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Enlace permanente de la investigaciónFracture-Related infection - the role of the surgeon and surgery in prevention and treatment / Carlos Oliver Valderrama Molina
Título : Fracture-Related infection - the role of the surgeon and surgery in prevention and treatment Tipo de documento : documento electrónico Autores : Carlos Oliver Valderrama Molina, Fecha de publicación : 2022 Títulos uniformes : Journal of Orthopaedic Surgery Idioma : Inglés (eng) Palabras clave : fracture fixation surgical wound infection osteomyelitis fracture bone complications prevention and control orthopaedic surgeons Resumen : Fracture-related infection (FRI) is a complication that impacts care costs, quality of life, and patient function. Great strides have been made in the last decade to obtain a common language for definition and diagnosis with the contribution of the Fracture-Related Infection Consensus. Although FRI treatment requires the participation of clinical specialists in infectious diseases for the management of antibiotics, it is necessary to understand that this complication is an eminently surgical pathology. The orthopedic surgeon must play a leadership role in the prevention and treatment of this complex disease. In this review, the most relevant aspects of prevention are updated, and a strategy for a sequential and comprehensive approach to the patient with this complication is presented. Mención de responsabilidad : Carlos Oliver Valderrama-Molina, Rodrigo Pesántez Referencia : J Orthop Surg (Hong Kong). 2022 Sep-Dec;30(3):10225536221118520. DOI (Digital Object Identifier) : 10.1177/10225536221118520 PMID : 36545936 Derechos de uso : CC BY-NC En línea : https://journals.sagepub.com/doi/10.1177/10225536221118520 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=6089 Fracture-Related infection - the role of the surgeon and surgery in prevention and treatment [documento electrónico] / Carlos Oliver Valderrama Molina, . - 2022.
Obra : Journal of Orthopaedic Surgery
Idioma : Inglés (eng)
Palabras clave : fracture fixation surgical wound infection osteomyelitis fracture bone complications prevention and control orthopaedic surgeons Resumen : Fracture-related infection (FRI) is a complication that impacts care costs, quality of life, and patient function. Great strides have been made in the last decade to obtain a common language for definition and diagnosis with the contribution of the Fracture-Related Infection Consensus. Although FRI treatment requires the participation of clinical specialists in infectious diseases for the management of antibiotics, it is necessary to understand that this complication is an eminently surgical pathology. The orthopedic surgeon must play a leadership role in the prevention and treatment of this complex disease. In this review, the most relevant aspects of prevention are updated, and a strategy for a sequential and comprehensive approach to the patient with this complication is presented. Mención de responsabilidad : Carlos Oliver Valderrama-Molina, Rodrigo Pesántez Referencia : J Orthop Surg (Hong Kong). 2022 Sep-Dec;30(3):10225536221118520. DOI (Digital Object Identifier) : 10.1177/10225536221118520 PMID : 36545936 Derechos de uso : CC BY-NC En línea : https://journals.sagepub.com/doi/10.1177/10225536221118520 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=6089 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001936 AC-2022-097 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
AC-2022-097Adobe Acrobat PDF
Título : Reinterventions after damage control surgery Otros títulos : Reintervención en cirugía de control de daños Tipo de documento : documento electrónico Autores : David Alejandro Mejía Toro, ; Salín Pereira Warr, Fecha de publicación : 2021 Títulos uniformes : Colombia Médica Idioma : Inglés (eng) Palabras clave : Laparotomy Ostomy Thoracic Cavity Anastomosis Surgical Postoperative Period Cardiac Surgical Procedures Intensive Care Units Surgical Wound Infection Colostomy Abdominal Wall Reoperation Intra-Abdominal Hypertension Resumen : Damage control has well-defined steps. However, there are still controversies regarding whom, when, and how re-interventions should be performed. This article summarizes the Trauma and Emergency Surgery Group (CTE) Cali-Colombia recommendations about the specific situations concerning second interventions of patients undergoing damage control surgery. We suggest packing as the preferred bleeding control strategy, followed by unpacking within the next 48-72 hours. In addition, a deferred anastomosis is recommended for correction of intestinal lesions, and patients treated with vascular shunts should be re-intervened within 24 hours for definitive management. Furthermore, abdominal or thoracic wall closure should be attempted within eight days. These strategies aim to decrease complications, morbidity, and mortality. Mención de responsabilidad : Mejia, D., Pereira-Warr, S., Delgado-Lopez, C., Salcedo, A., Rodriguez-Holguín, F., Serna, J. J., Caicedo, Y., Pino, L. F., Gonzalez Hadad, A., Herrera, M. A., Parra, M., García, A., & Ordoñez, C. A. Referencia : Colomb Med (Cali). 2021 Jun 30;52(2):e4154805. DOI (Digital Object Identifier) : 10.25100/cm.v52i2.4805 PMID : 34908623 Derechos de uso : CC BY-NC En línea : https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/4805 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5821 Reinterventions after damage control surgery = Reintervención en cirugía de control de daños [documento electrónico] / David Alejandro Mejía Toro, ; Salín Pereira Warr, . - 2021.
