Comentario al trabajo: Cirugía craneana sin rasurado del cabello. Experiencia de 1 año en el Hospital Sao Joao de R. Lamas y cols

Comentario al trabajo: Cirugía craneana sin rasurado del cabello. Experiencia de 1 año en el Hospital Sao Joao de R. Lamas y cols

&LUXJtDFUDQHDQDVLQUDVXUDGRGHOFDEHOOR([SHULHQFLDGHDxRHQHO+RVSLWDO6iR-RiR LQIHFWLRQV$SSHQGL[$&'&GH¿QLWLRQVRIQRVRFRPLDOLQIHF W...

50KB Sizes 31 Downloads 78 Views

&LUXJtDFUDQHDQDVLQUDVXUDGRGHOFDEHOOR([SHULHQFLDGHDxRHQHO+RVSLWDO6iR-RiR

LQIHFWLRQV$SSHQGL[$&'&GH¿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¶&RQQHOO -0+DUULQJWRQ60*ROGPDQQ'$(IIHFWRISUHRSHUD WLYHVKDPSRRVZLWKFKORUKH[LGLQHRULRGRSKRURQHPHUJHQFH RI UHVLGHQW VFDOS ÀRUD LQ QHXURVXUJHU\ ,QIHFW &RQWURO +RVS (SLGHPLRO  0D\RQ:KLWH5W'XFHO*.HUHVHOLG]H77LNKR PLURY($QLQWHUQDWLRQDOVXUYH\RIWKHSUHYDOHQFHRIKRVSL WDODGTXLUHGLQIHFWLRQ-+RVS,QIHFW6   0LFKDHO $ +RUJDQ -RVHSK + 3LDWW -U 6KDYLQJ RIWKHVFDOSPD\LQFUHDVHWKHUDWHRILQIHFWLRQLQ&6)6KXQW 6XUJHU\3HGLDWULF1HXURVXUJHU\  3LDWW-+6WHLQERN3+DLUDQGQHXURVXUJHU\1HXUR VXUJHU\ OHWWHU   5DWDQDOHUW 6 6DHKDHQJ 6 6ULSDLURMNXO % /LHZFKDQSDWWDQD . 3KXHQSDWKRP 1 1RQVKDYHG FUDQLDO

1HXURFLUXJtD  

QHXURVXUJHU\6XUJ1HXURO  6DYLW]0+.DW]663UHYHQWLRQRISULPDU\ZRXQG LQIHFWLRQLQQHXURVXUJLFDOSDWLHQWVD\HDUVWXG\1HXURVXU JHU\  6FKHUSHUHHO%5RXVVHDX[3%HUQDUG0+*X\RW -)/HQRQUDVDJHSUHRSHUDWRLUHHPQHXURFKLUXUJLH1HXUR FKLUXUJLH     6KHLQEHUJ 0$ 5RVV '$ &UDQLDO SURFHGXUHV ZLWKRXWKDLUUHPRYDO1HXURVXUJHU\-XQ   GLVFXVVLRQ  6LGGLTXH060DWDL96XWFOLIIH-&7KHSUHRSH UDWLYHVNLQVKDYHLQQHXURVXUJHU\LVLWMXVWL¿HG"%U-1HXUR VXUJ$SU    7HQQH\ -+9ODKRY ' 6DOFPDQ 0 'XFNHU7%  :LGH YDULDWLRQ LQ ULVN RI ZRXQG LQIHFWLRQ IROORZLQJ FOHDQ QHXURVXUJHU\ LPSOLFDWLRQV IRU SHULRSHUDWLYH DQWLELRWLF SURSK\ODFWLFV-1HXURVXUJ  9DQ5LM*%HHNKXLV:+(JJLQNV&$*HHUDUGV $-5HPHLMHU/3HOV(/7R[LFNHUDWRSDWK\GXHWRDFFL GHQWDOXVHRIFKRUKH[LGLQHFHWULPLGHDQGFLDOLW'RF2SKWKDO PRO  :LQVWRQ .5 +DLU DQG QHXURVXUJHU\ 1HXURVXUJHU\ $XJ   =HQWQHU - *LOVEDFK - 'DVFKQHU ) ,QFLGHQFH RI ZRXQGLQIHFWLRQLQSDWLHQWVXQGHUJRLQJFUDQLRWRP\LQÀXHQFH RIW\SHRIVKDYLQJ$FWD1HXURFKLU :LHQ    

