Instrumentación Quirúrgica

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https://usc.scimago.es/handle/20.500.12421/111

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Análisis comparativo del tratamiento percutáneo vs cirugía convencional de la insuficiencia mitral: Estado del arte
(Universidad Santiago de Cali, 2023) Castillo Marmolejo, Nicole Andrea; Leyton Erazo, Maryi Tatiana; López López, María Nela
Introduction: The most common valvular disorders affecting the structure of the heart is mitral insufficiency (MI), which is defined by backflow of blood from the left ventricle into the left atrium during ventricular contraction caused by damage to the valve leaflets. For this reason, two major groups can be described according to their etiology: primary mitral valve disease (PMV) and secondary mitral valve disease (SMV). Objective. To compare percutaneous MitraClip® vs surgical treatment of MI (1). Materials and Methods. A state of the art review was performed using databases: SAGE JOURNALS, ScienceDirect and Taylor&Francis Online, articles published between 2017 and 2022. Results. The benefits of MV repair by conventional technique allow greater success if the intervention is early, and percutaneous repair is safe, effective and feasible in patients considered inoperable, providing improved long-term quality of life. However, these treatments are not free of complications, the most frequent in conventional surgery being postoperative pain and prolonged hospitalization times, and the MitraClip® device, despite being a minimally invasive procedure, presents detachment of the clip and stroke. Conclusions. Currently, MI has proven to be the most common valvular heart disease in the aging population, due to the comorbidities that are present. This valvulopathy is attracting increasing interest in the medical community, based on current evidence percutaneous and conventional MV repair techniques offer a treatment alternative depending on anatomical criteria
Análisis de la evolución en pacientes con sinusitis crónica y el impacto en la calidad de vida postoperatoria: Una revisión bibliográfica
(Universidad Santiago de Cali, 2024) Valencia Ceron, Stephania; Ortiz Londoño, Geraldine; Parra Castillo, Liseth; Maldonado Rincon, Beatriz Alejandra
Chronic sinusitis is an inflammation of the mucosa lining the paranasal sinuses, causing bothersome symptoms such as nasal obstruction, loss of smell, and facial discomfort, significantly affecting quality of life. Although initial treatments include nasal irrigation, antibiotics, and corticosteroids, some patients continue to experience persistent symptoms, leading to consideration of endoscopic sinus surgery (ESS). The methodology of this research involved an exhaustive search in different databases such as Google Scholar, yielding a total of 26 articles, 10 from PubMed, 1 from Sage Journals, 4 from Science Direct, and 8 from Springer, thus providing a wide variety of perspectives and studies for analysis. ESS stands out as the primary treatment for chronic sinusitis, aiming to improve ventilation and mucociliary clearance of the paranasal sinuses, offering a quicker and less painful recovery than other methods. However, studies show that disease recurrence is common, underscoring the need for long-term follow-up strategies and revision surgeries. Despite these challenges, ESS has demonstrated significant improvements in patients' quality of life, supported by ample scientific evidence. Evaluation tools such as the SNOT-22 questionnaire are crucial for objectively measuring surgery outcomes and understanding the disease's impact on daily life. In conclusion, ESS represents a significant advancement in chronic sinusitis management, providing patients with the opportunity to enhance their well-being and quality of life
Análisis de la oportunidad quirúrgica de los estudiantes en la práctica quirúrgica III y IV del programa de instrumentación quirúrgica de la Universidad Santiago de Cali en la ciudad de Cali para el año 2019-A
(Universidad Santiago de Cali, 2019) Loaiza Arias, Luís Gerónimo; Palacios Vásquez, Valeria; Henao Castillo, Luis Fernando; Puerta Díaz, Daniel Eduardo
Análisis de los avances más recientes en nanotecnología y su aplicación en ingeniería de tejidos: Una revisión bibliográfica
(Universidad Santiago de Cali, 2024) Contreras Tovar, Allisson Andrea; Chamorro Valencia, Luz Daniela; Gordon Irua, Edwin Adrián; Segura Castillo, Linda Nerieth
Introduction: Nanotechnology is the study and manipulation of matter at the nanometer scale, i.e., in the range of 1 to 100 nanometers. This discipline enables the creation of materials and devices with unique properties not found in their macroscopic form. Nanotechnology is used in a variety of areas, including drug delivery, bioimaging, and tissue engineering (TI). Objective: To analyze the current state of research and development of nanotechnology in the field of TI. Materials and Methods: A review of the literature published in databases such as ScienceDirect and Springer between the years 2020-2024 was carried out using search equations. A total of 254 records were found, of which 55 were included in this review after applying the previously established selection criteria. Results: Nanomaterials, such as carbon nanotubes and nanoparticles, improve the mechanical properties and biocompatibility of biomaterials, facilitating tissue regeneration and integration with the biological environment. However, it also faces challenges, such as high production costs and the need to ensure safety and efficacy in clinical applications. Conclusions: Despite current challenges, continued research and interdisciplinary collaboration are essential to overcome barriers and maximize the effectiveness of nanotechnology-based treatments. Future developments in this field are expected to contribute to improved clinical outcomes and expand the applications of nanotechnology in medicine
