Examinando por Materia "Surgical Wound"

Mostrando 1 - 12 de 12

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Academic performance of IX and
(Universidad Privada Norbert Wiener, 2019-08-13) Quispe Pariona, Roxana; Calsin Pacompia, Wilmer
Objective: Determine the overall academic performance of students from IX and X Cycle of the UPNW Professional Academic School of Nursing, Semester 2016-I to 2018-II. Materials and Methods: systematic review, use of the Evaluation Record system of IX and X cycle students of the UPNW Professional Academic School of Nursing. Databases: Pubmed, Biomedic Sciences, Elvesier, Medline and Scielo. 40% cohort studies, 30% prospective study, 20% systematic review, 10% cross-sectional study. 60% of the articles are of high quality, strong strength of evidence, 30% moderate quality and strong strength of evidence, 10% low quality and weak strength of evidence. 29.4% belong to the United States, 26.5% Colombia, 17.6% Peru, 14.7% Spain, 5.9% Mexico and Chile, respectively. Results: All the articles reviewed systematically indicate that the nursing students during the internship presented an effective performance that in our categorization coincides with the notable categorization. All the articles reviewed systematically indicate effectiveness in the application of a preventive package to reduce surgical wound infections in the patient during the intraoperative period. Conclusions: The academic performance of the IX and X cycle students of the Professional Academic School of Nursing of the Norbert Wiener Private University, Semester 2016-I to 2018-II. It was rated as Notable.
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Clinical benefits of early removal of dressings on clean surgical wounds
(Universidad Privada Norbert Wiener, 1905-07-09) Samamé Cabrera, Roxana Milusca; Villalobos Fernández, Giannina; Gómez Gonzales, Walter Edgar
Objective: Systematize the evidence on the clinical benefits of early removal of dressings in clean surgical wounds. Materials and Methods: In the final selection, 10 studies were chosen, the systematic review of the 10 scientific articles on Clinical benefits of early removal of dressings in clean surgical wounds, were found in the following databases Lilacs, Pubmed, Medline and Cochrane Plus , Systematic Review 05, Randomized Clinical Trials 04 and Cross-sectional 01 were included. Results: The 10 reviewed articles, the 70% (n=07/10) of these show that early removal of dressings in clean surgical wounds has clinical and economic benefits, such as a shorter hospital stay and a significant reduction in costs; 30% (n=03/10) affirm that there is not enough scientific evidence to recommend early removal of dressings in clean surgical wounds. Conclusions: Of the 10 articles reviewed, 70% (n=07/10) of these (8,9,10,11,12,13,17) agree that there is evidence that early removal of dressings in surgical wounds clean has clinical and economic benefits, such as shorter hospital stay and a significant reduction in costs; 30% (n=03/10) of the authors of the studies (14,15,16) state that there is insufficient scientific evidence to recommend early removal of dressings in clean surgical wounds.
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Effective interventions for the prevention of surgical wound infection
(Universidad Privada Norbert Wiener, 2019-08-04) Kugkumas Katip, Jesus Never; Calsin Pacompia, Wilmer
Objective: To analyze the evidence on effective interventions for the prevention of surgical wound infection. Materials and methods: Observational and retrospective systematic review. The search was restricted to full-text articles and the selected articles were critically read using the Grade System evaluation to identify their level of evidence. In the final selection, 10 articles were selected, 50% (5/10) systematic reviews, 50% (5/10) cohort studies. 40% of the evidence found comes from Spain, 40% from Peru, 10% from the USA, and 10% from Cuba. Results: 50% of the studies (8, 11, 13, 15, 16) recommend antibiotic prophylaxis, 20% of the studies (7, 11) recommend wound cleaning, and 20% of the studies (10, 13) recommend not removing hair. 10% of the studies (12), report that there is no difference between covering or not the wounds, and report that contaminated and dirty wounds are more likely to generate infection at the surgical site. Conclusions: According to reviewed articles it was confirmed that antibiotic prophylaxis (5/10) articles, wound cleaning (2/10) articles, not removing hair (2/10) articles, there is no difference between covering or not the wounds decrease the risk of infection at the surgical site (1/10) articles, and that contaminated and dirty wounds are more likely to generate infection at the surgical site.