/DPDV 5 3LFDOORV - 3HUHLUD - 9D] 5 &LUXJtD FUDQHDQDVLQUDVXUDGRGHOFDEHOOR([SHULHQFLDGHDxRHQ HO+RVSLWDO6mR-RmR1HXURFLUXJtD &RUUHVSRQGHQFLD SRVWDO 5DPyQ /DPDV 5RGUtJXH] 5XD 3DGUH &RVWDƒHVT6mR0DPHGH,QIHVWD3RUWR3RUWX JDO(PDLOUDPRQODPDV#PDLOWHOHSDFSW

&RPHQWDULR DO WUDEDMR &LUXJtD FUDQHDQD VLQ UDVXUDGR GHOFDEHOOR([SHULHQFLDGHDxRHQHO+RVSLWDO6mR-RmR GH5/DPDV\FROV

 +H OHLGR FRQ LQWHUpV HO WUDEDMR ³&LUXJtD FUDQHDQD VLQ WULFRWRPtD([SHULHQFLDGHDxRHQHO+RVSLWDO6mR-RmR´ &DGD YH] KD\ PiV QHXURFLUXMDQRV TXH SUHVFLQGLPRV GHO FRUWHGHOSHORGH ORV HQIHUPRVVLQ TXH HOORVH DFRPSDxH GHPiVLQIHFFLRQHV(Q1HXURFLUXJtDSXEOLFDPRVHQ XQ WUDEDMR SURVSHFWLYR \ DOHDWRUL]DGR FRQ WUHV JUXSRV GH SDFLHQWHVVREUHUDVXUDGRPtQLPR'HVGHGHVSXpVGH OHHUHOWUDEDMRGH6KHLQEHUJ\5RVVKHPRVVXVWLWXLGRHOXVR GH3RYLGRQDSRUGLJOXFRQDWRGHFORUKH[LGULQDSHURDGLIH UHQFLDGH/DPDV\FROSULPHURODYDPRVFRQVROXFLyQMDER

QRVDFDVLWRGRHOFDEHOORGHVSXpVVHFDPRV\HOLPLQDPRV pVWD FRQ FRPSUHVDV \ FRQ DOFRKRO DOJXQRV FLUXMDQRV GHO 6HUYLFLRUDVXUDQHQWRQFHVXQD]RQDGHFPV UDVXUDGR PtQLPR  \ RWURV QR UDVXUDQ QDGD ¿QDOPHQWH YROYHPRV D ODYDUFRQVROXFLyQDQWLVpSWLFDQRMDERQRVDGHGLJOXFRQDWR GH FORUKH[LGULQD SHLQDQGR FXLGDGRVDPHQWH KDFLD DPERV ODGRVGHODOtQHDGRQGHKDUHPRVODLQFLVLyQ  'H QXHVWUD H[SHULHQFLD \ GH OD OHFWXUD GH OD GH RWURV DXWRUHV LQFOXLGR HO WUDEDMR TXH FRPHQWDPRV QR SXHGH H[WUDHUVHTXHHODIHLWDGRRHOFRUWHGHSHORPtQLPRVHQ



1HXURFLUXJtD  

/DPDV\FRO

TXLUyIDQRQLODLQFLVLyQVLQUDVXUDGRDOJXQRVHDQVXSHULR UHV HQ FXDQWR D SUHYHQLU LQIHFFLRQHV IUHQWH DO DIHLWDGR R FRUWHGHSHORGHWRGDODFDEH]DDXQTXHVtSRGHPRVH[WUDHU TXHQRDXPHQWDQHVRVULHVJRV\SUREDEOHPHQWHORVGLVPL QX\HQ  /DPD\RUtDGHORVSDFLHQWHVSUH¿HUHQTXHQRVHOHVFRUWH HOFDEHOOR\HOFLUXMDQRSXHGHFDPELDUVXVKiELWRVFRQXQD SHTXHxDSHURVXSHUDEOHLQFRPRGLGDGDxDGLGD 5&DUULOOR 0DGULG



%LEOLRJUDItD  &DVWLOOD-0%RUUiV-0*yPH]6LHUUD$5RGUtJXH] GH /RSH $ 1~xH] 0 &DUULOOR 5 5DVXUDGR PtQLPR HQ 1HXURFLUXJtD1HXURFLUXJtD  6KHLQEHUJ0$5RVV'$&UDQLDOSURFHGXUHVZLWKRXW KDLUUHPRYDO1HXURVXUJHU\