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[PMID]:28871583
[Au] Autor:Kasahara T; Ikeda S; Sugimoto A; Sugawara S; Koyama Y; Toyokura M; Masakado Y
[Ad] Endereço:Department of Rehabilitation Medicine, Tokai University Schol of Medicine, 143 Shimokasuya, Isehara, Kanagawa 259-1193, Japan. rhkasa@is.icc.u-tokai.ac.jp.
[Ti] Título:Efficacy of Tape Feedback Therapy on Synkinesis Following Severe Peripheral Facial Nerve Palsy.
[So] Source:Tokai J Exp Clin Med;42(3):139-142, 2017 Sep 20.
[Is] ISSN:2185-2243
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Mirror feedback rehabilitation is effective in preventing the development of oro-ocular synkinesis following severe facial palsy. However, we do not have effective maneuvers to prevent the deterioration of oculo-oral synkinesis. We developed a new method of biofeedback rehabilitation using tape for the prevention of oculo-oral synkinesis. OBJECTIVE: The aim of the present study was to investigate the efficacy of taping feedback rehabilitation. METHODS: Twelve consecutive patients with peripheral facial nerve palsy who developed synkinesis were divided into 2 groups. Six patients were treated with the new training method, and the remaining 6 patients were treated with conventional therapy as controls. In the experiment group, tape was placed around the mouth, and the patient was instructed to close the eyes so that no movements of the mouth would be perceived from sensations of the taped skin. After 4 weeks of training, facial movements were recorded and movie images were graded for mouth synkinesis using the revised Sunnybrook facial grading system by examiners blinded to patient grouping. RESULTS: Mouth corner contraction during eye closure was significantly weaker in the experimental group than in the control group. CONCLUSIONS: Our new feedback method could help prevent the deterioration of oculo-oral synkinesis.
[Mh] Termos MeSH primário: Biorretroalimentação Psicológica/métodos
Paralisia Facial/complicações
Modalidades de Fisioterapia
Fita Cirúrgica
Sincinesia/etiologia
Sincinesia/reabilitação
[Mh] Termos MeSH secundário: Adulto
Idoso
Olho
Feminino
Seres Humanos
Masculino
Meia-Idade
Boca
Índice de Gravidade de Doença
Sincinesia/prevenção & controle
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170906
[St] Status:MEDLINE


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[PMID]:28640722
[Au] Autor:Brazier S; Taylor SJ; Allan K; Clemente R; Toher D
[Ad] Endereço:Department of Nutrition and Dietetics, Southmead Hospital, Bristol.
[Ti] Título:Stroke: ineffective tube securement reduces nutrition and drug treatment.
[So] Source:Br J Nurs;26(12):656-663, 2017 Jun 22.
[Is] ISSN:0966-0461
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Stroke patients with dysphagia often depend on nutrition, hydration and medication via nasogastric (NG) feeding tubes. Securing tubes using tape is associated with repeated tube loss. In this study, the authors determined cause and effect by auditing tube placement methods, delays incurred, duration and costs. Of 202 NG tube placements in 75 patients, 67 placements occurred in 17 patients over a full course of enteral nutrition (EN) and 40 of these placements were tracked. Tubes were secured by tape in 100%, mittens 31% and special observation 5.4%. However, over an EN course, inadvertent tube loss occurred in 82% of patients and was associated with age (p=0.049) and mitten use (p<0.001): 64% of tubes were lost due to patients and 9% slipped. Average 'tube life' was 2 days, less than 25% of the EN episode (p<0.001). While tube placement occurred within 2.55 hours of request, X-ray confirmation led to a delay in feed and drugs of 8-9 hours per tube placement and loss of 18.8% of feeding time per EN episode. Delays exceeded the 1-hour and 4-hour limits for antibiotics and other medicines in 20% and 80%, respectively. In the 17 tracked patients, it was estimated that 55% of the £5979 direct costs could be saved by nasal bridle use. In conclusion, most tubes studied were lost to inadvertent tube removal, leading to clinically significant delays to nutrition, hydration and drug treatments; this may impair recovery. Reducing tube loss is likely to reduce patient distress, treatment cost and enhance recovery.
[Mh] Termos MeSH primário: Transtornos de Deglutição/enfermagem
Nutrição Enteral/instrumentação
Nutrição Enteral/métodos
Análise de Falha de Equipamento
Intubação Gastrointestinal/métodos
Acidente Vascular Cerebral/terapia
Fita Cirúrgica
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Masculino
Meia-Idade
Fatores de Tempo
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170623
[St] Status:MEDLINE
[do] DOI:10.12968/bjon.2017.26.12.656


