{"id":114543,"date":"2018-03-11T10:42:36","date_gmt":"2018-03-11T10:42:36","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-de-las-variables-relacionadas-con-los-resultados-de-la-reconstruccion-mamaria-diferida-tras-mastectoma%c2%ada-por-cancer-de-mama\/"},"modified":"2018-03-11T10:42:36","modified_gmt":"2018-03-11T10:42:36","slug":"estudio-de-las-variables-relacionadas-con-los-resultados-de-la-reconstruccion-mamaria-diferida-tras-mastectoma%c2%ada-por-cancer-de-mama","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/cirugia-plastica\/estudio-de-las-variables-relacionadas-con-los-resultados-de-la-reconstruccion-mamaria-diferida-tras-mastectoma%c2%ada-por-cancer-de-mama\/","title":{"rendered":"Estudio de las variables relacionadas con los resultados de la reconstrucci\u00f3n mamaria diferida tras mastectom\u00edapor c\u00e1ncer de mama"},"content":{"rendered":"

Tesis doctoral de Virginia Lopez Castillo <\/strong><\/h2>\n

Resumen tesis doctoral: "estudio de las variables relacionadas con los resultados de la reconstrucci\u00f3n mamaria diferida tras mastectom\u00eda por c\u00e1ncer de mama". la reconstrucci\u00f3n mamaria tras mastectom\u00eda por c\u00e1ncer de mama, ya sea en el mismo acto quir\u00fargico o en un procedimiento diferido, es un procedimiento cada vez m\u00e1s solicitado en nuestra sociedad. Supone para el profesional un reto t\u00e9cnico y art\u00edstico de elevada envergadura y para la paciente una mejor\u00eda de su imagen absoluta y una ayuda fundamental para recuperar el equilibrio personal, social y psicol\u00f3gico tras el evento traum\u00e1tico del c\u00e1ncer. objetivos. 1.\tDescribir las diferencias de las variables cl\u00ednico-patol\u00f3gicas y de seguimiento entre los diferentes grupos de t\u00e9cnicas utilizadas para la reconstrucci\u00f3n diferida postmastectom\u00eda por c\u00e1ncer de mama. 2.\tEstudiar los par\u00e1metros relacionados con la reconstrucci\u00f3n diferida que influyen en la valoraci\u00f3n de los resultados est\u00e9ticos obtenidos. 3.\tAnalizar qu\u00e9 elementos influyen en la valoraci\u00f3n que las pacientes dan a su reconstrucci\u00f3n. 4.\tInvestigar los par\u00e1metros m\u00e1s influyentes en la valoraci\u00f3n que los especialistas realizan de las reconstrucciones. 5.\tEstablecer, de forma objetiva, los par\u00e1metros que influyen en los resultados alcanzados. metodolog\u00eda. \ten este trabajo se han analizado los factores que influyen en la valoraci\u00f3n que las pacientes otorgan a su reconstrucci\u00f3n, se ha profundizado en el conocimiento de las variables relacionadas con los resultados de la reconstrucci\u00f3n mamaria diferida y se ha estudiado la influencia que dichas variables tienen en el resultado final, tanto en la valoraci\u00f3n que los especialistas dan a la reconstrucci\u00f3n, como a trav\u00e9s de modelos matem\u00e1ticos que permitiesen dar una valoraci\u00f3n objetiva del resultado. Para todo ello se realiz\u00f3 una estad\u00edstica descriptiva para cada variable, existiendo variables cualitativas y cuantitativas. La posible relaci\u00f3n entre variables cualitativas se estudi\u00f3 mediante el an\u00e1lisis de tablas de contingencia con el test de x2 de pearson m\u00e1s un an\u00e1lisis de residuos. La comparaci\u00f3n de las variables cuantitativas se realiz\u00f3 mediante contraste de igualdad de medias con el test de la t-student o de an\u00e1lisis de varianzas si exist\u00edan m\u00e1s de 2 grupos; sus posibles relaciones se estudiaron mediante el c\u00e1lculo de los coeficientes de correlaci\u00f3n de pearson. Para medir las diferencias entre la mama reconstruida y la contralateral se utiliz\u00f3 la distancia eucl\u00eddea, como herramienta metodol\u00f3gica que ha permitido, bas\u00e1ndose en las diferencias entre las distintas distancias consideradas, expresar de una forma objetiva y en un s\u00f3lo n\u00famero, la simetr\u00eda de cada una de las reconstrucciones. conclusiones. 1.\tLas pacientes que se reconstruyeron de forma diferida tras mastectom\u00eda mediante t\u00e9cnica aut\u00f3loga fueron m\u00e1s j\u00f3venes, ten\u00edan tumores de mayor tama\u00f1o, recibieron rt en un amplio n\u00famero de casos, presentaron mayor porcentaje de complicaciones inmediatas y precisaron menos simetrizaci\u00f3n secundaria que las reconstruidas mediante t\u00e9cnicas que inclu\u00edan el uso de pr\u00f3tesis. 2.\tEl an\u00e1lisis de las variables relacionadas con la valoraci\u00f3n de los resultados est\u00e9ticos obtenidos mostr\u00f3 que la consecuci\u00f3n de una mayor simetr\u00eda demostr\u00f3 mejores resultados est\u00e9ticos, de forma objetiva y subjetiva; el volumen fue relevante a la hora de percibir un resultado como sim\u00e9trico y la correcta proyecci\u00f3n mamaria fue un indicador de buena simetr\u00eda. 3.