SciELO - Scientific Electronic Library Online

 
vol.71 número4Cirugía coronaria sin circulación extracorpórea: comparación con cirugía de revascularización miocárdica convencional con método Propensity Score MatchingFístulas colónicas de origen diverticular índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Revista

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google

Compartir


Revista de cirugía

versión impresa ISSN 2452-4557versión On-line ISSN 2452-4549

Resumen

DIAZ S., Rodrigo et al. Midline laparotomy technique consensus using the Delphi method. Rev. cir. [online]. 2019, vol.71, n.4, pp.307-317. ISSN 2452-4557.

Introduction:

Traditionally, the main surgical technique to access the abdominal cavity has been midline incision laparotomy, being postoperative complications a main concern. Proper teaching-learning methods could help improving the success of this procedure.

Aim:

Establish an expert's consensus throughout the Delphi Methodology regarding the main steps that need to be considered in a midline laparotomy.

Materials and Method:

Literature review was conducted, 37 steps were identified and grouped in 3 sections; preparation of the skin, opening incision, and closure. These steps were evaluated online by surgeons of 7 teaching hospitals in Chile.

Results:

Consensus was reached in two rounds, 28 of the 37 steps were identified as important or very important for the procedure.

Discussion:

There is a high level of agreement in steps related to preparation of the skin and opening incision. However, there is not a consensus regarding closure of the peritoneum and fascia in one or more layers, being a case to case decision.

Conclusions:

Establishment of 28 standardized steps constitutes a contribution to resident teaching programs and the development of simulation materials as an active learning strategy. Satisfactory learning outcomes have a direct impact in the success of the procedure and a lower rate of complications.

Palabras clave : midline laparotomy; Delphi methodology consensus; surgical education; surgical technique.

        · resumen en Español     · texto en Español     · Español ( pdf )