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[PMID]:28527732
[Au] Autor:Ratliff CR
[Ad] Endereço:Division of Vascular and Endovascular Surgery, Department of Surgery, University of Virginia Health System, Charlottesville, Virginia. Electronic address: crr9m@virginia.edu.
[Ti] Título:Descriptive study of the frequency of medical adhesive-related skin injuries in a vascular clinic.
[So] Source:J Vasc Nurs;35(2):86-89, 2017 Jun.
[Is] ISSN:1532-6578
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A medical adhesive can be defined as a product used to secure a device (ie, tape, dressing, catheter, electrode, and ostomy pouch) to the skin. Skin injury related to medical adhesive usage occurs across all care settings with medical adhesive-related skin injuries (MARSIs) playing a significant role with patient safety. The purpose of this descriptive prospective study was to assess all adult patients with wounds seen in the vascular clinic for MARSI by the CWOCN NP over a 3-month time period. One hundred twenty patients comprising a total of 207 visits were seen by the CWOCN NP over the 3-month time frame. Seven patients presented to the clinic from home with MARSI for a frequency of 5.8%. There were four males and three females with ages ranging from 52 to 83 years with a mean age of 67.7 years. All patients had a diagnosis of peripheral vascular disease with MARSI present on the lower extremities. Six of the seven MARSI cases were related to having paper tape removed from the periwound skin at home resulting in epidermal stripping either by the home health care professional (N = 4) or by the patient themselves (N = 2). The other MARSI was related to tension blister from steri-strips applied with benzoin by health care professional on a lower leg incision. Patients were unclear as far as when these injuries had occurred and often remarked that they thought that tape injuries were unpreventable. There is a need for additional research studies examining MARSI frequency across care settings such as the vascular population to identify those at risk and then implement measures to prevent it.
[Mh] Termos MeSH primário: Adesivos/efeitos adversos
Pele/lesões
Fita Cirúrgica/efeitos adversos
[Mh] Termos MeSH secundário: Idoso
Instituições de Assistência Ambulatorial
Feminino
Seres Humanos
Masculino
Estudos Prospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Adhesives)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170822
[Lr] Data última revisão:
170822
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170522
[St] Status:MEDLINE


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[PMID]:28350707
[Au] Autor:Zeinali-Rafsanjani B; Rasekhi A; Saeedi-Moghadam M; Zarei F; Jalli R; Sefidbakht S; Pishdad P
[Ad] Endereço:*Medical Imaging Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
[Ti] Título:A Useful Gadget to Reduce the Radiation Dose of Interventionist's Hands.
[So] Source:Health Phys;112(5):494-497, 2017 May.
[Is] ISSN:1538-5159
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Increased demand for interventional radiology techniques has interventionists performing a large number of these procedures. Measurements and calculations have shown that the radiation doses received by these specialists can exceed the threshold of radiation-induced deterministic effects unless radiation protection procedures and devices are used. Proper usage of radiation protection devices can protect them from radiation-induced effects, even with a high workload. Occupational radiation protection entails proper training of interventionists to increase their awareness about available appropriate protection tools and equipment, and devices that can be used to minimize exposure, such as needle holders, tubing extensions, and injectors. This study introduces a device that can be used to fix the catheter to prevent the physician from holding the catheter by hand. The authors, also, discuss the importance of radiation protection training along with the training on new medical equipment, which can be applied to reduce the radiation dose.
[Mh] Termos MeSH primário: Cateteres
Exposição Ocupacional/prevenção & controle
Exposição à Radiação/prevenção & controle
Proteção Radiológica/instrumentação
Radiografia Intervencionista/instrumentação
Fita Cirúrgica
[Mh] Termos MeSH secundário: Desenho de Equipamento
Análise de Falha de Equipamento
Exposição Ocupacional/análise
Exposição à Radiação/análise
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170703
[Lr] Data última revisão:
170703
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170329
[St] Status:MEDLINE
[do] DOI:10.1097/HP.0000000000000664