\tLas pacientes mostraron una valoraci\u00f3n m\u00e1s optimista que los especialistas m\u00e9dicos, independientemente del tipo de t\u00e9cnica utilizada. 4.\tLa valoraci\u00f3n de los especialistas se correlacion\u00f3 con una adecuada simetr\u00eda m\u00e1s que con el volumen o la proyecci\u00f3n, objetiv\u00e1ndose que la reconstrucci\u00f3n aut\u00f3loga alcanz\u00f3 mejores resultados est\u00e9ticos, de forma estad\u00edsticamente significativa. 5.\tEn la valoraci\u00f3n de los resultados est\u00e9ticos de la reconstrucci\u00f3n mamaria, el an\u00e1lisis de la distancia eucl\u00eddea es una herramienta \u00fatil e indica un mejor resultado general a menor valor alcanzado. palabras clave: c\u00e1ncer de mama, paciente, mastectom\u00eda, reconstrucci\u00f3n, reconstrucci\u00f3n diferida, especialistas, variables, resultado, volumen, simetr\u00eda, proyecci\u00f3n, expansor, pr\u00f3tesis, dorsal ancho, tram, colgajos, cap, distancia eucl\u00eddea. abstract \tbreast reconstruction after mastectomy for breast cancer, as an immediate or delayed procedure, is a highly requested procedure in our society. It means an important technical and artistic challenge for the professional and, after the traumatic cancer event, it also means an improvement of the global image and a fundamental help restoring the personal, social and psychological balance for the patient. objectives. 1.\tTo describe the differences of the clinical-pathological variables and the follow up variables between the different groups of techniques used for delayed breast reconstruction. 2.\tTo study the parameters related to delayed breast reconstruction that impact the evaluation of the aesthetic results of the reconstruction. 3.\tTo analyze which elements affect the patients' evaluation of their reconstructions. 4.\tTo investigate the most influential parameters in the specialists' evaluation. 5.\tTo establish, in an objective way, the parameters that impact the results obtained. methodology. \tin this work, factors influencing patients satisfaction with their own reconstruction have been analyzed, we have deepened in the knowledge of the variables related to the results of delayed breast reconstruction, and the influence that those variables have in the final result has been studied, both in the specialist's evaluations of the reconstructions and through mathematical models that would able us to get an objective assessment of the result. To do so, a descriptive statistical work was made for each variable and both qualitative and quantitative variables were studied. The potential relations between qualitative variables were assessed using the x2 pearson test and residue analysis. The quantitative variables comparison was made testing the equality of means with the t-student test or analysis of the variances when more than two groups were involved; their possible relations were assessed using the pearson's coefficient correlation. To calculate the differences between the reconstructed breast and the contralateral breast the euclidean distance was used, as a methodological tool that, based on the differences between the different distances studied, was able to remark in an objective way and in a single number, the grade of symmetry achieved for each reconstruction. conclusions. 1.\tPatients with delayed reconstruction that were reconstructed using an autologous method were younger, their tumors had bigger size, were most likely in need of rt, had more early complications with the reconstruction and needed less symmetrization surgery than those reconstructed with heterologous techniques. 2.\tThe analysis of the variables related to the evaluation of the aesthetic results showed that the achievement of a higher symmetry had better aesthetics outcomes, both in an objective and in a subjective manner; volume was also important to view a result as symmetric and a proper breast projection was a marker of good symmetry. 3.\tPatients gave higher scores to their reconstructions compared to the specialists' evaluations of the reconstructions, no matter the technique used. 4.\tThe evaluations of the specialists were correlated with a proper symmetry more than with a good volume or projection. Autologous breast reconstruction obtained better aesthetic outcomes than heterologous breast reconstruction, in a statistical significant way. 5.\tIn the study of the aesthetic results achieved, the analysis of the euclidean distance is a valid tool and assesses a better result when lesser value is obtained. key words: breast cancer, patient, mastectomy, reconstruction, delayed reconstruction, specialists, variables, result, volume, symmetry, projection, expander, implant, latissimus dorsi, tram, flaps, nac, euclidean distance.<\/p>\n

