{"id":15138,"date":"2018-03-09T09:02:10","date_gmt":"2018-03-09T09:02:10","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/papel-modulador-del-tissucol-en-la-formacion-de-adherencias-postoperatorias-tras-su-uso-en-ciruga%c2%ada-hepatica\/"},"modified":"2018-03-09T09:02:10","modified_gmt":"2018-03-09T09:02:10","slug":"papel-modulador-del-tissucol-en-la-formacion-de-adherencias-postoperatorias-tras-su-uso-en-ciruga%c2%ada-hepatica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/papel-modulador-del-tissucol-en-la-formacion-de-adherencias-postoperatorias-tras-su-uso-en-ciruga%c2%ada-hepatica\/","title":{"rendered":"Papel modulador del tissucol en la formaci\u00f3n de adherencias postoperatorias tras su uso en cirugia hep\u00e1tica"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Montesinos Meli\u00e1 Carmen Teresa <\/strong><\/h2>\n<p>Los adhesivos de fibrina se est\u00e1n utilizando en la actualidad en cirug\u00eda hep\u00e1tica para completar la hemostasia y procurar el sellado de superficies cruentas hep\u00e1ticas. Se desconoce el efecto que dicho gesto quir\u00fargico puede tener en cuenta a la formaci\u00f3n de adherencias postoperatorias.  se lleva a cabo un estudio experimental en ratas, sometiendo a todos los animales a una resecci\u00f3n de 15 mm por 2 mm del borde libre del l\u00f3bulo hep\u00e1tico izquierdo. En los grupos control se hace comprensi\u00f3n con gasa sobre la lesi\u00f3n y en los de estudio se aplica 0,2 ml de tissucol. Los animales se sacrifican a los 15 y a los 30 d\u00edas postoperatorios y se estudian las adherencias creadas, cuantific\u00e1ndose su n\u00famero, grosor, separabilidad y vascularizaci\u00f3n, as\u00ed como el \u00edndice adherencial total, que a\u00fan a los anteriores par\u00e1metros, y la localizaci\u00f3n de las mismas.  el n\u00famero de adherencias y el \u00edndice adherencial total son significativamente menores a los 15 d\u00edas postoperatorios al aplicar tissucol a la lesi\u00f3n hep\u00e1tica. el n\u00famero de adherencias y el \u00edndice adherencial total disminuyen a los 30 d\u00edas postoperatorios al aplicar tissucol a la lesi\u00f3n hep\u00e1tiaca.  predominan en el estudio las adherencias finas, las de dif\u00edcil serpaci\u00f3n, y las vasculares. La localizaci\u00f3n m\u00e1s frecuente es la hepatoepiploica. no ocurren complicaciones a lo largo del estudio.  por lo tanto, el sellante de fibrina liofilizada, tissucol, posee un efecto beneficioso en cuanto a la formaci\u00f3n de adherencias en el periodo postoperatorio temprano tras la realizaci\u00f3n de hepatectom\u00eda, mantienen este efecto beneficioso en el periodo postoperatorio tard\u00edo, tendiendo a equipar sus resultados al grupo control, y, en su aplicaci\u00f3n cl\u00ednica, puede ser usado para mejorar la hemostasia de la superficie cruenta hep\u00e1tica, sin aumentar con su uso la morbilidad derivada de una g\u00e9nesis exagerada de adherencias postoperatorias.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Papel modulador del tissucol en la formaci\u00f3n de adherencias postoperatorias tras su uso en cirugia hep\u00e1tica<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Papel modulador del tissucol en la formaci\u00f3n de adherencias postoperatorias tras su uso en cirugia hep\u00e1tica <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Montesinos Meli\u00e1 Carmen Teresa <\/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 17\/01\/2002<\/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> Noguera Aguilar Jos\u00e9 Francisco<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: ram\u00f3n Trullenque peris <\/li>\n<li>damian Garc\u00eda olmo (vocal)<\/li>\n<li>eduardo Garcia granero ximenez (vocal)<\/li>\n<li> Ru\u00edz rosello Jos\u00e9 segundo (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Montesinos Meli\u00e1 Carmen Teresa Los adhesivos de fibrina se est\u00e1n utilizando en la actualidad en cirug\u00eda hep\u00e1tica [&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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