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dc.rights.licenseAtribución-NoComercial 4.0 Internacional
dc.contributor.advisorAguirre Serrano, Herley
dc.contributor.authorMontoya González, David Octavio
dc.contributor.authorGómez Díaz, Oswaldo
dc.date.accessioned2021-05-03T21:36:00Z
dc.date.available2021-05-03T21:36:00Z
dc.date.issued2021-04-29
dc.identifier.urihttps://repositorio.unal.edu.co/handle/unal/79469
dc.descriptionilustraciones, diagramas, tablas,
dc.description.abstractEl objetivo principal de la presente revisión sistemática fue determinar la eficacia y seguridad de las diferentes opciones de tratamiento médico de la contractura capsular posterior a mamoplastia de aumento cosmética. Se realizó una búsqueda sistemática de publicaciones en las bases de datos: PUBMED/MEDLINE ,EMBASE y LILACS por parte de dos revisores independientes, cada autor seleccionó las referencias que correspondían a los criterios de inclusión de la revisión con base en el título y el abstract. En caso de no encontrar información suficiente de cada referencia, se buscó el texto completo, de no estar disponible, se intentó contactar al autor. Los autores registraron por cada estudio los motivos por los cuales era o no elegible cada referencia, incluyendo duplicación de referencias entre bases de datos. En caso de duda, la selección final se realizó consultando a un tercer evaluador independiente. Se encontraron siete publicaciones que cumplían con los criterios descritos, todas evaluaron algún tipo de intervención médica no quirúrgica para la CCM, sólo una de ellas con grupo comparador (Capsulectomía). Los desenlaces fueron evaluados en su mayoría a los 12 meses de tratamiento. No se encontró ningún estudio intervencional con diseño aleatorizado controlado. No fue posible extraer conclusiones fidedignas que impacten en el manejo médico actual de la enfermedad en cuestión en el campo de la cirugía cosmética dada la baja calidad de evidencia y alto riesgo de sesgo de los estudios que soportan el uso de estos tratamientos y el riesgo de reacciones adversas respectivas.
dc.description.abstractThe main objective of this systematic review was to determine the effectiveness and safety of the different available medical therapies for the treatment of capsular contracture posterior to cosmetic augmentation mammaplasty. A systematic research was done in the following databases: PUBMED/MEDLINE, EMBASE and LILACS by two independent reviewers, each author selectioned the references according to the inclusion criteria based on title and abstract if available. In cases where information was not complete, the original manuscript was searched and in case it was not available either, an attempt to contact the respective author was done. The authors registered the reasons to add or exclude each of the selected references, including those that were duplicated in the different databases. In cases of doubt the article was evaluated by a third independent revisor, who decided if the article met the inclusion criteria. The final decision was taken in consensus by the three authors. Seven publications fulfilled the required criteria, all of them evaluated non surgical treatments for patients diagnosed with capsular contracture, only one study used a comparative group (Capsulectomy). The outcomes were evaluated in the vast majority to twelve months follow up. No interventional, randomized and controlled designed study was found. It was not possible to make strong conclusions that lead to changes in the current approach of the mentioned illness in the field of cosmetic surgery because of the quality of evidence and high risk of bias behind the studies that support those therapies and their respective adverse effects.
dc.format.extent1 recurso en linea (56 paginas)
dc.format.mimetypeapplication/pdf
dc.language.isospa
dc.publisherUniversidad Nacional de Colombia
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subject.ddc610 - Medicina y salud
dc.titleManejo médico de la contractura capsular en mamoplastia de aumento, una revisión sistemática de la literatura
dc.typeTrabajo de grado - Especialidad Médica
dc.type.driverinfo:eu-repo/semantics/masterThesis
dc.type.versioninfo:eu-repo/semantics/acceptedVersion
dc.publisher.programBogotá - Medicina - Especialidad en Cirugía Plástica
dc.description.degreelevelEspecialidades Médicas
dc.description.methodsSe realizó una revisión sistemática de la literatura de estudios observacionales y experimentales en las bases de datos (PUBMED/MEDLINE, EMBASE, LILACS) que evaluaron la eficacia y seguridad de las diferentes opciones de tratamiento médico para pacientes con diagnóstico de Contractura Capsular Mamaria hasta octubre de 2020. No se aplicaron restricciones de idioma, tiempo de seguimiento o estado de publicación. La extracción de datos se enfocó en desenlaces centrados en el paciente (resolución/mejoría de la enfermedad, recidiva y seguridad; evaluación de riesgo de sesgo y nivel de evidencia).
dc.description.researchareaEspecialidad en Cirugía Plástica
dc.description.technicalinfoRevisión sistemática de la literatura
dc.identifier.instnameUniversidad Nacional de Colombia
dc.identifier.reponameRepositorio Institucional Universidad Nacional de Colombia
dc.identifier.repourlhttps://repositorio.unal.edu.co/
dc.publisher.facultyFacultad de Medicina
dc.publisher.placeBogotá
dc.publisher.branchUniversidad Nacional de Colombia - Sede Bogotá
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dc.rights.accessrightsinfo:eu-repo/semantics/openAccess
dc.subject.proposalContractura capsular
dc.subject.proposalMamoplastia de aumento
dc.subject.proposalUltrasonido
dc.subject.proposalAntagonistas leucotrienos
dc.subject.proposalPirfenidona
dc.subject.proposalBreast augmentation
dc.subject.proposalCapsular contracture
dc.subject.proposalUltrasound
dc.subject.proposalLeucotriene antagonist
dc.subject.proposalPirfenidone
dc.subject.unescoCirugía
dc.title.translatedMedical treatment of capsular contracture in breast augmentation, a systematic review of the literature
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dc.type.redcolhttp://purl.org/redcol/resource_type/TM
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Atribución-NoComercial 4.0 InternacionalThis work is licensed under a Creative Commons Reconocimiento-NoComercial 4.0.This document has been deposited by the author (s) under the following certificate of deposit