{"id":13552,"date":"2018-03-09T08:59:52","date_gmt":"2018-03-09T08:59:52","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/terapia-hormonal-sustitutiva-y-recurrencia-de-endometriosis-en-pacientes-con-ovariectomia-bilateral\/"},"modified":"2018-03-09T08:59:52","modified_gmt":"2018-03-09T08:59:52","slug":"terapia-hormonal-sustitutiva-y-recurrencia-de-endometriosis-en-pacientes-con-ovariectomia-bilateral","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/terapia-hormonal-sustitutiva-y-recurrencia-de-endometriosis-en-pacientes-con-ovariectomia-bilateral\/","title":{"rendered":"Terapia hormonal sustitutiva y recurrencia de endometriosis en pacientes con ovariectomia bilateral."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Miguel Angel Alorriaga Garcia <\/strong><\/h2>\n<p>Introducci\u00f3n: la hormonodependencia de la endometriosis suscita el temar de que el tratamiento hormona sustitutivo (ths) de menopausia induzca recurrencias en mujeres con antecedentes de endometriosis. Por ello numerosos autores contraindican el ths en las pacientes con endometriosis previa. Sin embargo se carecen de estudios que analicen prospectiva y randomizadamente los riesgos del ths en estas pacientes.  objetivo: determinar el riesgo de recurrencia asociado al ths en las pacientes con antecedentes de anexectomia bilateral y endometriosis.  material y metodos: la poblaci\u00f3n objeto de estudio estuvo constituida por las 165 pacientes diagnosticadas de endometriosis entre los 35 y los 65 a\u00f1os, que habian sufrido la extirpaci\u00f3n de ambos ovarios en el hospital de cruces en el periodo 1992-1997. Las pacientes fueron distribuidas en dos grupos, aletariamente: grupo control, sin ths(n=50) y grupo con ths (n=115). La administraci\u00f3n del estr\u00f3geno era de forma continua,en cambios del parche cada tres o cuatro dias. La formulaci\u00f3n de los gest\u00e1genos era de tipo secuencial durante 14 dias consecutivos, e intervalos libres de 16 dias.  resultados: entre las 115 mujeres en tratamiento hormonal sustitutivo hubo 4 diagnosticadas de recurrencia: 2 precisaron reintervenci\u00f3n, mientras que las otras 2 se resolvieron con tratamiento m\u00e9dico. Adem\u00e1s hubo una reintervenci\u00f3n dudosamente relacionada con la endometriosis, tambi\u00e9n en el grupo con ths. En el grupo con ths, las pacientes con afectaci\u00f3n peritoneal previa representan un subgrupo poblacional con un riesgo de recurrencia notablemente mas alto: 9,10 de recurrencias frente al 1,2% (rr=7,45 ic 95%: 0,80-69,1) con una p=0,07. Los pacientes con ths que fueron objeto de cirug\u00eda incompleta (s\u00f3lo anexectomia bilateral o anexectomia bilateral mas histerectom\u00eda subtotal) tuvieron un riesgo mayor: 22,2% frente al 1,9%(rr=11,78 ic 95%: 1,87-74,02) con una p=0,03.  conclusiones: el ths conlleva<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Terapia hormonal sustitutiva y recurrencia de endometriosis en pacientes con ovariectomia bilateral.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Terapia hormonal sustitutiva y recurrencia de endometriosis en pacientes con ovariectomia bilateral. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Miguel Angel Alorriaga Garcia <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Pa\u00eds vasco\/euskal herriko unibertsitatea<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 29\/10\/2001<\/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>Roberto Matorras Weinig<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Ausin ulizar Francisco javier <\/li>\n<li>Francisco Javier Ferrer barriendos (vocal)<\/li>\n<li>Juan  Jos\u00e9 Parrilla paricio (vocal)<\/li>\n<li> Ruiz sanz Jos\u00e9 ignacio (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Miguel Angel Alorriaga Garcia Introducci\u00f3n: la hormonodependencia de la endometriosis suscita el temar de que el tratamiento 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