-12-03) Bravo Diaz, Rosa Maria; Chero Ordoñez, Liliana Milagros; Matta Solis, Hernán Hugo
Objective: To analyze the available evidence from studies on the safety of the Veress needle entry technique versus the direct trocar insertion technique to reduce complications in adult patients undergoing laparoscopic surgeries. Materials and Methods: A systematic, observational, and retrospective review. The selected articles underwent critical reading, using the GRADE system evaluation to identify their level of evidence. The final selection included 11 scientific articles, with 18.2% being systematic reviews, 9% meta-analyses, 27.3% randomized and non-randomized clinical trials, and 18.2% descriptive studies, with high evidence quality in 82% of the articles. Results: Additionally, 64% of the studies demonstrate that the direct trocar insertion technique is safe for reducing complications in adult patients undergoing laparoscopic surgeries. Furthermore, 27% of studies suggest that there is no significant difference between the Veress needle and direct trocar techniques, and 9% mention the Veress needle as a safe insertion technique for obese patients undergoing laparoscopy. Conclusions: It is established that the safest insertion technique to reduce complications in adult patients undergoing laparoscopic surgeries is direct trocar insertion, with the surgeon's experience being a relevant factor for the success and safety of this technique.
Acceso abierto
Safety of the Veress needle insertion technique vs. direct trocar insertion to reduce complications in adult patients undergoing laparoscopic surgery.
(Universidad Privada Norbert Wiener, 2017-12-03) Bravo Diaz, Rosa Maria; Chero Ordoñez, Liliana Milagros; Matta Solis, Hernán Hugo
Objective: To analyze the available evidence from studies on the safety of the Veress needle entry technique versus the direct trocar insertion technique to reduce complications in adult patients undergoing laparoscopic surgeries. Materials and Methods: A systematic, observational, and retrospective review. The selected articles underwent critical reading, using the GRADE system evaluation to identify their level of evidence. The final selection included 11 scientific articles, with 18.2% being systematic reviews, 9% meta-analyses, 27.3% randomized and non-randomized clinical trials, and 18.2% descriptive studies, with high evidence quality in 82% of the articles. Results: Additionally, 64% of the studies demonstrate that the direct trocar insertion technique is safe for reducing complications in adult patients undergoing laparoscopic surgeries. Furthermore, 27% of studies suggest that there is no significant difference between the Veress needle and direct trocar techniques, and 9% mention the Veress needle as a safe insertion technique for obese patients undergoing laparoscopy. Conclusions: It is established that the safest insertion technique to reduce complications in adult patients undergoing laparoscopic surgeries is direct trocar insertion, with the surgeon's experience being a relevant factor for the success and safety of this technique.
Acceso abierto
Tratamiento farmacológico para el manejo del dolor por cirugía estética en pacientes en una clínica particular de Lima Metropolitana, 2025
(Universidad Privada Norbert Wiener, 2025-12-05) Cornejo Doroteo, Jennifer Roxana; Serna Daza, Kelly Dominica; Pineda Pérez, Neuman Mario
La presente investigación tiene como objetivo general determinar los tratamientos farmacológicos empleados para el manejo del dolor por cirugías estéticas en pacientes en una clínica particular de Lima Metropolitana, 2025. Para ello, se emplea una metodología de enfoque cuantitativo, básico, correlacional, no experimental, transversal. Se utiliza como instrumento una ficha de recolección de datos. La muestra estará conformada por 155 historias clínicas de los pacientes atendidos por cirugía estética en la clínica particular ubicada en Lima Metropolitana. Los hallazgos evidenciarán un moderado tratamiento farmacológico en pacientes operados, asimismo una relación significativa e inversa entre los tratamientos farmacológicos empleados para el manejo del dolor por cirugía estética en pacientes en una clínica particular. Se concluirá que los analgésicos opiáceos, no opiáceos y coadyuvantes empleados tendrán una relación significativa en el manejo del dolor por cirugía estética en pacientes en una clínica particular de Lima Metropolitana, 2025.