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Effectiveness of absorbable versus non-absorbable sutures for incision closure in surgically treated patients
(Universidad Privada Norbert Wiener, 2020-12-06) Champion Tarazona, Victoria Ercilia; Blancas Lavado, Lizeth Angie; Calsin Pacompia, Wilmer
Materials and Methods: This study is qualitative, the design is a systematic review, with a population consisting of 20 articles and 10 articles were considered for the study sample; the instrument was Cochrane Library, British Medical Journal, PubMed, Lancet, Wiley Online Library, Health Systems Evidence, Public Health Group, Scielo and Epistemonikos; taking into account the critical evaluation under the GRADE method for each article. Results: 10 scientific articles were analyzed, of which 30% correspond to the United Kingdom and 30% to China, 20% are from the USA and 10% each corresponding to Sweden and Pakistan. In relation to the designs and types of studies, 40% correspond to a Clinical Trial, 30% to a systematic review and 30% to a meta-analysis. Conclusions: This systematic review concludes that 50% of studies show that the use of absorbable sutures are more effective for closing surgical incisions, unlike 30% that did not show any advantage between them and only 20% showed that Nonabsorbable sutures are more effective.
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Effectiveness of applying a preventive package to reduce surgical wound infections in patients during the intraoperative period
(Universidad Privada Norbert Wiener, 2019-06-30) Fernández Carlos, Marilyn Sayuri; Arevalo Marcos, Rodolfo Amado
Objective: To systematize the effectiveness of applying a preventive package to reduce surgical wound infections in patients during the intraoperative period. Materials and Methods: Systematic review, using the GRADE evaluation system. Databases: Scielo, Pubmed, Elsevier, and Medline. 30% are quasi-experimental studies, 30% cohort studies, 20% systematic reviews, 10% prospective studies, and 10% cross-sectional studies. 50% of the articles are of high quality, with strong evidence strength, 30% of moderate quality with strong evidence strength, and 20% of low quality with weak evidence strength. 70% belong to the USA, 10% to Italy, 10% to Spain, and 10% to Sweden. Results: All systematically reviewed articles indicate effectiveness in the application of a preventive package to reduce surgical wound infections in patients during the intraoperative period. Conclusions: The application of a preventive package to reduce surgical wound infections in patients during the intraoperative period is effective: it decreases the risk of surgical site infections, improves patient care quality, promotes monitoring of surgical wound infection statistics, and prevents bacterial growth with high compliance to strategies aimed at reducing surgical wound infections.
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Effectiveness of N-butyl-2-octylcyanoacrylate tissue adhesive versus other sutures in closing surgical incisions in postoperative patients
(Universidad Privada Norbert Wiener, 2019-10-20) Neyra García, Armando; Rosas Ciña, Elena Vidail; Calsin Pacompia, Wilmer
Objective: To systematize the evidence on the effectiveness of N-butyl-2-octylcyanoacrylate tissue adhesive versus other sutures for closing skin incisions in post-operative patients. Method: The study was quantitative, with a systematic review design, and the population consisted of 20 articles, of which 10 articles were selected for the sample. Results: After this review, it was found that 80% of the evidence shows that N-butyl-2-octylcyanoacrylate tissue adhesive is more effective for closing surgical incisions as it caused less tissue reaction, achieved immediate hemostasis, recovery was painless and faster, and it provided benefits against wound infection. Additionally, 10% showed no difference as both materials had the same complications such as pain and infection, and 10% showed that subcuticular sutures were more effective in aesthetic results. Conclusion: This systematic review concludes that 8/10 studies show that N-butyl-2-octylcyanoacrylate tissue adhesive is more effective than other sutures for closing surgical incisions because it caused less tissue reaction in surgical wounds. Additionally, 1/10 showed no difference between NBCA adhesive and another subcuticular suture as they had a low rate of the same complications, and 1/10 showed that another suture, in this case, absorbable polyglactin suture, was more effective in terms of aesthetic results.
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Effectiveness of steri strip versus other sutures in the improvement of cicatrization in surgical incisions
(Universidad Privada Norbert Wiener, 2019-08-04) Cueva Jiron, Grace Donna; Guevara Vilca, Andrea Ana; Calsin Pacompia, Wilmer
Objective: To analyze and systematize the evidence on the effectiveness of steri strips versus other sutures in improving healing in surgical incisions. Materials and methods: The type of research was quantitative, its study design is a systematic review, with a population of 30 articles, 10 articles were taken as a sample published and indicated in the scientific databases, the instrument was a search in databases: Cochrane Library, Scielo British Medical Journal, PubMed, Lancet, Wiley Online Library, Epistemonikos, for the evaluation of the articles the GRADE system was used which evaluated the quality of evidence and the strength of recommendation. Results: The study analyzed ten scientific articles, of which one research found that the Steri Strip is effective in a healing process in 9.1% compared to Dermaond, affirming the effectiveness with the following study where the Steri strip is effective since it favored the recovery process, improved self-care in 7.3% compared to staples in 4%. Conclusions: It was concluded that 100% of the studies show the effectiveness of steri strips versus other sutures in improving healing in surgical incisions, improving the healing process, improved recovery in post-operative patients, reduced the risk of infection, patients presented fewer adverse effects and due to its low cost.
