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									<p style="text-align: justify;">En la práctica de la cirugía el conocimiento de la anatomía y del material e instrumental quirúrgico, es muy importante, ya que toda operación exige una descripción detallada, lo más exacta posible del órgano sobre el cual ha de recaer la intervención y de la región en que dicho órgano se halla contenido.</p><p style="text-align: justify;">Por otro lado, durante el acto quirúrgico, debe actuarse con movimientos ordenados, <strong>tiempos quirúrgicos, </strong>sobre aquellos tejidos y órganos, de forma que no se lesionen sus componentes o estructuras.</p><script async src="https://pagead2.googlesyndication.com/pagead/js/adsbygoogle.js?client=ca-pub-4254951495333536" 
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</script><p>Estos procedimientos requieren de <a href="https://prevencionsaludproactiv.com/2022/09/07/instrumental-quirurgico/">instrumental quirúrgico</a> para su ejecución, como bisturís, tijeras, pinzas hemostáticas, separadores, aspiradores, instrumentos de tracción, porta agujas y materiales de sutura.</p><p> </p>								</div>
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					<h2 class="elementor-heading-title elementor-size-default">Tiempos quirúrgicos en cirugía</h2>				</div>
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									<p><strong>Los tiempos en cirugía, representan el momento en que vemos y tratamos al paciente y se dividen en:</strong></p><ul><li>Preoperatorio</li><li>Transoperatorio</li><li>Postoperatorio</li></ul><p><strong>Las fases en las que se dividen las intervenciones quirúrgicas, estas son tres:</strong></p><ul><li>Diéresis</li><li>Exéresis</li><li>Síntesis</li></ul>								</div>
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									<h4>Los tiempos fundamentales de la técnica quirúrgica son:</h4><h4>• Diéresis, incisión o corte</h4><h4>• Hemostasia</h4><h4>• Exposición (separación, aspiración y tracción)</h4><h4>• Disección</h4><h4>• Sutura o síntesis</h4>								</div>
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									<p>Es el tiempo que se utiliza en todas las cirugías, consiste en seccionar o cortar el tejido para crear una vía que nos ayude a acceder al cuerpo en la parte que ha sido determinada puede realizarse en forma aguda y forma roma, la primera utiliza el corte como se ha mencionado y el otro también es conocido como divulsión, aquí como ya fue mencionado se crea un acceso sin lastimar los tejidos que se encuentran alrededor.</p>								</div>
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									<h4><span id="Instrumentos_Tejido_blando">Instrumentos (Tejido blando)</span></h4><p>Los tejidos blandos incluyen: </p><ul><li>La piel</li><li>El tejido celular subcutáneo</li><li>El tejido muscular</li><li>La aponeurosis</li><li>Los Tendones</li><li>Los nervios</li><li>Las vísceras</li></ul>								</div>
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									<h4><span id="En_esos_sitios_se_utiliza_los_siguientes_instrumentos">Se utiliza los siguientes instrumentos: </span></h4><p>Bisturí, Queratoma de la laeger (usado en cirugías oftalmológicas), electro bisturí (puede crar hemostasia), dermatomo, pinza de biopsia, tijera (tijera de disección en general, tijera fuerte, tijera de características especiales).</p><h4><span id="Instrumentos_Tejidos_duros">Instrumentos (Tejidos duros)</span></h4><p><b></b>Es<span class="ilad">ta variedad de instrumentos se utiliza para el tejido óseo entre ellos podemos encontrar</span>:<br />*La cizallas de stiller-luer<br />*El costostomos de stiller<br />*La sierra de satterled y de gigli</p>								</div>