Análisis de los costos en el proceso de esterilización a vapor en una clínica privada en la ciudad de Cali, 2022
(Universidad Santiago de Cali, 2023) Velásquez Ospina, Daniela; Quintero Carabali, Santiago; López López, María Nela; Muñoz Imbachi; Ángela Paola
Introduction: The Central Sterilization is the health unit where the process of washing, drying, packaging and sterilization of medical and surgical supplies and instruments takes place; in order to, achieve the destruction of all pathogenic microorganisms that may affect the patient's health (1). This, by means of equipment and sterilizing agents, such as, for example, steam, which is described as widely used, as a result of its low cost and high benefit, is in great demand (1). In this sense, for health institutions, the costs incurred in this process are important (1). Therefore, the ABC costing system, understood as the activity-based costing system, is adjusted to define the processes and costs of steam sterilization (7). Objective: To analyze the costs of the steam sterilization process in a private clinic in the city of Cali, 2022. Methodology: For this research, a quantitative approach study was carried out; in addition, it is research with a non-experimental, cross-sectional-retrospective design (11). Results: Two pieces of equipment with different operating characteristics, described as Essen and Baumer, were identified; and it was determined that the cost of the steam sterilization cycle in Baumer is $49,821, as opposed to the cost of the Essen sterilizer cycle, which is $17,268: The cost components may vary due to different institutional protocols and suppliers, including the difference in the type of autoclave and its operation. Conclusions: The cost components may vary due to different institutional protocols and suppliers, including the difference in the type of autoclave and its operation
Análisis de los diferentes recubrimientos antimicrobianos innovadores, para la prevención de infecciones en implantes óseos. Revisión bibliográfica
(2024) Sánchez Moncayo, Angie Bridgeth; Murillo Betancur, Camila; López López, María Nela
Introduction: Considering bone abnormalities due to trauma or genetics, it has been necessary to innovate with new ways to improve prostheses and orthopedic implants, adding antimicrobial characteristics to prevent implant-associated infections (IAI). Objective: To analyze the different types of innovative antimicrobial coatings for the prevention of infections in bone implants. Materials and methods: A bibliographic review of antimicrobial coatings in bone implants was performed. Information was collected in a tracking matrix, in various languages, including English and Portuguese. 57 articles were reviewed, of which 44 were selected, from databases such as Science Direct, PubMed and Web of Science. Results: Materials such as magnesium, nanostructured silver, antibiotics and titanium nitride were compared, each with antimicrobial properties and specific characteristics that make them suitable for different surgical contexts. Magnesium demonstrated an excellent method of action for corrosion avoiding bacterial biofilm creations. Antibiotics: Of 315 patients treated, only six patients had deep preprosthetic infection or osteomyelitis, which were treated with oral or intravenous drugs, two patients required nail replacement. Nanostructured silver excelled in areas of high risk of infection and low mechanical load, while titanium nitride was ideal in areas of greater load. The results underline the importance of customizing coatings according to patient needs and type of intervention, in addition to highlighting the potential of non-antibiotic antimicrobial alternatives to combat bacterial resistance. Conclusion: We conclude that antimicrobial coatings represent a promising way to reduce postoperative complications and prolong implant life, however, additional clinical studies are recommended to confirm their long-term safety and efficacy, consolidating their application in orthopedic and reconstructive surgical environments
Análisis de los factores de riesgo determinantes en el fracaso de los trasplantes de médula ósea en pacientes pediátricos: una revisión bibliográfica
(Universidad Santiago de Cali, 2024) Miranda Pérez, Katalina; Castañeda,Karen Liseth; Segura Castillo, Linda Negrieth
