Instrumentación Quirúrgica

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    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
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    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
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    Situación actual de procedimientos quirúrgicos para el pectus excavatum: Revisión de alcance
    (Universidad Santiago de Cali, 2023) Arizabaleta Hurtado, Valeria; Castillo Viveros, Zaira Liseth; López López, María Nela
    Introduction. Pectus excavatum (PE) is a malformation in which the cartilage does not develop properly and therefore causes subsidence and is more predominant in men. Therefore, they are of congenital origin associated with the consequences of the development of the thoracic cage belonging to type one, these being cartilaginous (1-4). Likewise, the diagnostic method used is magnetic resonance, which through an image allows visualizing the anatomy in detail (5). Thus, the first surgical procedure was published by Dr. Mark Mitchell Ravich in 1994 (6) and later a minimally invasive procedure was created in 1998 by Dr. Donald Nuss (7). Aim. Know the current situation of surgical procedures for pectus excavatum Materials and methods. The databases that were used were: Researchgate, Refseek, Scielo, Pubmed, Secipe, Springer Link, Oxford Academic, Science Direct, Electronic Base of Medical Portals, Electronic Health Research Base, and the Google Scholar Reservoir Result: Surgery de Nuss has been the fundamental basis for carrying out different modifications due to the flexibility of the ribcage or, on the contrary, the creation of innovative surgical techniques and lighter and more resistant sternal materials that provide the patient with other treatment options. Conclusion: Recent surgical procedures to repair the anomaly are good options that provide aesthetic, functional, and functional aesthetic results that generate confidence and safety in the patient
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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
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    Eficacia de las técnicas con láser verde y holmium para la hiperplasia benignaprostática. Estado del arte
    (Universidad Santiago de Cali, 2023) Arango Arteaga, María Camila; Muñoz Bejarano, Lilia Sofía; Ramírez Valencia, Daniela; López López, María Nela
    Introduction: Benign prostatic hyperplasia (BPH), is a benign pathological process, which is associated in 80% to age factors, being the most affected population men older than 50 years; however, at present, there are effective methods for the surgical treatment of BPH, such as, Green laser and Holmium laser, since they are minimally invasive methods and avoid at the same time injuries or damages to the patient.(1,2). Objective: To review the efficacy of green and holmium laser techniques for benign prostatic hyperplasia. Materials and methods: The present review was carried out by means of a search of articles in databases such as: Pubmed(n=34), MediGraphic(n=3), Elsevier(n=2), Scielo(n=9), Dialnet(n=5), ScienceDirect(n=14) and Google Academic Repository(n=14) for a total of 81 articles. Results: BPH is one of the pathologies that affects more than 50% of the male population, which is why specialists have opted for alternatives such as the use of lasers, since it is scientifically proven that it does not cause lesions and complications to the patient; on the other hand, it must be taken into account that both lasers are different in terms of their operation and their standards, since the Green laser is not suitable for large prostates. Conclusions: Lasers are highly effective tools for the treatment of BPH, since it is possible to show a decrease in prostate size without leaving residues in the patient, and at the same time avoiding injury to other nearby structures
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    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
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    Evolución de los tratamientos endovasculares en la enfermedad arterial oclusiva crónica periférica. Revisión de alcance
    (Universidad Santiago de Cali, 2023) Cabal Giron, Daniela; Giraldo Caicedo, Laura; López López, María Nela
    Introduction: Chronic peripheral arterial occlusive disease (EAOCP) corresponds to the slow and gradual obstruction of the cavities of the arteries of the extremities, showing a higher prevalence in the elderly population; due to impaired quality of life. Objective: To analyze the evolution of endovascular treatments in peripheral chronic arterial occlusive disease. Materials and methods: A scope review was carried out through databases such as PubMed, Medigraphics, Elsevier and the Google academic repository, in different languages, such as: Spanish and English; between the years 2018 and 2023. Results. The presentation of peripheral chronic occlusive arterial disease is much more frequent in men than in women, this presents risk factors such as smoking, age, hypertension, cholesterol and diabetes among the main ones; an alternative to treat it are endovascular treatments that are characterized by being minimally invasive, improving the quality of the procedures and therefore quality of life of the patient; the two main treatments are drugs, conventional angioplasty and stent angioplasty. Conclusion: EAOCP is a serious medical condition that can have important negative consequences for the quality of life of patients. Endovascular treatments have become an effective alternative to major conventional treatments, offering higher success rates and lower complication rates