 <\/p>\n

Datos acad\u00e9micos de la tesis doctoral \u00abEstudio de las variables relacionadas con los resultados de la reconstrucci\u00f3n mamaria diferida tras mastectom\u00edapor c\u00e1ncer de mama<\/strong>\u00ab<\/h3>\n
    \n
  • T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio de las variables relacionadas con los resultados de la reconstrucci\u00f3n mamaria diferida tras mastectom\u00edapor c\u00e1ncer de mama <\/li>\n
  • Autor:<\/strong>\u00a0 Virginia Lopez Castillo <\/li>\n
  • Universidad:<\/strong>\u00a0 Murcia<\/li>\n
  • Fecha de lectura de la tesis:<\/strong>\u00a0 19\/07\/2013<\/li>\n<\/ul>\n

     <\/p>\n

    Direcci\u00f3n y tribunal<\/h3>\n
      \n
    • Director de la tesis<\/strong>\n
        \n
      • Antonio Pi\u00f1ero Madrona<\/li>\n<\/ul>\n<\/li>\n
      • Tribunal<\/strong>\n
          \n
        • Presidente del tribunal: pascual Parrilla paricio <\/li>\n
        • Carlos Tejerina botella (vocal)<\/li>\n
        • ashley Novo torres (vocal)<\/li>\n
        • Luis Carrasco gonz\u00e1lez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

           <\/p>\n","protected":false},"excerpt":{"rendered":"

          Tesis doctoral de Virginia Lopez Castillo Resumen tesis doctoral: "estudio de las variables relacionadas con los resultados de la reconstrucci\u00f3n […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[1456,8235],"tags":[93795,205531,195703,24950,34764,227000],"class_list":["post-114543","post","type-post","status-publish","format-standard","hentry","category-cirugia-plastica","category-murcia","tag-antonio-pinero-madrona","tag-ashley-novo-torres","tag-carlos-tejerina-botella","tag-luis-carrasco-gonzalez","tag-pascual-parrilla-paricio","tag-virginia-lopez-castillo"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/114543","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=114543"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/114543\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=114543"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=114543"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=114543"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}