Introduction: Bone marrow transplantation in pediatric patients is a complex procedure that involves significant risks, such as severe infections, bleeding and anemia, which may even endanger the patient's life. Given the importance of this procedure for the quality of life of children, it is crucial to understand the risk factors that influence its success or failure. Objective: To analyze the determinant risk factors for bone marrow transplant failure in pediatric patients. Materials and methods: This study focused on reviewing the available scientific literature to identify and analyze these determinant factors. The methodology employed consisted of a qualitative investigation based on the review of recently published relevant studies and clinical cases. Exhaustive searches were conducted in scientific databases such as PubMed, Science Direct, Scopus and Google Scholar. Results: There are several challenges regarding bone marrow transplantation in pediatric patients, with genetic compatibility between donor and recipient being crucial, in addition, post-surgical care, choice of nutrition, prevention of graft-versus-host disease, careful donor selection, use of tailored conditioning regimens and elimination of contaminating malignant cells are crucial for successful transplantation. Conclusion: It is emphasized that the selection of bone marrow transplantation technique in pediatric patients depends on several factors, including genetic compatibility, the patient's health status and the presence of underlying diseases. In addition, therapeutic advances such as reduced-intensity conditioning regimens offer new hope, but a multidisciplinary and personalized approach is required to ensure optimal outcomes and improve quality of life
Análisis del manejo de residuos peligrosos en el área de la salud y su incidencia en los colaboradores que la manipulan
(Universidad Santiago de Cali, 2020) Cuellar Mosquera, Lina Fernanda; Castillo Possu, Yorlays Melissa; Mora Zambrano, Lizeth Jessenia; Segura Castillo, Linda Neireth
The dangerous residues that are generated in the institutions of health originated from the activities of the service doctor must be managed of the form as ideal as possible, so much for the personnel in charge of its manipulation as of the professionals of the health and the same institutions; these should take into account a hazardous waste management plan or manual, covering the entire storage, handling, transport and other stages. in addition to providing detailed consideration for the planning and execution of each activity that reduces the risk of exposure or direct contact with the waste. In this context, research into the health sector's hazardous waste management as a central issue is of great importance because of the effects this type of waste has on people and the environment. The objectives addressed in this research are therefore to identify, determine and describe the practices of hazardous waste management and effects presented by the selected research on the proposed topic published in the temporality 2010-2020. Inside the this document there develops a documentary review that tackles a methodology with qualitative approach and of type descriptive, that allowed to analyze the articles about last decade regarding the topic of study and which investigation phases were the investigation of topic, analysis of articles and results and conclusions. Finally, the review points out that waste management practices in the health sector focus on an optimal, comprehensive waste management process, starting from collection, transport and storage, but this should be done by standardizing the entire process through a manual that will expose the right techniques for waste collection phases.It is also clear that the effects that this type of waste can generate are the spread of disease vectors, as well as the deterioration of biodiversity, biological contamination of soil, water and air, and the creation of biological risk factors. Therefore, it is considered of great relevance to create or update the regulations or regulations of waste management where the whole 14 process that involves the collection, transport and storage of hazardous wastes of health entities is precisely established and thus, to cultivate and train all personnel who are in contact with this type of waste.
Análisis regulatorio del reuso y reprocesamiento de dispositivos médicos: Una revisión bibliográfica
(Universidad Santiago de Cali, 2024) Polania Tafur, Michell Julieth; Valenzuela Pascumal, Edita Linybeth; Segura Castillo, Linda Neireth
Introduction: The reuse and reprocessing of medical devices (MD) in Colombia is a high demand practice, however, this process involves risks to patient safety and does not have a fully identified regulation, which is why this review is carried out. bibliography with the aim of analyzing the reuse of MD from a regulatory perspective to guarantee patient safety and sustainability of resources. Materials and methods:A bibliographic search was carried out in ScienceDirect, Pubmed, Dialnet and Google academic databases as a repository using keywords taking into account inclusion criteria such as publications in the last 10 years, English, Spanish and Portuguese language and with appropriate level of evidence. Results: 28 articles were analyzed, in which 12 norms were identified between laws and resolutions from 2004 to 2018 that are not specific, but are associated with the surveillance and regulation process by Invima and the FDA, there are risks . associated with reuse such as decreased effectiveness, failures in patient safety (such as bleeding, infection, contamination of equipment), however, the process has advantages both in the reduction of annual costs and an environmental impact in the reduction of waste. Conclusions: Reprocessing of medical devices is promising, however, efforts should be made to strengthen the regulatory framework related to good manufacturing practices that will reduce the associated risks and increase the benefits for both the patient and the health institution