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[PMID]:28099472
[Au] Autor:Santos GL; Souza MB; Desloovere K; Russo TL
[Ad] Endereço:Laboratory of Neurological Physiotherapy Research, Department of Physical Therapy, Federal University of São Carlos (UFSCar), São Carlos, Brazil.
[Ti] Título:Elastic Tape Improved Shoulder Joint Position Sense in Chronic Hemiparetic Subjects: A Randomized Sham-Controlled Crossover Study.
[So] Source:PLoS One;12(1):e0170368, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Elastic tape has been widely used in clinical practice in order to improve upper limb (UL) sensibility. However, there is little evidence that supports this type of intervention in stroke patients. OBJECTIVE: To verify the effect of elastic tape, applied to the paretic shoulder, on joint position sense (JPS) during abduction and flexion in subjects with chronic hemiparesis compared to sham tape (non-elastic tape). Furthermore, to verify if this potential effect is correlated to shoulder subluxation measurements and sensorimotor impairment. METHODS: A crossover and sham-controlled study was conducted with post-stroke patients who were randomly allocated into two groups: 1) those who received Sham Tape (ST) first and after one month they received Elastic Tape (ET); 2) those who received Elastic Tape (ET) first and after one month they received Sham Tape (ST). The JPS was evaluated using a dynamometer. The absolute error for shoulder abduction and flexion at 30° and 60° was calculated. Sensorimotor impairment was determined by Fugl-Meyer, and shoulder subluxation was measured using a caliper. RESULTS: Thirteen hemiparetic subjects (average time since stroke 75.23 months) participated in the study. At baseline (before interventions), the groups were not different for abduction at 30° (p = 0.805; p = 0.951), and 60° (p = 0.509; p = 0.799), or flexion at 30° (p = 0.872; p = 0.897) and 60° (p = 0.853; p = 0.970). For the ET group, differences between pre and post-elastic tape for abduction at 30° (p<0.010) and 60° (p<0.010), and flexion at 30° p<0.010) and 60° (p<0.010) were observed. For the ST group, differences were also observed between pre and post-elastic tape for abduction at 30° (p<0.010) and 60° (p<0.010), and flexion at 30° (p<0.010,) and 60° (p<0.010). Potential effects were only correlated with shoulder subluxation during abduction at 30° (p = 0.001, r = -0.92) and 60° (p = 0.020, r = -0.75). CONCLUSION: Elastic tape improved shoulder JPS of subjects with chronic hemiparesis regardless of the level of UL sensorimotor impairment. However, this improvement was influenced by the subluxation degree at abduction.
[Mh] Termos MeSH primário: Paresia/terapia
Amplitude de Movimento Articular/fisiologia
Articulação do Ombro/fisiopatologia
Ombro/fisiopatologia
Fita Cirúrgica
[Mh] Termos MeSH secundário: Adulto
Idoso
Estudos Cross-Over
Feminino
Seres Humanos
Masculino
Meia-Idade
Propriocepção/fisiologia
Acidente Vascular Cerebral/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170816
[Lr] Data última revisão:
170816
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170119
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0170368


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[PMID]:28070641
[Au] Autor:Wirsching KEC; Haubner F; Kühnel TS
[Ad] Endereço:Department of Otorhinolaryngology, University of Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Germany. Kornelia.Wirsching@ukr.de.
[Ti] Título:Influence of temporary nasal occlusion (tNO) on epistaxis frequency in patients with hereditary hemorrhagic telangiectasia (HHT).
[So] Source:Eur Arch Otorhinolaryngol;274(4):1891-1896, 2017 Apr.
[Is] ISSN:1434-4726
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:The objective of the study was to evaluate the influence of temporary nasal occlusion (tNO) with hypoallergenic tape on the frequency and severity of epistaxis in patients with hereditary hemorrhagic telangiectasia (HHT). This prospective observational study included 20 HHT patients who were undergoing Nd:YAG laser therapy at regular intervals. Over a 3-month period, laser therapy was supplemented by tNO with hypoallergenic tape for 5 h/day on average. On a 0-10 numeric rating scale, the patients reported significantly greater satisfaction in epistaxis terms after tNO treatment, with mean scores of 5 before and 7 after 3-month tNO (p = 0.05). The Epistaxis Severity Score also fell significantly from a median of 3.59-2.43 after 3-month tNO compared with laser therapy alone (p = 0.01). The patients' hemoglobin levels remained stable during the study (median: 12.2 g/dL before tNO; median: 11.7 g/dL after tNO; p = 0.387). Overall, the present study confirms the positive influence of tNO on epistaxis in HHT patients and on subjective satisfaction. This simple and inexpensive strategy is therefore a helpful option, especially in addition to regular Nd:YAG laser therapy, and is recommended by the authors.
[Mh] Termos MeSH primário: Epistaxe/prevenção & controle
Telangiectasia Hemorrágica Hereditária/terapia
Oclusão Terapêutica/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Terapia Combinada
Epistaxe/etiologia
Feminino
Seguimentos
Seres Humanos
Lasers de Estado Sólido/uso terapêutico
Masculino
Meia-Idade
Estudos Prospectivos
Fita Cirúrgica
Telangiectasia Hemorrágica Hereditária/complicações
Oclusão Terapêutica/instrumentação
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170928
[Lr] Data última revisão:
170928
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170111
[St] Status:MEDLINE
[do] DOI:10.1007/s00405-016-4431-5