Obra : Colombia Médica
Idioma : Inglés (eng)
Palabras clave : Laparotomy Ostomy Thoracic Cavity Anastomosis Surgical Postoperative Period Cardiac Surgical Procedures Intensive Care Units Surgical Wound Infection Colostomy Abdominal Wall Reoperation Intra-Abdominal Hypertension Resumen : Damage control has well-defined steps. However, there are still controversies regarding whom, when, and how re-interventions should be performed. This article summarizes the Trauma and Emergency Surgery Group (CTE) Cali-Colombia recommendations about the specific situations concerning second interventions of patients undergoing damage control surgery. We suggest packing as the preferred bleeding control strategy, followed by unpacking within the next 48-72 hours. In addition, a deferred anastomosis is recommended for correction of intestinal lesions, and patients treated with vascular shunts should be re-intervened within 24 hours for definitive management. Furthermore, abdominal or thoracic wall closure should be attempted within eight days. These strategies aim to decrease complications, morbidity, and mortality. Mención de responsabilidad : Mejia, D., Pereira-Warr, S., Delgado-Lopez, C., Salcedo, A., Rodriguez-Holguín, F., Serna, J. J., Caicedo, Y., Pino, L. F., Gonzalez Hadad, A., Herrera, M. A., Parra, M., García, A., & Ordoñez, C. A. Referencia : Colomb Med (Cali). 2021 Jun 30;52(2):e4154805. DOI (Digital Object Identifier) : 10.25100/cm.v52i2.4805 PMID : 34908623 Derechos de uso : CC BY-NC En línea : https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/4805 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5821 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001755 AC-2021-071 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
2021-071Adobe Acrobat PDF
Título : The evolution of laparoscopy in abdominal surgery: A meta-analysis of the effect on infectious outcomes Tipo de documento : documento electrónico Autores : Álvaro Enrique Sanabria Quiroga, Fecha de publicación : 2014 Títulos uniformes : Minimally Invasive Therapy & Allied Technologies Idioma : Inglés (eng) Palabras clave : Surgical wound infection laparoscopy meta-analysis abdominal abscess Resumen : Background: Laparoscopic surgery has been recommended as an effective strategy because of its advantages in decreasing abdominal surgical site infections (SSIs). The aim of this study was to assess the effect of laparoscopy on superficial and organ/space SSIs compared with open surgery in hollow-viscus procedures over time. Study design: Data on SSIs from randomized-controlled trials (RCTs) evaluating open versus laparoscopic abdominal surgeries were extracted from the Cochrane Database Reviews. Re-analysis of these data was performed to assess infections. Heterogeneity was also explored. A subgroup analysis was performed according to elective/emergency surgery status. Results: Data from 72 RCTs including 8218 patients were collected (4116 patients in the laparoscopic group and 4102 patients in the open group). For superficial SSI, the pooled RD was -4.4% (95% CI: -5.4% to -3.3%), which indicated a lower risk in the laparoscopic group. For organ/space SSI, the pooled RD was 0.5% (95% CI: -0.1% to 1%), which indicated similar rates between the groups. Changes in SSI frequency had occurred over time. Conclusion: Laparoscopic surgery significantly decreases the risk of superficial SSI but does not affect the risk of organ/space SSI. Experience with technique improves outcomes. Mención de responsabilidad : Alvaro Sanabria, Valentin Vega, Luis C Dominguez, Erick Espitia, Adriana Serna, Camilo Osorio Referencia : Minim Invasive Ther Allied Technol. 2014 Mar;23(2):74-86. DOI (Digital Object Identifier) : 10.3109/13645706.2013.854808 PMID : 24236695 En línea : https://www.tandfonline.com/doi/full/10.3109/13645706.2013.854808 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4570 The evolution of laparoscopy in abdominal surgery: A meta-analysis of the effect on infectious outcomes [documento electrónico] / Álvaro Enrique Sanabria Quiroga, . - 2014.
Obra : Minimally Invasive Therapy & Allied Technologies
Idioma : Inglés (eng)
Palabras clave : Surgical wound infection laparoscopy meta-analysis abdominal abscess Resumen : Background: Laparoscopic surgery has been recommended as an effective strategy because of its advantages in decreasing abdominal surgical site infections (SSIs). The aim of this study was to assess the effect of laparoscopy on superficial and organ/space SSIs compared with open surgery in hollow-viscus procedures over time. Study design: Data on SSIs from randomized-controlled trials (RCTs) evaluating open versus laparoscopic abdominal surgeries were extracted from the Cochrane Database Reviews. Re-analysis of these data was performed to assess infections. Heterogeneity was also explored. A subgroup analysis was performed according to elective/emergency surgery status. Results: Data from 72 RCTs including 8218 patients were collected (4116 patients in the laparoscopic group and 4102 patients in the open group). For superficial SSI, the pooled RD was -4.4% (95% CI: -5.4% to -3.3%), which indicated a lower risk in the laparoscopic group. For organ/space SSI, the pooled RD was 0.5% (95% CI: -0.1% to 1%), which indicated similar rates between the groups. Changes in SSI frequency had occurred over time. Conclusion: Laparoscopic surgery significantly decreases the risk of superficial SSI but does not affect the risk of organ/space SSI. Experience with technique improves outcomes. Mención de responsabilidad : Alvaro Sanabria, Valentin Vega, Luis C Dominguez, Erick Espitia, Adriana Serna, Camilo Osorio Referencia : Minim Invasive Ther Allied Technol. 2014 Mar;23(2):74-86. DOI (Digital Object Identifier) : 10.3109/13645706.2013.854808 PMID : 24236695 En línea : https://www.tandfonline.com/doi/full/10.3109/13645706.2013.854808 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=4570 Reserva
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