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    Reparación endovascular de las patologías de la aorta torácica (TEVAR): Revisión de alcance
    (Universidad Santiago de Cali, 2023) Otálora López, Tomas Santiago; López Gómez, Leídy Vanessa; Lemos Minotta, Jireh; Lòpez Lòpez, Maria Nela
    Introduction: Thoracic aortic aneurysms arise in the population worldwide, these are associated with arterial widening, worsening the weakness of the blood vessel wall; At present, there are minimally invasive endovascular treatment surgical techniques to treat them. Objective: analyze endovascular repair of thoracic aorta pathology (TEVAR) surgical process. Materials and Methods: A scope review was carried out with the help of a tracking matrix through 62 scientific studies according to selection criteria through academic repository and databases of specialized knowledge. Results: The main indications for performing a TEVAR are the level of complication, size of the aneurysm, aortic diameter, symptoms, and diagnosis of the patient; the surgical procedure is: endoprosthesis; Their limitations and complications cannot be ignored, such as access problems, endoleak, cerebrovascular accident, handling of supplies, and lack of training on the part of the health team. Conclusion: Thoracic aortic aneurysms have affected a large percentage of the population, they are treated by TEVAR, which must follow a series of indications to approach the patient, such as: progress, level of inflammation, difficulty of rupture, and diameter. aortic to avoid complications; In addition, the main procedure under this technique is thoracic aortic endoprosthesis
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    Inteligencia emocional en estudiantes de ciencias de la salud: Una revisión de alcance
    (Universidad Santiago de Cali, 2023) Solís Cardona, Laura Paola; Cáceres Cortés, Valeria; Segura Castillo, Linda Nerieth
    Introduction: Emotional intelligence (EI) is a model of intelligence that has the ability to recognize the emotions that arise in the environment; relating interpersonal and intrapersonal factors. It should be noted that a certain capacity allows guiding the thoughts and social interaction of each person. Objective: To perceive the levels of emotional intelligence (EI) in university students of health sciences. Materials and Methods: The search for information was based on the Google Scholar repository and on the SCIELO, Science Direct and Springer databases. The information was captured in a data matrix where a total of 94 documents were gathered to finally use 46 according to our inclusion criteria. Results: University students of health sciences trigger high, medium or low levels of emotional intelligence. The response obtained depends on how the student manages the stressors that lead to anxiety and, therefore, affect their academic performance. Therefore, correlations are obtained between the factors mentioned above that will work inversely. Conclusion: finally, it is concluded that it is essential for the university student to develop his EI, since this will be the factor that will be responsible for maintaining his emotional stability and will allow the future health professional to develop efficiently in the educational, social and work environment, among other aspects
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    Evolución de los tratamientos alternativos para el rejuvenecimiento facial: Una revisión bibliográfica
    (Universidad Santiago de Cali, 2023) Palencia Ramírez, Loren Ibeth; Palma Parra, Shirley; Carvajal Cuero, Daniela; Segura Castillo, Linda Nerieth
    The general objective of this literature review is to analyze the evolution of alternative treatments for facial rejuvenation. In order to collect the necessary and reliable information, a review was carried out in the databases Google Scholar, Springer, Taylor and Francis group, Science Direct, PubMed, Nature, Dialnet, and Scopus, taking as a date range the years between 2018 and 2023, including scientific articles, theses, and review articles. The results can be very useful for the facial cosmetic surgery sector in terms of the combination of surgical processes and technological advances to ensure optimal results for patients, while motivating the search for improvement of techniques for the benefit of reducing the rate of complications as much as possible. Rhytidoplasty is the option that best suits the needs of those interested in correcting certain facial anomalies typical of aging; in this research is reflected in the professionalism with which each procedure is performed for the benefit of giving the patient a youthful appearance without losing the naturalness of the face
