{"id":131716,"date":"1996-01-01T00:00:00","date_gmt":"1996-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/tratamiento-no-quirurgico-de-la-lesion-esplenica-traumatica\/"},"modified":"1996-01-01T00:00:00","modified_gmt":"1996-01-01T00:00:00","slug":"tratamiento-no-quirurgico-de-la-lesion-esplenica-traumatica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/tratamiento-no-quirurgico-de-la-lesion-esplenica-traumatica\/","title":{"rendered":"Tratamiento no quirurgico de la lesion esplenica traumatica."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Abril Banet Jos\u00e9 Antonio <\/strong><\/h2>\n<p>La cicatrizacion espontanea de las lesiones esplenicas traumaticas es un proceso posible, tanto en ni\u00f1os y adultos, como en animales de experimentacion. Dicho fenomeno se produce fundamentalmente a nivel de la capsula, mediante la formacion de una \u00abneocapsula\u00bb de mayor grosor que habitual del bazo. En el proceso de reparacion interviene de forma determinante las adherencias tanto del epiplon como las de otros organos, aunque en este ultimo caso el engrosamiento capsular producido es menor. La abstencion quirurgica, por tanto, es una opcion terapeutica valida que se debe tener en cuenta en el manejo del trauma esplenico.  es fundamental un protocolo de inclusion y seguimiento, que debe estar perfectamente establecido y que incluye:  la estabilidad hemodinamica, el diagnostico exacto de la lesion, la ausencia de otras lesiones intra- abdominales, de alteraciones de la coagulacion, de patolog\u00eda esplenica previa, de alteraciones del nivel de conciencia y la disponibilidad de una cama en una unidad de medicina intensiva. Es imprescindible el seguimiento bajo control radiologico de la lesion, mediante ecografia y\/o tomografia computadorizada, hasta objetivar la resolucion de la lesion esplenica para evitar posibles fracasos del tratamiento expectante.  ante un paciente con traumatismo abdominal y lesion esplenica, que presente inestabilidad hemodinamica, o necesidad de transfusion elevada, o bien ante alguna duda diagnostica o falta de los medios necesarios para el correcto manejo no quirurgico, el tratamiento de eleccion debe ser la intervencion quirurgica. En caso de ser necesaria la intervencion quirurgica, y teniendo en cuenta la incidencia de sepsis post-esplenectomia, se debe intentar la conversacion esplenica, mediante esplenectomia parcial o esplenorrafia. Si la esplenectomia es inevitable, se debe realizar autotrasplante esplenico.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Tratamiento no quirurgico de la lesion esplenica traumatica.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Tratamiento no quirurgico de la lesion esplenica traumatica. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Abril Banet Jos\u00e9 Antonio <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Palmas de gran canaria<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1996<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Joaquin Marchena G\u00f3mez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Joaqu\u00edn Potel Lesquereux <\/li>\n<li>Zoilo Gonz\u00e1lez Lama (vocal)<\/li>\n<li>Fernando Gonzalez Hermoso (vocal)<\/li>\n<li> Hernandez Socorro Carmen Rosa (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Abril Banet Jos\u00e9 Antonio La cicatrizacion espontanea de las lesiones esplenicas traumaticas es un proceso posible, tanto [&hellip;]<\/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 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