Aplicación de la realidad extendida en la práctica quirúrgica cardiotorácica, revisión bibliográfica
(Universidad Santiago de Cali, 2024) Cabra Montehermoso, Valentina; Filigrana Torres, Vanessa Fernanda; Rincón Beltrán , Karen Tatiana; Maldonado, Beatriz Alejandra
Introduction: Extended reality (XR) is an umbrella term for virtual reality (VR), augmented reality (AR), and mixed reality (MR). This technology provides an environment that allows the experience to be extended beyond the immediate environment and interact with the digitally created world in a new way. (1) Given that the specialty of cardiothoracic surgery carries high risks, integrating XR in this area could be key to reducing them and increasing patient safety. Objetive: To analyze the applications of XR in cardiothoracic surgical practice. Methodology: The search for articles was carried out in scientific databases such as Pubmed, Oxford Academic, and Science Direct. Results: XR has applications in procedures such as complex thoracoscopic surgery, heart valve surgeries, coronary bypass, location of neoplastic lesions of the chest wall, pediatric cardiothoracic surgery and thoracic surgery. In addition, it offers multiple advantages such as efficient surgical planning, reduction of risks and operating time, better anatomical perception, immersive surgical training, among others. However, it also has some limitations such as relatively high costs, side effects, and risk of system malfunction. Conclusion: XR is a revolutionary tool in cardiothoracic surgical practice, offering multiple benefits, but also challenges. Although its impact is undeniable, more scientific evidence is required to allow its application to spread throughout the world in a reliable and positive way for the benefit of patients and health professionals
Aplicación de la tecnología de rayos gamma en neurocirugía oncológica: Una revisión bibliográfica
(Universidad Santiago de Cali, 2023) De la Cruz Gómez, Yenifer; Garces Angulo, Angela; Pérez Taborda Yuliana; Maldonado Rincón, Beatriz Alejandra
Beneficios de la neuronavegación en procedimientos de escoliosis y tumores espinales: Una revisión bibliográfica
(Universidad Santiago de Cali, 2023) Murillo Murillo, Clara Stefany; Volveras Delgado, Marian Johanna; Maldonado Rincón, Beatriz Alejandra
Introduction: Surgical specialties have currently benefited from technological innovations, highlighting the implementation of neuronavigation, offering important benefits to patients and surgical teams, making it a fundamental option in these areas of medicine. Methodology: This article explores the impact of neuronavigation on healthcare by offering solutions to intraoperative complications, providing significant advantages in terms of patient safety and acceleration of the recovery process. A bibliographic review covering the last five years was carried out, identifying a total of 32 publications through search engines such as Scopus, PubMed, Scielo, Oxford, Springer, ScienceDirect and Google Scholar repository. Results: In the results it was possible to evaluate the effectiveness and safety of neuronavigation, determining the advantages and limitations and identifying the complications associated with its use. Neuronavigation turns out to be a novel and effective technology for performing image-guided surgeries in which the neurosurgeon can observe in real time the situation of the surgical instruments, as well as each of their maneuvers superimposed on three-dimensional reconstructions of images of the spinal column. Conclusions: Neuronavigation has proven to be a valuable tool in spine surgery, improving precision and safety in a variety of procedures, although its limitations and potential associated complications must be considered
Caracterización de colgajos de perforantes para reconstrucción de miembro inferior en pacientes oncológicos: Una revisión bibliográfica
(Universidad Santiago de Cali, 2023) Arboleda Díaz, María Valentina; Arias Correa, Valeria; Gómez Andrade, Jonathan; Orejuela Baquero, Diana Miley