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    Fluorescencia con verde de indocianina una alternativa de apoyo para la especialidad de cirugía general: Revisión bibliográfica
    (Universidad Santiago de Cali, 2023) Serna Salcedo, Isabella; Posada Erira, Sury Giselle; Olaya Chavez, Liseth Vanessa; Orejuela Vaquero, Diana Miley
    Introduction: Indocyanine green has been seen as an effective and reliable tool, to improve the accessibility of the surgical site, identification of difficult to access anatomical structures and wide vision for the surgeon, being so the ICG has achieved great advantages and benefits in reducing surgical complications. Objective: To identify the main benefits of the use of indocyanine green fluorescence in general surgery. Materials and methods: The present bibliographic review was carried out by means of a search of articles in databases such as: Elsevier (12), Google Scholar (10), Pubmed (6), Dialnet (6), Oxford Academic (5), Springer (11). Results: ICG is a stain that is injected intravenously into the patient during surgery. It contains a sodium iodide molecule, which emits a fluorescence wave by means of an infrared camera, thus identifying the structures that need to be visualized and reducing surgical complications, such as re-surgery, hospital stay and surgical time, among others. Conclusions: the ICG can be considered as a tool to help reinforce patient safety and improve the surgeon's confidence in the surgical act, since the ICG is a useful instrument to identify structures that are not very visible or difficult to identify with the naked eye
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    Trasplante renal de paciente vivo VS trasplante de paciente cadavérico: Una revisión bibliográfica
    (Universidad Santiago de Cali, 2023) Torres González, Emely Andrea; Suárez Restrepo, Estefanía; Londoño Acosta, Kely Johana; Orejuela Baquero, Diana Miley
    Introduction: Renal transplantation (RT) is a procedure that has gained great notoriety during the last years, due to the great existing demand, to treat chronic kidney disease (CKD). Currently, there are several types of donors, which offers patients greater possibilities to obtain a better quality of life. Objective: The aim of this review is to analyze the effects of living donor (LDR) vs cadaveric donor (CD) transplantation. Materials and methods: A literature review of the literature published between 2019-2023 was performed. A total of 112 articles were obtained from four main databases (Sage Journal, ScienceDirect, Springer and Google Scholar), of which, after applying the previously defined inclusion criteria, 40 were selected for this review. Results: The data obtained indicate that the results are superior in both patient and graft survival, when TR processes are performed with LDR, with respect to CD (96% vs 90%; 94% vs 83%, overall averages) and complications, although they occur, are usually at very low levels in both LDR and CD. Conclusions: Overall, TR with either type of donor offers a good opportunity for patients to develop a normal life and have quality of life. Moreover, it is safe for both donors and recipients
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    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
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    Trasplante renal de paciente vivo vs trasplante de paciente cadavérico: Una revisión bibliográfica
    (Universidad Santiago de Cali, 2023) Torres González, Emely Andrea; Suárez Restrepo, Estefanía; Londoño Acosta, Kely Johana; Orejuela Baquero, Diana Miley
    Introduction: Renal transplantation (RT) is a procedure that has gained great notoriety during the last years, due to the great existing demand, to treat chronic kidney disease (CKD). Currently, there are several types of donors, which offers patients greater possibilities to obtain a better quality of life. Objective: The aim of this review is to analyze the effects of living donor (LDR) vs cadaveric donor (CD) transplantation. Materials and methods: A literature review of the literature published between 2019-2023 was performed. A total of 112 articles were obtained from four main databases (Sage Journal, ScienceDirect, Springer and Google Scholar), of which, after applying the previously defined inclusion criteria, 40 were selected for this review. Results: The data obtained indicate that the results are superior in both patient and graft survival, when TR processes are performed with LDR, with respect to CD (96% vs 90%; 94% vs 83%, overall averages) and complications, although they occur, are usually at very low levels in both LDR and CD. Conclusions: Overall, TR with either type of donor offers a good opportunity for patients to develop a normal life and have quality of life. Moreover, it is safe for both donors and recipients
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    Modelos de bioimpresion 3d y sus aplicaciones en ortopedia y traumatología: Una revisión bibliográfica
    (Universidad Santiago de Cali, 2023) Chaux Daza, María Camila; Barbosa Velásquez, Angie Manuela; Orejuela, Diana Miley
