Resumo

MORENO-EGEA, Alfredo; SORIA-ALEDO, Víctor  e  MORALES-CUENCA, Germán. Implementation of a program of integral treatment of the abdominal wall: incisional hernia and abdominoplasty. Preliminary results. rev. colomb. cir. [online]. 2015, vol.30, n.1, pp.46-55. ISSN 2011-7582.

Introduction: Clinical pathways are standard care plans for certain processes. They are specially useful in those procedures that are frequent and with nonjustified variability. In addition it is advisable to initiate the way of the clinical pathways with processes that have a predictable clinical course. Clinical pathways constitute a tool that coordinates all the implied professionals, so the joint work of doctors and nurses is fundamental. Abdominoplasty is one of the operations most commonly performed by plastic surgeon and the general surgeon, but there is no consensus about how it should be done if there is a ventral hernia associated. The objective of this work is to present the elaboration and evaluation of the clinical pathway of the incisional hernioplasty. Methodology: The elaboration of the clinical pathway has been carried out by means of weekly meetings of all the group during 3 months. The group was made by surgeons, anaesthetists, nurses of the different implied units and the quality coordinators of surgery and nursery. A bibliographical search with scientific evidence as well as of other published clinical routes has been performed. Then the main documents of the clinical pathway were elaborated and discussed with the members of the service of surgery and units of nursery. Results: The protocols of attendance in the pre- and postoperative period, as well as the main documents of the clinical pathway are presented. Conclusion: The incisional hernia repair is a suitable process to initiate the systematization of the clinical pathways.

Palavras-chave : abdominal wall; hernia; abdominal; abdominoplasty; prostheses and implants; practice guideline; critical pathways.

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