Introduction: The coverage of defects in cancer patients has been considered highly complex due to the scarce remaining tissue, therefore the use of flaps based on perforating vessels has significantly evolved the reconstruction of the lower extremity, due to the great distribution of perforator vessels that guarantee effective treatment with favorable functional and aesthetic results, providing a greater range of mobility and better tissue coverage. (1) Objective: Characterize perforator flaps for lower limb reconstruction in cancer patients. Materials and methods: A previous review of studies was carried out where scientific documents were found in the following databases: Scopus, Gale one file, Nature, Google Scholar, Redalyc, Pumed; where articles were collected between 2017 and 2022 in Spanish, Portuguese and English. Result: The perforator flaps were closed in one of the main alternatives for lower extremity reconstruction surgeries in cancer patients, due to their rotation and elevation characteristics, with technological advances better techniques, procedures, and better quality have been offered in the patient care with the possibility of selecting the most appropriate perforator, guaranteeing minimal morbidity in the donor area, developed by the main vascular and underlying muscles, however, they are not exempt from the occurrence of some type of complication and/or adverse event such as venous congestion or flap necrosis. Conclusion: finally, we can conclude that the use of perforating flaps presents an essential alternative to achieve a successful procedure, thanks to the great advantages that they represent, such as the variety of perforating vessels, guaranteeing the patient an improvement in their functionality
Catéter venoso central una probabilidad de desarrollo para infecciones del tracto venoso: Revisión bibliográfica
(Universidad Santiago de Cali, 2024) Ledezma Ocoro, Leidy Janine; Lezama López, Laura Camila; Bustos Tobón, Nasly Yireth.; López López, María Nela
The CVC, has been considered an indispensable device in the hospital setting given that it is a thin tube, which provides long-term vascular access, allows the administration of medications, laboratory tests, among others; however, it has been shown that its use is highly related to bloodstream infections (1-3)
Cirugía reconstructiva de bóveda craneal con implantes de Polieteretercetona (Peek) como una alternativa innovadora aplicada (revisión bibliográfica)
(Universidad Santiago de Cali, 2024) Álvarez González, Karen Vanessa; Bolaños Preciado, María Cristina; Medina Mina, Tatiana; Maldonado Rincon, Beatriz Alejandra
Introduction: Cranial vault surgery is a procedure that restores the affected areas of the skull, either by factors such as trauma, congenital defects, tumors, among others, therefore, its main function is to restore the structural integrity of the skull and protect the underlying brain tissues (1-4). Cranioplasty surgery is a procedure that restores the affected areas of the skull, either by factors such as trauma, congenital defects, tumors, among others, therefore, its main function is to restore the structural integrity of the skull and protect the underlying brain tissues (1-4) Objective: To analyze the effectiveness of PEEK implants used as a cranial vault reconstruction procedure. Materials and methods: The current bibliographic review was carried out by means of a search of articles in databases such as: Google Scholar repository (36), Pubmed (11), Scielo (7), ScienceDirect (7), ResearchGate (2), Springer (3), Dialnet (1). Results: The PEEK graft can have high benefits thanks to the fact that it is an implant made of polymers, which provides strength and safety similar to human tissue; in addition, it does not conduct energy and is well tolerated by tissues (11,14). However, among the advantages and disadvantages of the PEEK implant and the titanium mesh, these are very similar; however, the PEEK implant has to be a more resistant and biocompatible material compared to the mesh, although both are personalized implants, slightly light and radiotransparent (21-25). On the other hand, PEEK implants can have different post-surgical results with good success rates, since it is considered that it does not usually present serious complications that put the result itself at risk (30-34). Conclusion: cranioplasty with PEEK grafts is considered a valuable option that can significantly improve the quality of life of patients, allowing the restoration of the structural, functional and esthetic integrity of the skull
Comparación de abordajes quirúrgicos para tumores colorrectales: cirugía laparoscópica versus procedimientos convencionales. Una revisión bibliográfica
(Universidad Santiago de Cali, 2024) Gómez Mathieu, Josué Nicolas; Rosero Salverri, Yisel Carolina; Zamora, Danna Valentina
Introduction: Colorectal cancer is a type of cancer that affects the colon and rectum. It originates when cells in these areas begin to grow uncontrollably and form tumors. For the treatment of this pathology, the surgical approach is a crucial strategy that is carried out through an incision designed to expose organs or anatomical structures. (1) In contrast, for the treatment of colorectal tumors there are two basic approaches, the conventional approach and the laparoscopic approach, which have various advantages for patient recovery. (2) Thus, the objective of this review is to compare surgical approaches for colorectal tumors, specifically laparoscopic surgery and conventional procedures. Materials and methods: A search for digital information on colorectal surgery and its approaches was carried out in Google Scholar, Pubmed and Scopus, subsequently the data obtained was compiled, including a total of 62 articles, of which 56 were added to the bibliography. Results: The comparison between the laparoscopic and conventional approach presents a greater number of advantages in the laparoscopic approach. Among these advantages is; lower mortality rate, shorter recovery time and fewer complications. Conclusion: Laparoscopic surgery is currently the most used technique for the treatment of colorectal tumors. This procedure has advantages for patient recovery. However, the conventional technique is important as a reintervention resource
