Sede Azogues - Medicina

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Examinando Sede Azogues - Medicina por Asesores "Bermeo Ortega , Juan Carlos"

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    Eficacia de la cirugía laparoscópica versus la cirugía abierta en trauma abdominal
    (Universidad Católica de Cuenca., 2024) Jiménez Puente, Bryan Israel; Bermeo Ortega , Juan Carlos; 1400701999
    Abdominal trauma, the sixth leading global cause of death, primarily affects young to middle-aged adults. Effective management is crucial, and although laparotomy has traditionally been effective, it has led to non-therapeutic procedures with complications. Laparoscopy, accepted for both diagnosis and treatment, presents complications, with conversion to laparotomy being notable. Objective: To compare the efficacy of laparoscopic surgery and conventional surgery in treating patients with abdominal trauma through a comprehensive review of available scientific literature. Methods: A qualitative literature review, non-experimental, descriptive and analytical was conducted, regarding the efficacy of laparoscopic surgery versus open surgery in abdominal trauma, using data from scientific articles from the last five years obtained from scientific search engines such as PubMed, UpToDate, SciELO, ACS, Wiley, RECIMUNDO, Wolters Kluwer, Argent. CIR. journal, and Frontiers, and texts such as ‘Enciclopedia Cirugía Digestiva’ Digestive Surgery Encyclopedia]. Results: A total of 84 works were identified; after excluding 31 publications, 53 articles were retained for review and information extraction. Mainly from various sources, the most recurrent being: PubMed with 12 (22.6%), UpToDate with 4 (7.5%), SciELO with 2 (3.7%), ACS with 2 (3.7%), Wiley with 2 (3.7%), and other journals with 31 (58%). Conclusion: The review on abdominal trauma highlights the benefits of laparoscopy, including shorter surgical times and less prolonged recovery. Laparoscopy shows fewer complications and mortality, especially in stable patients, favoring the reduction of unnecessary laparotomies. Surgeon experience is crucial in minimizing conversions to laparotomy since, in comparison, it exhibits higher complications and hospitalization time.