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									<p>Agrupa todos los procedimientos técnicos que el cirujano emplea para controlar la hemorragia que se produce accidentalmente o durante el acto operatorio que cierran los vasos macroscópicos.</p><ul><li><strong>Hemostasia espontánea o natural</strong></li></ul><p>Conjunto de procesos biológicos, cuya finalidad es conseguir que la sangre se mantenga dentro del sistema vascular en forma microscópica (hemostasia natural estática), obturando las soluciones de continuidad que se produzcan en los vasos (hemostasia natural correctora).</p><ul><li><strong>Hemostasia quirúrgica</strong></li></ul><p>Agrupa todos los procedimientos técnicos que el cirujano emplea para controlar la hemorragia que se produce accidentalmente o durante el acto operatorio que cierran los vasos macroscópicos.</p><p><strong>Objetivos: </strong></p><ul><li>Control de hemorragias.</li><li>Preservar integridad vascular.</li><li>Preservar circulación periférica.</li><li>Respuesta inflamatoria.</li><li>Cicatrización.</li></ul>								</div>
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									<p><strong>Instrumental de hemostasia</strong></p><ul><li>Pinza Halsted (de mosquito)</li></ul><p><strong>Vasos pequeños</strong></p><ul><li>Pinza Kelly</li><li>Vasos de calibre mediano Pinza Pean</li><li>Pinza Rochester Pinza de ángulo de Lower</li><li>Pinza de Heiss Rochester Ranquin</li><li>Pinza de Crille</li></ul>								</div>
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									<p>Se enfoca en la sección y separación de los tejidos, esta etapa se usa en los tejidos blandos y duros haciendo el uso de material e instrumental adecuado, este proceso es encontrado en diéresis.</p><h4><span id="a_Instrumental_para_tejidos_blandos"><b>a) Instrumental para tejidos blandos</b></span></h4><ul><li>Las curetas de Thomas y Recaminer.</li><li>Las ondas acanaladas de Doyen, Nelaton, Stack.</li></ul><h4><span id="b_Instrumental_para_tejidos_duros"><b>b) Instrumental para tejidos duros</b></span></h4><ul><li>Las curetas de volkamann: se usan para extraer secuestros detritos de células. </li><li>La legra de hibbs: es utilizada en el campo óseo.</li></ul>								</div>
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									<p>Es el proceso que presenta ciertos puntos que se derivan del mismo, que son aplicables a todas las cirugías, por medio de este proceso se retira una sección o parte del organismo.</p><p><b>Escisión</b></p><p>Es una parte pequeña que es retirada del organismo (ejemplo una amígdala).<br /><b>Amputación</b></p><p>Es el separación o extracción de la apéndice o de un miembro del cuerpo (ejemplo brazo).<br /><strong>Extirpación</strong></p><p>Es la extirpación completa de un órgano del cuerpo</p>								</div>
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									<p data-docxpath="//Document/P[18]">Se le conoce como síntesis al proceso de diversos pasos que realiza el cirujano para reconstruir los diferentes planos previamente cortados, retraídos o diseccionados.</p><p data-docxpath="//Document/P[19]">Cada plano y tejido se sutura aproximando sus bordes entre sí con un material específico para favorecer la rápida cicatrización de cada tejido. De esta forma se “repara el daño” hecho para acceder a la estructura a operar.</p><p data-docxpath="//Document/P[20]">De acuerdo con el tipo de cirugía, puede ser necesario en algunos casos realizar una síntesis parcial, dejando un espacio sin suturar para drenar sangre, pus o líquido extravasado del sitio de la operación. En el caso contrario, la síntesis puede ser considerada total, cuando se afrontan todos los bordes de todos los tejidos en cada plano y se cierra totalmente la puerta de entrada de la cirugía.</p><p data-docxpath="//Document/P[21]">Toda operación inicia con el corte o incisión, y continua con la hemostasia, maniobra que detiene la hemorragia que origina el corte de los tejidos. En seguida se hace disección y separación de los elementos anatómicos para poder actuar sobre ellos y ejecutar el acto principal, que es el tiempo variable de cada operación. Se termina con la reconstrucción o sutura de los planos.</p>								</div>
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							<h4>Prevención en Salud Proactiva</h4> 
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							<p>Paula Rojas Hormazábal</p> 
