Ene 12

¿Cuál es el papel de la cirugía mínimamente invasiva en una vía rápida de reemplazo de cadera y rodilla?

What is the role of minimally invasive surgery in a fast track hip and knee replacement pathway?

 

 

Fuente
Este artículo es originalmente publicado en:

https://www.ncbi.nlm.nih.gov/pubmed/22507716/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3705225/

http://publishing.rcseng.ac.uk/doi/abs/10.1308/003588412X13171221590214?url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&rfr_dat=cr_pub%3Dpubmed&

De:

Lloyd JM1, Wainwright T, Middleton RG.

 

Todos los derechos reservados para:

 

 

Resumen

 

INTRODUCCIÓN:
La cirugía mínimamente invasiva de reemplazo de cadera y rodilla (MIS) sigue recibiendo cobertura tanto en la prensa popular como en la literatura científica. Los beneficios citados incluyen una cicatriz más pequeña, menos traumatismos de tejidos blandos, recuperación más rápida, menor estancia hospitalaria, disminución de la pérdida de sangre y reducción del dolor postoperatorio. Estos resultados son altamente deseables y consistentes con los objetivos de las vías rápidas de cadera y rodilla. Este artículo evalúa la literatura y discute si la realización de MIS sobre técnicas quirúrgicas convencionales ofrece ventajas en una vía rápida de cadera y vía de rodilla.

 
CONCLUSIONES:
No hay evidencia suficiente para indicar que la técnica quirúrgica sola hace una diferencia significativa en la recuperación o reduce el traumatismo de los tejidos blandos. Por lo tanto, no se puede llegar a un consenso sobre si se deben usar las técnicas MIS en las vías rápidas de reemplazo de cadera y rodilla. Esto es especialmente importante dado que las tasas de complicaciones de MIS en el cirujano de bajo a medio volumen parecen inaceptablemente altas en comparación con los enfoques estándar. También es demasiado pronto para evaluar los efectos a largo plazo de MIS en la supervivencia del implante.

 

 

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