RESUMO
Background. Laparoscopic surgery generates end products that can have potentially harmful effects for the surgical team from short- or long-time exposure. In view of the current SARS-CoV-2 circumstances, controversy has risen concerning the safety of surgical smoke (SS) and aerosols and the perception of an increased risk of exposure during laparoscopic surgery. Methods. The present qualitative systematic review was conducted according to Meta-Analyses and Systematic Reviews of Observational Studies (MOOSE). A literature search was performed from March 2020 up to May 10, 2020, using the PubMed database, Cochrane, and Google Scholar to assess the risk of airborne transmission of viruses and the potential health risk of surgical smoke- and aerosol-generating procedures produced during laparoscopic surgery. The keywords were introduced in combination to obtain better search results. Application of the inclusion and exclusion criteria identified 44 relevant articles. Results. Genetic material from certain viruses, or the virus itself, has been detected in SS and aerosols. However, in the current SARS-CoV-2, as in other coronavirus situations, studies analyzing the presence of airborne transmission of viruses in surgical smoke are lacking. Conclusion. Despite the lack of clear evidence regarding the risk of diseases as the result of smoke- and aerosol-generating procedures during laparoscopic surgery, further investigation is needed. Meanwhile, all available precautions must be taken.
Assuntos
COVID-19 , Laparoscopia , Aerossóis/efeitos adversos , Substâncias Perigosas , Humanos , Transmissão de Doença Infecciosa do Paciente para o Profissional , Laparoscopia/efeitos adversos , SARS-CoV-2 , Fumaça/efeitos adversosRESUMO
Se realizó un estudio analítico de tipo caso-control, retrospectivo y de corte transversal en recién nacidos con sepsis neonatal, comparando los que sobrevivieron con los que fallecieron durante el año 2014, con el objetivo de identificar los factores de riesgo asociados a sepsis neonatal en la Unidad de Cuidados Intensivos Neonatales del Hospital General Docente "Dr Agostinho Neto. El universo quedó constituido por los 15 recién nacidos diagnosticados con sepsis. Se consideraron como casos los recién nacidos sépticos fallecidos y control los recién nacidos sépticos vivos. El distrés respiratorio y los trastornos vasomotores resultaron las variables clínico-epidemiológicas más importantes dentro de los factores de riesgo. La elevación de la glicemia fue lo más significativo dentro de las variables de laboratorio estudiadas(AU)
An analytical study of case-control, retrospective and cross-sectional in newborns with neonatal sepsis was performed, comparing those who survived with those who died during the year 2014, in order to identify risk factors associated with neonatal sepsis the Neonatal Intensive Care Unit of the General Teaching Hospital Dr Agostinho Neto. The universe was composed of 15 infants diagnosed with sepsis. They were considered as cases septic newborns died and control the Neonatal sepsis. Respiratory distress and vasomotor disorders were the most important clinical and epidemiological variables in risk factors. The elevation of blood glucose was the most significant in laboratory variables were studied(AU)
Assuntos
Humanos , Procedimentos Cirúrgicos Ambulatórios/métodos , Hérnia Inguinal/cirurgia , Parede Abdominal/cirurgiaRESUMO
Se realizó un estudio descriptivo, retrospectivo y de corte transversal en 60 pacientes operados en el Hospital Dr Agostinho Neto de Guantánamo, entre el mes de enero de 2008 y julio de 2014, con el objetivo de comparar dos técnicas de la anastomosis coledocoduodenal (la convencional de Florcken y la modificada). Se contemplaron diferentes variables, como: edad, sexo, tipo de operación, diagnóstico, tiempo quirúrgico, material de sutura, complicaciones, y fallecidos. El mayor número de pacientes perteneció al sexo femenino, y la edad más representativa se encontró entre los 50-70 años. La cirugía fue realizada preferentemente de forma electiva, la indicación más usual fue la litiasis vesicular y coledociana en ambos grupos, el tiempo quirúrgico disminuyó a 1-2 horas en la técnica modificada. La complicación más frecuente fue la sepsis de la herida. La mortalidad fue similar en ambos grupos(AU)
A descriptive, retrospective and cross-sectional study was conducted in 60 patients operated at the Hospital Dr Agostinho Neto Guantanamo, between January 2008 and July 2014, in order to compare two techniques (the conventional and modified Florcken) choledochoduodenal anastomosis. Different variables are contemplated: Age, sex, type of operation, diagnostic, surgical time, suture material, complications and death. The largest number of patients belonged to the female sex, and the most representative age was between 50-70 years. The surgery was performed electively; the most common indication was the gallbladder and common bile duct stones in both groups decreased in surgical time to 1-2 hours in the modified technique. The most common complication was wound sepsis. Mortality was similar in both groups respectively(AU)
Assuntos
Coledocostomia/métodos , Litíase/cirurgiaRESUMO
Se presenta el caso de un paciente de 18 años de edad con antecedentes personales de esquizofrenia, pescador, que comienza 48 horas antes de ser admitido en nuestro servicio con cuadro doloroso abdominal interpretado como caso de apendicitis aguda. Lo que llama la atención del caso no es el diagnóstico clínico de apendicitis aguda sino más bien lo que se encuentra en el transoperatorio: un anzuelo en la base apendicular. Por lo inusual nos motivó a investigar sobre apendicitis y bezoares, encontrando en la literatura médica y diversas revistas varios casos(AU)
The case of a patient, 18 years of age with a history of schizophrenia, fisherman, beginning 48 hours before of being admitted to our department with abdominal painful symptom interpreted as a case of acute appendicitis is presented. The most important in this case is not the clinical diagnosis of acute appendicitis but rather what is happening the surgery: a hook is found in the appendiceal base. It motivated us to investigate unusual about appendicitis and hooks, finding in the literatures and various magazines