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							<p>Nuestra misión es proteger la vida y la salud de las personas, con enfoque en el entorno laboral. A través de programas especializados en primeros auxilios y maniobras críticas (RCP, DEA, SVB y Heimlich), educamos y capacitamos a personas y equipos para responder con seguridad ante emergencias. Además, garantizamos la continuidad y el bienestar organizacional mediante una gestión de riesgos alineada con la Ley 16.744 y los más altos estándares ISO.</p><div class="fa2752738c61f2593e5755f4d15b4d9c" data-index="2" style="float: none; margin:0px 0 0px 0; text-align:center;">
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2026/03/04/rcp-y-dea-adultos-aha-2025-2026-actualizaciones/" class="_blank" target="_blank" >RCP y DEA Adultos (AHA) 2025-2026 Actualizaciones</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2025/12/02/cadena-de-supervivencia-unificada-aha-2025/" class="_blank" target="_blank" >Cadena de Supervivencia Unificada AHA 2025</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2025/10/29/guias-aha-2025-para-rcp-y-ace-actualizaciones/" class="_blank" target="_blank" >Guías AHA 2025 para RCP y ACE Actualizaciones</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/05/12/rcp-en-tiempos-de-covid-19/" class="_blank" target="_blank" >RCP en Tiempos de COVID-19</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/25/tendinitis-2/" class="_blank" target="_blank" >Tendinitis</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/24/superficies-de-trabajo/" class="_blank" target="_blank" >Superficies de Trabajo</a></h4>
<div class="pt-cv-content">CHARLA DE 5 MINUTOS Personas que han visualizado la charla ...<br /><div class="pt-cv-rmwrap"><a href="https://prevencionsaludproactiv.com/2022/02/24/superficies-de-trabajo/" class="_blank pt-cv-readmore btn btn-success" target="_blank">Leer Más</a></div></div></div></div>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2022/02/24/riesgo-electrico/" class="_blank" target="_blank" >Riesgo Eléctrico</a></h4>
<div class="pt-cv-content">Los riesgos eléctricos son situaciones en las que existe la ...<br /><div class="pt-cv-rmwrap"><a href="https://prevencionsaludproactiv.com/2022/02/24/riesgo-electrico/" class="_blank pt-cv-readmore btn btn-success" target="_blank">Leer Más</a></div></div></div></div>
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<div class="pt-cv-content">CHARLA DE 5 MINUTOS Personas que han visualizado la charla ...<br /><div class="pt-cv-rmwrap"><a href="https://prevencionsaludproactiv.com/2022/02/24/primeros-auxilios-2/" class="_blank pt-cv-readmore btn btn-success" target="_blank">Leer Más</a></div></div></div></div>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/02/01/fractura/" class="_blank" target="_blank" >Fracturas</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/11/27/fleboclisis/" class="_blank" target="_blank" >Fleboclisis</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/04/17/paciente-con-acv-isquemico/" class="_blank" target="_blank" >Paciente con ACV Isquémico</a></h4>
<div class="pt-cv-content">ACV ISQUÉMICO El accidente cerebrovascular ACV isquémico generalmente se produce por la obstrucción de una arteria que va al cerebro; ...<br /><div class="pt-cv-rmwrap"><a href="https://prevencionsaludproactiv.com/2021/04/17/paciente-con-acv-isquemico/" class="_blank pt-cv-readmore btn btn-success" target="_blank">Leer Más</a></div></div></div></div>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/04/07/caso-clinico-pae/" class="_blank" target="_blank" >Caso Clínico PAE</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/04/03/importancia-de-los-electrolitos/" class="_blank" target="_blank" >Importancia de los Electrolitos</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2021/03/27/sueros-en-enfermeria/" class="_blank" target="_blank" >Soluciones Parenterales en Enfermería</a></h4>
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<h4 class="pt-cv-title"><a href="https://prevencionsaludproactiv.com/2019/08/25/matematicas-para-enfermeria/" class="_blank" target="_blank" >Matemáticas para Enfermería</a></h4>
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Tiempos Quirúrgicos
