Examinando por Materia "Sutures"

Mostrando 1 - 7 de 7

Acceso abierto
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.
Acceso abierto
Effectiveness of delayed suturing for closing traumatic wounds in emergency services
(Universidad Privada Norbert Wiener, 2017-07-22) Acosta Torato, Gino Gilber; Tacilla Tocas, Elmer Obet; Gómez Gonzales, Walter Edgar
Objective: To establish the efficacy of delayed suture versus immediate suture for the closure of traumatic wounds in emergency services. Materials and Methods: This is a systematic review of scientific articles published in the last ten years in English and Spanish, located in databases such as Lilacs, Scielo, Cochrane Plus, and Medline, which focused on the efficacy of delayed suturing for the closure of traumatic wounds in emergency services. 50% of the articles were from the United States, and 12.5% were from the Netherlands, Germany, China, and Colombia, respectively. Results: 100% of the reviewed articles demonstrate the efficacy of delayed suturing for traumatic wound closure. They affirm that the existing evidence does not support the existence of an "optimal" time for primary closure of traumatic wounds, suggesting that these can be sutured regardless of the time elapsed since the injury. Conclusion: The evidence shows that in daily practice, traumatic wounds are sutured regardless of the time elapsed. With proper debridement, wound care, and control during the first 72 hours, immediate, early, or primary suturing carries low risk, is comfortable for patients, and offers cost savings.
Acceso abierto
Effectiveness of delayed suturing for closing traumatic wounds in emergency services
(Universidad Privada Norbert Wiener, 2017-07-22) Acosta Torato, Gino Gilber; Tacilla Tocas, Elmer Obet; Gómez Gonzales, Walter Edgar
Objective: To establish the efficacy of delayed suture versus immediate suture for the closure of traumatic wounds in emergency services. Materials and Methods: This is a systematic review of scientific articles published in the last ten years in English and Spanish, located in databases such as Lilacs, Scielo, Cochrane Plus, and Medline, which focused on the efficacy of delayed suturing for the closure of traumatic wounds in emergency services. 50% of the articles were from the United States, and 12.5% were from the Netherlands, Germany, China, and Colombia, respectively. Results: 100% of the reviewed articles demonstrate the efficacy of delayed suturing for traumatic wound closure. They affirm that the existing evidence does not support the existence of an "optimal" time for primary closure of traumatic wounds, suggesting that these can be sutured regardless of the time elapsed since the injury. Conclusion: The evidence shows that in daily practice, traumatic wounds are sutured regardless of the time elapsed. With proper debridement, wound care, and control during the first 72 hours, immediate, early, or primary suturing carries low risk, is comfortable for patients, and offers cost savings.
Acceso abierto
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.
Acceso abierto
Efficacy of conventional suture versus staples in post cesarean section patients
(Universidad Privada Norbert Wiener, 2018-07-08) Lino Gamarra, Jimena; Fernandez Sobrados, July; Calsin Pacompia, Wilmer
Objective: To analyze and systematize the evidence on the efficacy of conventional sutures versus staples in patients undergoing cesarean surgeries. Materials and Methods: This is a systematic review that included a sample of 10 scientific articles published and indexed in scientific databases such as Cochrane Journal, PubMed, Online Library, and Epistemonikos. Of all the articles included in the study, 7 were conducted in the United States, while 1 was conducted in Nigeria, 1 in China, and 1 in India. Additionally, when grouped by study design, 60% of the articles were meta-analyses, 30% were retrospective cohort studies, and the remaining 10% was a prospective cohort study. Results: 80% of the studies show that conventional sutures are more effective than staples, as they presented fewer complications, less wound dehiscence, better healing in post-cesarean patients, and higher satisfaction, although staples had shorter operative time. 20% of the studies indicate no significant difference between the two groups. Conclusions: It was concluded that conventional sutures are more effective than staples in post-cesarean patients.
Acceso abierto
Efficacy of fixation with adhesive devices compared to suture fixation in patients with central venous catheters in reducing infections
(Universidad Privada Norbert Wiener, 2020-02-16) Mori Payano, Luis Carlos; Carrillo Cotillo, Hanmer Enoc; Matta Solis, Hernan Hugo
Objective: Systematize the evidence from studies regarding the effectiveness of fixation with adhesive devices compared to suture fixation in patients with a central venous catheter to reduce infections. Material and Methods: A systematic review of international and national research is carried out, obtained through databases: Epistemonikos, NCBI, PubMed, Elsevier, and Scielo, which have been evaluated through the grade system to determine the level of evidence. The search was carried out by applying DeCS and MeSH descriptors for the search in English and Spanish respectively. 60% (6/10) of the articles correspond to Australia, the United States and England respectively with 20% each and the remaining 40% (4/10) to Spain, China, Germany, and Canada respectively.
Acceso abierto
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(Universidad Privada Norbert Wiener, 2018-11-04) Gil Alata, Rosa Elena; Espinoza Merma, Nelida; Bonilla Asalde, César Antonio
The study is quantitative in nature, and the study design is a systematic review, with a population consisting of 35 articles, and 10 articles were considered for the study sample. The instruments used were Cochrane, Library, PubMed, Epistemonikos; taking into account the critical evaluation under the GRADE method for each article. These were conducted in the following countries: Germany, USA, England, Italy, Spain, Australia, and Switzerland. The first mentioned country accounted for 30%, the second for 20%, and the remaining five countries each accounted for 10%. Additionally, these articles are grouped according to the type of study, resulting in 40% corresponding to systematic reviews, 30% to randomized clinical trials, 20% to meta-analyses, and 10% to cohort studies. This systematic review concludes that 70% of the articles demonstrate that staplers are more effective in reducing complications of intestinal obstruction syndrome and anastomotic leakage, compared to the 20% that concludes that manual suturing and staplers are equally effective, as no advantage was found.