    Introduction: Orthopedic problems have occurred over time, they generate various discomforts and limitations to the patient, taking into account that traditional surgery restricts the quality of procedures, it arises through 3D printing technology (Graphic image showing depth, width and height or three-dimensional), this is a great tool for tissue engineering because it facilitates 3D cell culture within 3D biomimetic architectures that require great care (10) (11). Objetive: Make a bibliographical review of the benefits of managing 3d biomodels in orthopedics and traumatology. Methodology. The present study was guided under the parameters of bibliographic review through previous research in scientific evidence platforms such as: Pubmed, Scopus, Elsevier, medigraphics and the Google academic repository. Results: The main advantage of 3D bioprinting is that it allows adjusting the tools and/or prostheses according to the requirements of each patient, reduces intervention times and therefore costs, significantly improves the quality of life of beneficiary patients; This applies the preparation of surgery both in the development of tools and implants. Conclusions: 3D bioprinting is expanding more and more due to the ease it offers to the interdisciplinary team of orthopedics and traumatology, as well as the guarantees for the patient to be approached with a safe procedure
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    Dermatosis ocupacional en los trabajadores de salud y su relación con la pandemia del Covid-19: Revisión bibliográfica
    (Universidad Santiago de Cali, 2023) Gómez, Katherine Elizabeth; Rojas Veira, María Camila; Rojas Quintero, María Paula; Maldonado, Beatriz Alejandra
    Introduction: After the covid-19 pandemic was declared, protective measures took an unexpected turn. Due to the mode of transmission of the virus, emphasis began to be placed on the use of personal protective equipment, in addition to frequent hand washing. This triggered an increase in occupational dermatoses in health care workers. General objective: To perform a bibliographic review in which the relationship between the appearance of occupational dermatoses in health personnel and the covid-19 pandemic is established. Materials and methods: Bibliographic review of articles describing the relationship between the covid-19 pandemic and occupational dermatoses and/or mentioning recommendations or treatments for skin pathologies associated with the use of PPE. This search was carried out using databases such as: ScienceDirect, Scopus, PubMed, Google Scholar, Oxford and SAGE Journal. Results: It was possible to determine the most common types of occupational dermatoses: contact dermatitis, both allergic and irritative, acne, seborrheic dermatitis and urticaria, among others. It is also important to make known the risk factors for these skin conditions and their prevention methods. Conclusions: To conclude, the relationship between the covid-19 pandemic and the significant increase in cases of occupational dermatoses among healthcare personnel is indisputable. Therefore, it is necessary for hospitals and clinics to generate prevention and education campaigns on occupational dermatoses for healthcare personnel in order to minimize their impact
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    Síndrome del impostor en profesionales del área de la salud: Revisión bibliográfica
    (Universidad Santiago de Cali, 2023) Herrera Gallego, Isabella; Maldonado, Beatriz Alejandra
    Introduction: The impostor syndrome (IS) is a phenomenon that affects professionals in the health area, in which people feel that despite their achievements they still remain insufficient or that they are a fraud in front of others, on the other hand, it is one of the phenomena that most frequently affects women; and in the health area the most outstanding are nurses and anesthesiologists, since their levels of responsibility are high, leading them to the point of spending many more hours preparing and working(1,2). Objective: To analyze the regularity of impostor syndrome in health professionals. Materials and methods: The present bibliographic review was carried out by means of a search of articles in databases such as: Google Scholar, ScienceDirect, PubMed, Springer. Results: The impostor syndrome is evidenced in both genders, but more frequently in women, and one of the most common aspects is fatigue, stress, physical and mental exhaustion. Conclusion: Can be considered as one of the main characteristics that negatively affect the mental health of health professionals regardless of their achievements and capabilities; likewise, PI significantly affects both women and men, with the female gender prevailing
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    Faloplastia en pacientes con disforia de identidad de género. Una revisión bibliográfica
    (Universidad Santiago de Cali, 2023) López Ronderos, Laura Camila; Loaiza Gaviria, Natalia; Zúñiga Benavides, Laura Marcela; Lamprea Garcia,Angelica Viviana