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Effectiveness of the laparoscopic colecistectomy of a single incision against the laparoscopic colecistectomy of other ports in the aesthetics and recovery of the adult patient with colecistitis
(Universidad Privada Norbert Wiener, 2019-11-17) Calixto Ichu, Sheylash Melissa; Calsin Pacompia, Wilmer
Objective: To analyze and systematize the evidence on the effectiveness of single-incision laparoscopic cholecystectomy compared to multi-port laparoscopic cholecystectomy in terms of aesthetics and recovery in adult patients with cholecystitis. Materials and methods: This is a quantitative study with a systematic review design. The population consisted of 18 articles, and a sample of 10 scientific articles was selected. The search was conducted in the following databases: Cochrane Library, Scielo, British Medical Journal, PubMed, Epistemonikos, Lilacs, and EBSCO. The GRADE system was used to evaluate the quality of evidence and the strength of the recommendations of the articles. Results: A review of the 10 articles showed that single-incision laparoscopic surgery was more effective, as patients who underwent this intervention experienced less postoperative pain, shorter hospital stays, quicker return to daily activities, and more favorable aesthetic outcomes compared to multi-port laparoscopic surgery. Conclusions: It was concluded that 30% of the studies showed that single-incision laparoscopic cholecystectomy is effective, 40% indicated that both procedures are effective, while 30% concluded that single-incision laparoscopic surgery is not effective due to complications such as wound infection, incisional hernia, and prolonged operative time.
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Efficacy of chlorhexidine gluconate vs povidone iodine to prevent infections in the surgical wound of the surgical patient
(Universidad Privada Norbert Wiener, 1905-07-09) Coronado Vega, Amanda Adelina; Pizango Campos, Verith; Remuzgo Artezano, Anika
Systematic Review, in which 9 articles were selected; those that were analyzed and subjected to evaluation according to the GRADE system to identify their quality of evidence and strength of recommendation; The search strategy was in the Cochrane Group, Lilacs and Pubmed. According to the selected articles, we find that 60% (5/9) are from the United States; 10% (1/9) is from the United Kingdom, India, Brazil and Bolivia respectively. Of the articles analyzed, 70% affirm that chlorhexidine gluconate is more effective in preventing infections in the surgical wound of the surgical patient; However, the other 30% affirm that there is no significant difference between both antiseptics. Conclusion: In the Systematic Reviews it was shown that there is greater effectiveness of chlorhexidine in preventing infections in the surgical wound compared to povidone-iodine.
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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.
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Efficacy of tissue adhesive for closing surgical wounds
(Universidad Privada Norbert Wiener, 1905-07-09) Jara Espinoza, Carmen Violeta; Meza Flores, Mercedes Kiyomi del Pilar; Rivera Lozada de Bonilla, Oriana
Of the total number of articles analyzed, 80% demonstrate that tissue adhesive for closing surgical wounds is effective, and 20% demonstrate that it is effective if used with a conventional suture to reinforce the closure of the surgical wound. Likewise, 90% of tissue adhesives are of synthetic origin derived from cyanoacrylates and 10% are of biological origin derived from fibrin, and no studies were found that refer to semisynthetic tissue adhesives.
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Sociodemographic factors and their relationship with the incidence of diabetic foot in the healing office of the polyclinic alberto leopoldo barton thompson, callao 2021
(Universidad Privada Norbert Wiener, 2021-11-28) Chipana Espinoza, Carolina; Cárdenas de Fernández, María Hilda
The research presented here will be carried out within the nursing research line focused on advanced treatment of wounds and ostomies, an area of great concern due to the risk factors affecting diabetic foot. This situation can affect the emotional, psychological, and mental stability of patients, manifestations that require the support, guidance, advice, and care of nursing staff, in order to provide them with tools that help prevent complications. OBJECTIVE: To determine the relationship between sociodemographic factors and the incidence of diabetic foot in the dressing room of the Polyclinic Alberto Leopoldo Barton Thompson, Callao 2021. MATERIALS AND METHODS: The approach to be used is quantitative, basic, with a descriptive-correlational scope and non-experimental, cross-sectional design. The sample will consist of 100 patients treated in the dressing room of the Polyclinic Alberto Leopoldo Barton Thompson. The technique to be employed will be the survey and the instruments will be two questionnaires.