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[PMID]:27997500
[Au] Autor:Tsui JH; Murtha LW; Tsui BC
[Ad] Endereço:Department of Anesthesiology, University of Alberta, Edmonton, Alberta, Canada Department of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, Alberta, Canada.
[Ti] Título:Catheter Taping Methods-Single-Layer Versus Reinforced Double-Layer Technique: A Volunteer-Simulated Study.
[So] Source:Reg Anesth Pain Med;42(1):128-130, 2017 Jan/Feb.
[Is] ISSN:1532-8651
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Cateteres/utilização
Fita Cirúrgica/utilização
[Mh] Termos MeSH secundário: Cateteres/normas
Seres Humanos
Fita Cirúrgica/normas
Voluntários
[Pt] Tipo de publicação:COMPARATIVE STUDY; LETTER
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171003
[Lr] Data última revisão:
171003
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161221
[St] Status:MEDLINE
[do] DOI:10.1097/AAP.0000000000000512


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[PMID]:27894032
[Au] Autor:Nair R; Nikolopoulos KI; Claydon LS
[Ad] Endereço:Department of Obstetrics and Gynaecology, Queen's Hospital, Rom Valley Way, Romford, Essex, UK.
[Ti] Título:Clinical outcomes in women undergoing laparoscopic hysteropexy: A systematic review.
[So] Source:Eur J Obstet Gynecol Reprod Biol;208:71-80, 2017 Jan.
[Is] ISSN:1872-7654
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To systematically review the current evidence on the anatomic and functional outcomes in women undergoing laparoscopic hysteropexy. STUDY DESIGN: An electronic database search was undertaken (2000-2016). Keywords were: "laparoscopy", "hysteropexy", "cervicopexy", "uterine suspension", "uterosacral plication". References of identified studies as well as abstracts from conferences were considered. We restricted the search to humans, female patients and currently used surgical procedures. Studies with ≥5 cases in English language and published in 2000 or later, were included. After the initial yield, studies were selected following title screening, abstract and full text scrutiny. RESULTS: A total of 17 studies were deemed suitable for inclusion in the review. A total of 770 patients in 17 studies received the intervention being studied (laparoscopic hysteropexy) and were assessed post-operatively with pooled success rates of 85.32% (95%CI: ±2.5). Laparoscopic suture hysteropexy has pooled success of 70.5% (95%CI:±5.33) whereas the pooled success of the suspension to the sacral promontory using mesh or tape is 92% (95%CI: ±2.53). One small study on suspension to the anterior abdominal wall (28 cases) and one to the pectineal ligament (18 cases) have shown 96.4% (95%CI:±6.9) and 94.5% (95%CI:±10.53) objective success rates respectively. CONCLUSION: Laparoscopic hysteropexy was associated with good anatomic cure rates of greater than 90% in majority of the studies. There was an improvement in symptoms, and good subjective cure rates in 73%-100% of the patients. Reoperation rates were low in most studies ranging from around 0%-28%. Complications rates were generally low. Laparoscopic hysteropexy is a feasible alternative for women needing surgical correction of uterovaginal prolapse and who desire conservation of the uterus.
[Mh] Termos MeSH primário: Medicina Baseada em Evidências
Laparoscopia
Tratamentos com Preservação do Órgão
Complicações Pós-Operatórias/prevenção & controle
Dispositivos de Fixação Cirúrgica
Prolapso Uterino/cirurgia
Útero/cirurgia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Infertilidade Feminina/etiologia
Infertilidade Feminina/prevenção & controle
Laparoscopia/efeitos adversos
Tratamentos com Preservação do Órgão/efeitos adversos
Complicações Pós-Operatórias/etiologia
Reoperação/efeitos adversos
Prevenção Secundária
Dispositivos de Fixação Cirúrgica/efeitos adversos
Telas Cirúrgicas/efeitos adversos
Fita Cirúrgica/efeitos adversos
Resultado do Tratamento
Prolapso Uterino/fisiopatologia
Prolapso Uterino/prevenção & controle
Útero/fisiopatologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170419
[Lr] Data última revisão:
170419
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161129
[St] Status:MEDLINE


