Experiencia de drenaje biliar percutáneo en pacientes del Hospital Ángeles Mocel

Morales, Ricardo Santillán; Reina, José Luis Ríos

doi:10.35366/98564

Cited by 3 publications

(2 citation statements)

References 13 publications

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“…The professional character, as already mentioned, was achieved once the "promise" was made before peers or equals and before society as a whole, with which the professional committed to act based on their knowledge and skills for the benefit of people, with honesty, diligence and total adherence to the moral codes professed by the medical body since ancient Greece, which, as said, is very well summarized in the Hippocratic Oath, although without forgetting the rest of the medical traditions with their respective ethical proclamations, such as Caraka Samhita's "Oath of Initiation", 1st century India; or "The five commandments and the ten demands" by Chen Shih-Kung, from the beginning of the 17th century in China; or the "Advice of a doctor", of the X century d. of C., of the Arabs, or "The oath of Asaph", of Century III-IV a. of C., in Israel. (15) All these statements constitute the ethical tradition of the doctor acquired through history and in different cultures. In it, a series of values, principles, duties and obligations are expressed that in many aspects continue to be part of their actions, in addition to being demanded by society as a whole.…”

Section: -The Role Of Medical Ethics In the Medical Professionmentioning

confidence: 99%

Ethics or Bioethics for the Medical Profession?

Perez¹

2021

MRAJ

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The events that have occurred as a result of the Covid-19 pandemic have brought to the fore the figure of the doctor, as a main actor, in this complex and uncertain scenario. Many of the medical actions carried out have required strength, reflection, wisdom and prudence, all of them essential virtues according to the classical philosophical tradition, and that the ETHOS of the medical profession and the doctor translate, with this it is necessary to emphasize that it is the traditional medical ethics, the basis of this undeniable commitment to humanity, and that Bioethics, born 60 years ago, has been invested with an unthinkable condition, by its creator VR Potter, who proposed that the main objective should be scientific development -Technical but with ecological responsibility, beyond its supposed guiding function of current medicine. Which are the motivations for choosing the School of Medicine? What does it mean to be a good professional? How to respond to an increasingly demanding society? In light of the development of new technologies and communication systems, which today are universally accessible. It seems that the answer to these questions lies in a higher education based on ancestral ethical principles, which have been professed by generations of doctors, in traditional clinical practice and in practicing general medicine to achieve the specific medical training process, thus achieving efficiently meet the primary health demands of society. Therefore, Bioethics must be understood as an incipient discipline whose objective is to warn about the care of ecosystems, necessary for the survival of the human being, different from medical ethics.

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Section: -The Role Of Medical Ethics In the Medical Professionmentioning

confidence: 99%

Ethics or Bioethics for the Medical Profession?

Perez¹

2021

MRAJ

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“…(3) Among the various applications of PD, biliary drainage can be used as a treatment option for obstructive jaundice when endoscopic retrograde cholangiopancreatography (ERCP) is unsuccessful, with a low frequency of complications. (4) For hepatic abscesses, PD has become the treatment of choice. A single puncture and aspiration suffice for abscesses under 5 cm in diameter, while larger abscesses require image-guided PD with the placement of a multipurpose pigtail catheter.…”

Section: Introductionmentioning

confidence: 99%

Cirugía percutánea, experiencia de 5 años en un hospital de mediana complejidad

Martínez-Bogado,

Vieth-García

2023

Cir. parag.

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Introducción: El drenaje percutáneo es una terapéutica eficaz para las colecciones y otras patologías. Las guía imagenológicas utilizadas suelen ser la ecografía y la tomografía. Método: Estudio descriptivo, retrospectivo de corte transversal. Se analizaron las historias clínicas de los pacientes sometidos a drenaje percutáneo en el Hospital Regional de Encarnación en un periodo de 5 años. Resultados: Se incluyeron 81 pacientes (53% varones, 47% mujeres), edad promedio 50 años. Las indicaciones fueron: 21% absceso hepático, 11% colecciones postoperatorias, 10% drenaje biliar, el 9% nefrostomías; 7% gastrostomías. El 56% de los procedimientos fueron ecoguiados. La técnica de Seldinger se utilizó mayormente; el catéter multipropósito tipo pigtail se utilizó en el 65% de los casos y el de vía venosa central en el 23%. El promedio de permanencia del catéter fue 15 días; con 4% de complicaciones. La tasa de éxito fue del 98,5%. Conclusiones: La cirugía percutánea es eficaz y segura. La utilización de catéteres sin medios de fijación interna (via venosa central) son útiles en situaciones de urgencia, no representando mayor riesgo.

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Complications of Percutaneous Biliary Tract Drainage

Sánchez Rodríguez,

Belso

2023

SCT Proceedings in Interdisciplinary Insights and Innovations

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Background: Percutaneous drainage of the bile ducts is a minimally invasive diagnostic and treatment procedure that is performed, under anesthesia, in patients with diseases that cause obstruction of the bile duct. It is diagnostic because the cause and precise site of the obstruction can be identified, and therapeutic because it can be resolved in the same surgical procedure. Material and methods: An observational, descriptive, cross-sectional and retrospective study will be carried out, through the study of clinical records of the Dr. Carlos Bonorino Udaondo Hospital, in CABA, Argentina. The study period will include records from 2017 to 2022. The study population will consist of patients with digestive pathologies who receive care at the Dr. Carlos Bonorino Udaondo Hospital. Results: 100 cases of patients submitted to percutaneous biliary drainage were identified, of the total number of patients, 52% were male and 48% female, they presented between 55 and 80 years of age. The reason for consultation was 43% cholestasis, 28% cholangitis, 17% pruritus, and 12% abdominal pain. 86.6% of the patients had malignant lesions and 13.4% benign. The dilation success rate was 81%. The complications associated with the procedure were: 8% infections and 7% bleeding. Conclusion: Percutaneous biliary drainage has a high success rate and is associated with a low frequency of complications

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Experiencia de drenaje biliar percutáneo en pacientes del Hospital Ángeles Mocel

Cited by 3 publications

References 13 publications

Ethics or Bioethics for the Medical Profession?

Ethics or Bioethics for the Medical Profession?

Cirugía percutánea, experiencia de 5 años en un hospital de mediana complejidad

Complications of Percutaneous Biliary Tract Drainage

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