Intervenções fundamentais em cirurgia: diérese, hemostasia e síntese

Abstract

Objective: This article aims to review and describe relevant aspects and recent advances in dieresis, hemostasis and synthesis, the fundamental times of surgery. Methods: Surgery has evolved over centuries, but the concepts of dieresis, hemostasis and synthesis continue, with many updates. The present review was carried out from bibliographic research in the electronic databases Pubmed and SciElo, in addition to consulting specialized books on operative technique. Results: In the past, large incisions extending along the abdomen, chest and limbs were the standard approach to access the organs and tissues of these anatomical regions. However, with advances in technology and improvements in surgical technique, surgery has progressed to minimize trauma to the patient while maintaining surgical principles. In this review it was demonstrated that no matter the length of the incisions and the size of trauma. The principles of good technique that always include dieresis, hemostasis and synthesis continue the same, and this was described in the present work. Conclusion: Whatever the organ or anatomical region to be operated on, The concepts described in this paper reaffirm that the surgeon can’t deviate from the precepts of good surgical practice, always attending to the prerequisites of a good incision, perfect hemostasis and impeccable synthesis of tissues.