{"id":14979,"date":"2018-03-09T09:01:56","date_gmt":"2018-03-09T09:01:56","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/sa%c2%adndrome-de-hiperestimulacion-ovarica-servero-en-reproduccion-asistida-definicion-de-un-grupo-de-alto-riesgo-profilaxis-con-seroalbumina-y-resolucion-mediante-la-paracentesis-vaginal\/"},"modified":"2018-03-09T09:01:56","modified_gmt":"2018-03-09T09:01:56","slug":"sa%c2%adndrome-de-hiperestimulacion-ovarica-servero-en-reproduccion-asistida-definicion-de-un-grupo-de-alto-riesgo-profilaxis-con-seroalbumina-y-resolucion-mediante-la-paracentesis-vaginal","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/sa%c2%adndrome-de-hiperestimulacion-ovarica-servero-en-reproduccion-asistida-definicion-de-un-grupo-de-alto-riesgo-profilaxis-con-seroalbumina-y-resolucion-mediante-la-paracentesis-vaginal\/","title":{"rendered":"S\u00edndrome de hiperestimulaci\u00f3n ov\u00e1rica servero en reproducci\u00f3n asistida: definici\u00f3n de un grupo de alto riesgo. profilaxis con seroalb\u00famina y resoluci\u00f3n mediante la paracentesis vaginal"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Agustin Ballesteros Boluda <\/strong><\/h2>\n<p>El sho es un respuesta suprafisiol\u00f3gica del ovario a la estimulaci\u00f3n de la ovulaci\u00f3n. El objetivo de esta tesis es definir un grupo de riesgo, valorar la utilidad de la seroalb\u00famina humana para su prevenci\u00f3n y observar la evoluci\u00f3n del sho severo tras la paracentesis vaginal.  al analizar 2068 ciclos de tra de forma retrospectiva observamos una incidencia de sho severo del 1,4% (28 casos). Por otro lado, los niveles de estradiol mayores de 6000 pg\/ml el d\u00eda de la administraci\u00f3n de la hcg o la obtenci\u00f3n de m\u00e1s de 30 ovocitos en la aspiraci\u00f3n folicular son factores de riesgo para desarrollar el sho severo.  la administraci\u00f3n profil\u00e1ctica de alb\u00famina no previene la aparici\u00f3n del sho severo. Esto se concluye tras randomizar 645 pacientes con estradioles mayores de 300 pg\/ml el d\u00eda de la administraci\u00f3n de la hcg o con m\u00e1s de 20 ovulos captados en la aspiraci\u00f3n folicular, de las cuales 314 recibieron alb\u00famina (40 g.Intravenosos tras la punci\u00f3n folicular), no observ\u00e1ndose diferencias en los par\u00e1metros medidos (hemoglobina, hematocritos, got, gpt, creatinina, lecucocitosis y peso) ni en la incidencia de sho severo.  la paracentesis vaginal produce una mejor\u00eda cl\u00ednica y anal\u00edtica inmediata, sin provocar cambios hemodin\u00e1micos importantes, cuando se realiza a mujeres con sho severo. En las 50 pacientes estudiads, se observ\u00f3 una disminuci\u00f3n significativa del peso y del hematocrito y un aumento significativo de la creatinina y de la diuresis tras la paracentesis, son observar variaciones en los niveles de ta.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>S\u00edndrome de hiperestimulaci\u00f3n ov\u00e1rica servero en reproducci\u00f3n asistida: definici\u00f3n de un grupo de alto riesgo. profilaxis con seroalb\u00famina y resoluci\u00f3n mediante la paracentesis vaginal<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 S\u00edndrome de hiperestimulaci\u00f3n ov\u00e1rica servero en reproducci\u00f3n asistida: definici\u00f3n de un grupo de alto riesgo. profilaxis con seroalb\u00famina y resoluci\u00f3n mediante la paracentesis vaginal <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Agustin Ballesteros Boluda <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 21\/12\/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> Bonilla Musoles Fernando M.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Miguel Tortajada Martinez <\/li>\n<li> Matorras weinig Jos\u00e9 r. (vocal)<\/li>\n<li>lorenzo Abad Martinez (vocal)<\/li>\n<li>Juan  Jos\u00e9 Parrilla paricio (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Agustin Ballesteros Boluda El sho es un respuesta suprafisiol\u00f3gica del ovario a la estimulaci\u00f3n de la ovulaci\u00f3n. [&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 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":[155,9,135],"tags":[47982,38716,8376,5494,47983,8377],"class_list":["post-14979","post","type-post","status-publish","format-standard","hentry","category-ciencias-clinicas","category-ciencias-medicas","category-ginecologia","tag-agustin-ballesteros-boluda","tag-bonilla-musoles-fernando-m","tag-juan-jose-parrilla-paricio","tag-lorenzo-abad-Martinez","tag-matorras-weinig-jose-r","tag-miguel-tortajada-Martinez"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/14979","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=14979"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/14979\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=14979"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=14979"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=14979"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}