    Introduction: Phalloplasty is a reconstructive surgery that constructs a phallus (penis) for patients with gender dysphoria. Phalloplasty seeks to create a phallus that reaches three objectives: standing up to urinate, tactile properties, and erogenous properties. However, the deficit of this surgery creates challenges in patient decision-making (1). Objective: To analyze phalloplasty as a surgical treatment option for patients with gender identity dysphoria. Materials and methods: A search for updated articles was carried out, these are scientific and endorsed documents, published in the following databases: Google Scholar (n=5), Pubmed (n=20), Scielo (n=2), ScienceDirect (n=28), Springer (n=15), obtaining a total of 70 studies. Of which 50 articles were included for the bibliographic review. Results: Phalloplasty is a surgery highlighted by the increase in cases of patients with gender dysphoria. This surgery has not been categorized as standard in terms of creating an aesthetic phallus, due to its high complexity. Specialists frequently use the free forearm flap (RFFF) for its tissue formation capacity and its reliable neurovascular anatomy. However, its disadvantage is the visibility of the donor site. Therefore, the anterolateral thigh (ALT) flap is often used, which is easy to hide the donor site. Of course, There are complications such as bleeding, graft infections, urological problems such as urethral strictures, fistulas. Conclusions: Gender incongruity is an affectation that every day produces alarm due to its psychological, social, and physiological repercussions. For this reason, it is important to continue searching for a surgical technique for gender dysphoria and achieve an aesthetic, functional phallus with fewer intraoperative and postoperative complications
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    Laparoscopia con sistema óptico 3d un enfoque innovador para cirugía urológica: Una revisión bibliográfica
    (Universidad Santiago de Cali, 2023) Ibáñez Benítez, Danna Valentina; Miranda Labrada, María Camila; Muñoz Imbachi, Ángela Paola
    Introduction: The innovation in surgery has brought benefits to both surgeons and patients. The three-dimensional system offers enhanced visualization in third dimension through special glasses. This technology has demonstrated significant advantages and improved outcomes in surgery. Objective: Analyzing the use of laparoscopy with a 3D optical system in urology. Materials and methods: A search was carried out for scientific and endorsed articles published in the last 5 years, in the following databases: Google Scholar repository (n=6), Pubmed (n=28), Scielo (n=1), ScienceDirect (n=2), Springer (n=3), Clarivate (n=1), Sage journals (n=3), BMC (n=2), Scopus (n=3), journal of endourology (n=1) , obtaining a total of 67 studies that, taking into account the inclusion and exclusion criteria, 50 articles were included for the realization of this bibliographic review. Results: The 3D optical system in urological laparoscopy offers advantages in surgical performance, visual comfort, image quality, and three-dimensional observation. Its use has shown good results in various urological procedures. Furthermore, it has demonstrated efficacy in reducing surgical time, blood loss, and improving postoperative outcomes. Conclusion: The implementation of laparoscopy with 3D vision in urological procedures has made it possible to obtain great benefits both intraoperatively and postoperatively, ranging from reducing the stress of the specialist to reducing postoperative risks, providing patient safety
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    Materiales y fijadores utilizados para el tratamiento y la reparación de hernias: Revisión bibliográfica
    (Universidad Santiago de Cali, 2023) Bibian Andrea, Martínez Caro;; Muñoz Pulgarín Valentina; Satizabal Sánchez,Nayelly Tatiana; Muñoz Imbachi, Angela Paola
    Introduction: Hernias over time have become one of the most common defects of the abdominal wall, however thanks to the great advances of materials and fixers have decreased the rates of post-surgical complications by 78%. Objective: To collect up- to-date information on the materials and fixators used for the treatment and repair of hernias. Materials and methods: A total of 64 articles from the following databases, International Journal of Epidemiology, Royal Collage of Surgeons of England, Springerlink, Elsevier, Scielo, Asacirujanos, Revista Chilena de cirugía, were included in the present literature review, ScienceDirect, Sohah, Pubmed, Revista cubana de cirugía, Medigraphic, Repositorio Unal, Clínica Hernia, Bitstream. Results: In large scales there are many types of hernias, each of them is repaired differently. Following this, the most outstanding materials are those made with polypropylene since they significantly reduce surgical infections and finally, biological fixers and adhesives are the most outstanding due to their high efficiency in decreasing tissue reaction. Conclusions: Fastening materials have become an innovative topic for health personnel, highlighting materials and adhesives such as biological and semi-synthetic, which, by their validity and effectiveness, are replacing the suture, as these provide improved stability and reduced post-operative complications