Utilidad del retractor elástico abdominal pelosi en cirugía ginecológica minimamente invasiva no endoscópica. Hospital Gineco Obstétrico Enrique C. Sotomayor 2011 - 2012
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2013
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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La cirugía ginecológica ha avanzado en estos últimos años lo que ha llevado a buscar nuevos recursos para obtener resultados similares a los convencionales. El Dr. Marco Pelosi en el año 2002 diseñó un dispositivo plástico de material elástico para el uso en cirugía ginecológica permitiendo retracción atraumática, constante y simétrica de los bordes. Apoyados en este concepto diseñamos este trabajo cuyo objetivo fue demostrar la utilidad del retractor elástico de Pelosi en cirugía ginecológica mínimamente invasiva no endoscópica. Mediante un estudio de tipo descriptivo y de diseño longitudinal se analizó 50 procedimientos ginecológicos utilizando el retractor elástico Pelosi, en un lapso de un año. La muestra se obtuvo a través de la consulta externa del Hospital Enrique C. Sotomayor, en la que las pacientes cuya edad estuvo comprendida entre 40 -49 años, con un índice de masa corporal que en un 32 % demostró sobrepeso, el 100 % de las pacientes tenían diagnóstico de patología ginecológica benigna, el 52 % de las pacientes presentaban antecedentes quirúrgicos previos, al 80 % de las pacientes se le realizó histerectomía abdominal a través de una incisión de 6 cm de tamaño en el 94% de los casos y en un 6 % de 4 cm., en un tiempo estimado de 103 minutos el 44 % de las pacientes, el 76 % de las pacientes permanecieron hospitalizadas dos días, y las complicaciones postquirúrgicas se presentaron en 6 % de los casos, desmostramos así las bondades del uso del retractor elástico Pelosi
Gynecological surgery has advanced in the past few years which have led to the search of novel resources that would give us results that are similar to more conventional methods. Dr. Marco Pelosi designed in 2002 a plastic dispositive of elastic material to be used in gynecological surgery allowing non traumatic retraction, constant and symmetrical of the edges. Resting on this concept we designed this work with the objective of demonstrating the usefulness of the Pelosi elastic retractor in gynecological surgery, in a time span of a year. The sample was obtained through the outpatient consult of the Enrique C. Sotomayor Hospital, in which the female patients between the ages of 40-49 with a Body Mass Index that pointed to a 32% in the sample for being overweight and 100% of the patients had a diagnosis of benign gynecological pathology. Fifty two percent presented surgical antecedents; 80% had and abdominal hysterectomy through a 6cm incision in 94% of the cases and a 4cm. incision in 6% of the cases. The time estimated was of 103 minutes for 44% of the patients and 76 % remained in the hospital two days. Post-surgery complications were present in 6% of the cases which demonstrates the goodness of the Pelosi elastic retractor
Gynecological surgery has advanced in the past few years which have led to the search of novel resources that would give us results that are similar to more conventional methods. Dr. Marco Pelosi designed in 2002 a plastic dispositive of elastic material to be used in gynecological surgery allowing non traumatic retraction, constant and symmetrical of the edges. Resting on this concept we designed this work with the objective of demonstrating the usefulness of the Pelosi elastic retractor in gynecological surgery, in a time span of a year. The sample was obtained through the outpatient consult of the Enrique C. Sotomayor Hospital, in which the female patients between the ages of 40-49 with a Body Mass Index that pointed to a 32% in the sample for being overweight and 100% of the patients had a diagnosis of benign gynecological pathology. Fifty two percent presented surgical antecedents; 80% had and abdominal hysterectomy through a 6cm incision in 94% of the cases and a 4cm. incision in 6% of the cases. The time estimated was of 103 minutes for 44% of the patients and 76 % remained in the hospital two days. Post-surgery complications were present in 6% of the cases which demonstrates the goodness of the Pelosi elastic retractor
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RETRACTOR ELASTICO PELOSI, CIRUGIA GINECOLOGICA, HISTEROCTOMIA, EPIDEMIOLOGIA DESCRIPTIVA, HOSPITAL GINECO-OBSTETRICO ENRIQUE C. SOTOMAYOR, CANTON GUAYAQUIL, ECUADOR