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[PMID]:27825632
[Au] Autor:Kitcat M; Abdaal A; Durrani A
[Ad] Endereço:Plastic and Reconstructive Surgery Department, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge CB2 0QQ, UK.
[Ti] Título:Preventing the cheese-wire effect by combining Steri-Strips™ and sutures for the management of lacerations in thin-skinned individuals.
[So] Source:J Plast Reconstr Aesthet Surg;70(1):134-136, 2017 Jan.
[Is] ISSN:1878-0539
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Mh] Termos MeSH primário: Lacerações/cirurgia
Fita Cirúrgica
Técnicas de Sutura
[Mh] Termos MeSH secundário: Seres Humanos
Suturas
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1704
[Cu] Atualização por classe:171117
[Lr] Data última revisão:
171117
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161110
[St] Status:MEDLINE


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[PMID]:27600333
[Au] Autor:Takayama S; Yamamoto T; Tsuchiya C; Noguchi H; Sato J; Ishii Y
[Ad] Endereço:Ishii Orthopaedic and Rehabilitation Clinic, 1089 Shimo-Oshi, Gyoda, Saitama, 361-0037, Japan.
[Ti] Título:Comparing Steri-Strip and surgical staple wound closures after primary total knee arthroplasties.
[So] Source:Eur J Orthop Surg Traumatol;27(1):113-118, 2017 Jan.
[Is] ISSN:1633-8065
[Cp] País de publicação:France
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Steri-Strips (3M, Two Harbors, MN, USA) have recently been employed for skin closures after orthopedic surgeries. Here we compare the performance of Steri-Strips and skin staples for wound closure after primary total knee arthroplasties (TKAs). METHODS: A total of 76 consecutive osteoarthritic knees (71 patients) that underwent a primary TKA at our facility were included in this study. Thirty-eight knees received Steri-Strips for wound closure and were evaluated prospectively. The other 38 knees were closed with skin staples (Staple group) and evaluated retrospectively. RESULTS: No deep or superficial infections developed in this series. Although Steri-Strips detached from three knees during the 10-day postoperative period, no dehiscence was observed. Thirteen knees developed blisters around the surgical incision in the Steri-Strip group compared with five knees in the Staple group. The average operative time for the Steri-Strip group was 60.6 min (SD 7.3) compared with 54.1 min (SD 6.9) in the Staple group. There were significant differences in operative time (p < 0.001) and tourniquet time (p < 0.001) between the two groups. The average time until patients were permitted to start showering was significantly shorter in the Steri-Strip group (p = 0.0496). The material cost for Steri-Strips was approximately $3.00 USD for one operation compared with $26 USD for skin staplers. CONCLUSIONS: Wound closure with Steri-Strips after a TKA does not require postoperative material removal and may have improved safety, comfort, cosmesis and cost-effectiveness compared with traditional skin closures. LEVEL OF EVIDENCE: Level II, Prognostic study.
[Mh] Termos MeSH primário: Artroplastia do Joelho/métodos
Osteoartrite do Joelho/cirurgia
Técnicas de Fechamento de Ferimentos/normas
[Mh] Termos MeSH secundário: Idoso
Artroplastia do Joelho/economia
Bandagens
Custos e Análise de Custo
Feminino
Seres Humanos
Masculino
Duração da Cirurgia
Esterilização/métodos
Grampeamento Cirúrgico/economia
Grampeamento Cirúrgico/métodos
Fita Cirúrgica/economia
Suturas
Resultado do Tratamento
Técnicas de Fechamento de Ferimentos/economia
[Pt] Tipo de publicação:COMPARATIVE STUDY; EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:171011
[Lr] Data última revisão:
171011
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160908
[St] Status:MEDLINE
[do] DOI:10.1007/s00590-016-1848-x



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