Comparación del uso de la membrana amniótica frente al autoinjerto de conjuntiva en cirugía ocular: Revisión bibliográfica
(Universidad Santiago de Cali, 2024) Cuellar Urrutia, Laura Camila; Palomino Suarez, Nicolle Dahyan; Valencia Becerra, Evelyn; Segura Castillo, Linda Nerieth
Introduction: Pterygium, also known as "surfer's eye", is a benign lesion characterized by an abnormal fibrovascular growth taking a triangular or wing shape, composed of an epithelium and loose subepithelial connective tissue, limbal and conjunctival tissue largely vascularized. Objective: To compare the use of amniotic membrane versus conjunctival autograft in pterygium resection surgery, based on results of clinical cases. Materials and methods: A search was performed based on studies taken from the following databases accompanied by the respective number of articles used in the tracking matrix, starting with Pubmed (28), Web of Science (17), Google Scholar (11), ScienceDirect (8), Scopus (8), Dialnet (4), Nature (2), Taylor & Francis Group (1) and Springer Link (1). Results: Studies have shown that the combination of MA with antifibrotic agents such as mitomycin C can reduce the recurrence rate to 10-15%, approaching the results obtained with conjunctival autograft, but the use of MA alone can lead to higher recurrence rates; this has generated an interest in optimizing fixation techniques and adjuvant treatments to improve long-term clinical results. Conclusion: Both techniques have been shown to be effective in reducing pterygium recurrence; however, conjunctival autograft is distinguished by its ability to offer a lower long-term recurrence rate; this finding reinforces the relevance of selecting the most appropriate surgical technique based on the characteristics of the pterygium and the particularities of each patient. Keywords: Pterygium, amniotic membrane, conjunctival autograft, recurrence, fixation methods, grafts, ocular surgery
Conceptos teóricos de suturas mecánicas en estudiantes de séptimo y octavo semestre del programa de instrumentación quirúrgica de la Universidad Santiago de Cali en el periodo 2019 B
(Universidad Santiago de Cali, 2020) Collazos Muñoz, María Camila; Drada Valencia, Maryeline; Valencia Ordoñez, Daniela; Maldonado Rincón, Beatriz Alejandra
“Conocimiento sobre el uso de injertos y sustitutos óseos de los estudiantes de 7 y 8 semestre de instrumentación quirúrgica en la universidad Santiago de Cali 2020a.”
(Universidad Santiago de Cali, 2020) Cambindo Campo, Gloria Fernanda; Bocanegra Palacios, Kevin Josseph; Oviedo Jiménez, Miguel Ángel; Puerta Díaz, Daniel Eduardo
Conocimiento sobre los riesgos por el uso de implantes mamarios en los estudiantes de séptimo y octavo semestre del programa de Instrumentación Quirúrgica de la Universidad Santiago de Cali en el periodo 2019-A
(Universidad Santiago de Cali, 2019) Medina García, Anya Gabriela; Grazi Molines, Maria del Mar; Yule Llantén, Luz Adriana; Rico Ceballos, Carlos Alberto
La cirugía de aumento de mama es una técnica quirúrgica por medio de la cual se aumenta o restablece el tamaño del seno, puede ser unilateral o bilateral acorde a la necesidad del paciente y uno de los métodos para lograr este aumento se logra con un implante mamario, de igual manera estos son usados en procedimientos correctivos donde el paciente requiere de una intervención quirúrgica por defectos de desarrollo y reconstructivos en casos donde requiere de una reconstrucción como su nombre lo dice, después de una cirugía por cáncer de seno (mastectomía) donde este pierde su forma de manera parcial o total. Los implantes al quedar dentro del paciente deben cumplir unos requisitos tanto en materiales como en su manejo en el momento de la cirugía y por supuesto su duración dentro del cuerpo del paciente. El criterio y conocimiento acompañado de la destreza del instrumentador quirúrgico son necesarios para evitar las complicaciones o riegos que acompañan a estas cirugías. En la presente investigación, donde se hace referencia al conocimiento de los estudiantes de séptimo y octavo semestre del programa de Instrumentación Quirúrgica en el año 2019 respecto a los riesgos por el uso de los implantes mamarios, en la cirugía plástica que actualmente se realiza con mayor frecuencia, exige del instrumentador quirúrgico conocimiento y destreza en el tema al hacer parte del equipo interdisciplinario quirúrgico. De acuerdo con lo anterior el trabajo de investigación recibe el nombre de “Conocimiento sobre los riesgos por el uso de implantes mamarios en los estudiantes de séptimo y octavo semestre del programa de Instrumentación Quirúrgica de la universidad Santiago de Cali en el periodo 2019-A”

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