ABSTRACT
Purpose: This study was conducted to ensure the integrity of surgery wounds. Methods: This was a randomized prospective trial of 300 patients who underwent small-incision cataract surgery (SICS) at our hospital over a one-year period. We used 2�drops of 5% povidone-iodine at the end of each case, not only to disclose any wound leaks but also to sterilize the surface of the eye. Results: Three hundred patients underwent SICS. One hundred ten patients had postoperative wound leak in SICS due to surgical complications. Premature entry comprising 75% (83 cases), followed by floppy iris syndrome comprising 20% (22 cases) and 5% (6 cases) comprising pseudoexfoliation (PXF) syndrome. There was a drop in the number of re-surgeries from 12 to 3 cases since we started implementing this technique. Conclusion: The simple procedure is very handy and economical in identifying the leak and can reduce further complications such as endophthalmitis and re-surgeries. Among residents, this can be a boon where povidone-iodine acts as a riverbank for the outflow of aqueous, outlining the speed, location, and quantity of the leak. Siep抯 test plays an important role in identifying any postoperative wound leaks and also sterilizing the eye surface post surgery.
ABSTRACT
Los procesos educativos orientados a la formación de los médicos que trabajarán en las especialidades quirúrgicas se ven afectados por diferentes desafíos que deben ser reconocidos claramente para poder plantear respuestas a ellos. Se realizó una revisión de la literatura buscando artículos con temas relacionados y se identificó que los retos se concentran en cuatro áreas: rápida evolución de la tecnología y mayor complejidad, escaso recurso humano docente capacitado, falta de instituciones de salud con vocación docente y currículos cuya estructura no responde a los factores diferenciadores de los programas de residencia cuyo componente primordial es el quirúrgico. Las soluciones a estos retos requieren de una acción coordinada de todos los actores involucrados si se desea realmente resolver los problemas de salud del mundo actual.
The educational processes designed to train medical practitioners in surgical specialties have been affected by a series of challenges. Through a literature review, four challenges were identified: rapid evolution of technology, scarce human resources trained for surgical education, lack of health institutions with teaching vocation, and curriculums that do not favor the needed distinctive factors of resi-dency programs with surgical components. The solutions to these challenges require coordination between the parts involved in the medical education community. A necessary effort, if the health problems of today are to be solved.