Morales VRE, Romero SRE, Robaina PT, López CY, Barreto FE, Morales MR

Language: Spanish
References: 13
Page: 67-81
PDF size: 173.67 Kb.

ABSTRACT

Background: thoracic surgery is essential for the general surgeon training, specifically the approaches to reviewing the chest. Taking as reference the analysis of contradictory elements and having as basis practice and the continuous review of literature, it was necessary to make subsequent innovations to the vertical axillary thoracotomies, which after being performed required an instrument for their socialization.
Objective: to design a didactic leaflet to socialize the research results "Modifications to vertical axillary thoracotomy".
Methods: a technological innovation study was conducted, using the general method of dialectical-materialistic knowledge for designing a didactic leaflet containing the results of a quasi-experimental research in patients who underwent surgery, from September 2012 to December 2016, due to conditions in the thoracic cavity (non-cardiovascular conditions), at the "Arnaldo Milián Castro" Clinical Surgical Hospital in Santa Clara, Villa Clara.
Results: the didactic leafklet includes the methodological details of the modifications to the surgical technique and images that illustrate them; the leaflet is 35 pages long with the content that is organized into eight chapters that include theoretical underpinnings, development of the technique, novelty, advantages, disadvantages and results of its application. It is available at the library of the above mentioned hopital, for the professional development of specialists in this field.
Conclusions: the didactic leaflet is a valuable learner-teacher support material and an effective tool for the professional development of specialists in recognizing and solving problems in clinical practice related to vertical axillary thoracotomy.

REFERENCES

1. Fowler GR. A Case of Thoracoplasty for the Removal af a Large Cicatricial Fibrous Growth from the Interior of the Chest, the Result of an Old Empyema. Medical Record. 1893;44:838-9.

2. Morales Valdés RE, López-de la Cruz Y, Morales Mato R. Toracotomía axilar vertical posterior extendida. CorSalud [Internet]. 2019 [citado 20/01/2020];11(3):[aprox. 6 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S2078-71702019000300219&lng=es

3. Hurtado Hoyo E. Toracotomías axilares. Buenos Aires: Sánchez Teruelo S.A; 1984.

4. Valles Gamboa M, Llópiz Salazar R, Aguirre Fernández R, Naranjo Escalante R, Expósito Reyes O. Toracotomía de urgencia. Mayo 1997-2000. Multimed [Internet]. 2001 [citado 25/01/2020];5(1):[aprox. 12 p.]. Disponible en: http://www.multimedgrm.sld.cu/articulos/2001/V5-1/9.html

5. Techniques/Complications of Thoracotomy. In: Mathisen DJ MC, editor. Thoracic Surgery Lung Resections, Bronchoplasty 1: Wolters Kluwer; 2015:123-32.

6. Bagheri R, Ziaollah Haghi S, Attaran D, Ebadi F, Rajabnejad Y, Rajabnejad A. Video-assisted. Thoracoscopic Surgery Versus Axillary Thoracotomy in Primary Spontaneous Pneumothorax. J Cardiothorac Med. 2017;5(1):538-42.

7. Becker RM, Munro DD. Transaxillary Minithoracotomy: The Optimal Approach for Certain Pulmonary and Mediastinal Lesions. Ann Thorac Surg. 1976;22(3):254-9.

8. Morales Valdes RE, de Armas Pérez BA. Dr. Amaranto Borges Alfonso: uno de los pioneros en las incisiones axilares verticales en Cuba. EDUMECENTRO [Internet]. 2020 [citado 20/02/2020];12(1):[aprox. 10 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S2077-28742020000100248&lng=es

9. Porro Novo N, Borges Alfonso A, Villanueva López S, Castell Avello R, Medrano García J. Valor de la toracotomía axilar en la plurectomía parietal. Rev Cubana Cir. 1985;24(2):509-16.

10. Guerra Lorenzo E, Gálvez Fermín N. La incisión vertical en cirugía torácica. Rev Cub Cir. 1977;16:9-11.

11. Vicente de la Cruz AA, Valls Martin A, Frías Méndez E, Sánchez Hernández N, Fernández Rodríguez I, Escoto Jach CM. Pleurectomía parietal que emplea la incisión de Bordoni. Técnica y resultados. Rev Cub Cir. 1983;22(1):32-40.

12. De La Torre Bravos M, Quero Valenzuela F, Moreno Mata N. Manual de Urgencias en Cirugía Torácica. España: SECT Sociedad Española de Cirugía Torácica, 2015.

13. Salvatierra Velázquez Á, Moreno Casado PM. Manual del Residente de Cirugía Torácica. Hospital Universitario Reina Sofía, Córdoba: Comisión de Docencia; 2016.