{"id":16824,"date":"2002-10-05T00:00:00","date_gmt":"2002-10-05T00:00:00","guid":{"rendered":""},"modified":"2002-10-05T00:00:00","modified_gmt":"2002-10-05T00:00:00","slug":"hernioplastia-inguinal-con-cono-protesico-de-polipropileno-en-pacientes-no-subsidiarios-de-ciruga%c2%ada-mayor-ambulatoria-estudio-multivariante-de-factores-relacionados-con-las-complicaciones-postop","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/hernioplastia-inguinal-con-cono-protesico-de-polipropileno-en-pacientes-no-subsidiarios-de-ciruga%c2%ada-mayor-ambulatoria-estudio-multivariante-de-factores-relacionados-con-las-complicaciones-postop\/","title":{"rendered":"Hernioplastia inguinal con cono prot\u00e9sico de polipropileno en pacientes no subsidiarios de cirugia mayor ambulatoria: estudio multivariante de factores relacionados con las complicaciones postoperatorias y la estancia hospitalaria"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Blanco Freire Manuel Narciso <\/strong><\/h2>\n<p>Planteamiento y objetivos  se estudia el m\u00e9todo de hernioplastia con cono de polipropileno en r\u00e9gimen de corta estancia quir\u00fargica con el objetivo de describir las caracter\u00edsticas de este grupo de pacientes, identificar las variables relacionadas con las complicaciones postoperatorias y la prolongaci\u00f3n de la estancia.  material y m\u00e9todos  estudio prospectivos de las hernioplastias realizadas en 1997-1999 en los pacientes rechazados para hernioplastia ambulatoria en el \u00e1rea a coru\u00f1a. se practic\u00f3 hernioplastia bajo raquianestesia, anestesia general o local, con cono prot\u00e9sico de polipropileno. En las hernias indirectas se coloc\u00f3 un cono en el orificio inguinal profundo y una l\u00e1mina plana de refuerzo de la pared posterior. En las hernias directas se coloc\u00f3 cono prot\u00e9sico en el defecto cubriendo toda la pared posterior del conducto inguinal y suturada a sus l\u00edmites. Se realiz\u00f3 profilaxis antib\u00f3tica y antitromb\u00f3tica. la intervenci\u00f3n se realiza en r\u00e9gimen de corta estancia quir\u00fargica y se realiza seguimiento cl\u00ednico programado. Las variables registradas en base de datos inform\u00e1ticas son analizadas estad\u00edsticamente utilizando el test ji-cuadrado y el test exacto de fischer para la comparaci\u00f3n de proporciones entre variables culitativas y la prueba t-student para las cualitativas. se realiza un an\u00e1lisis de regresi\u00f3n m\u00faltiple para detectar variables relacionadas con las complicaciones postoperatorias y con la prolongaci\u00f3n de la estancia. se realiza un an\u00e1lisis de las recidivas precoces aplicando el m\u00e9todo de kaplan-meier.  resultados  se analizan 240 hernioplastias en 196 pacientes con edades entre los 30 y los 85 a\u00f1os. La causa m\u00e1s frecuente de rechazo para cirug\u00eda ambulatoria fue el elevado riesgo anest\u00e9sico. Un 64% de los pacientes presentaron patolog\u00eda asociada. Un 53,7% de los pacientes segu\u00edan alg\u00fan tratamiento farmacol\u00f3gico. se emple\u00f3 anestesia intradural en el 90% de los casos y solo en el 3,3%<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Hernioplastia inguinal con cono prot\u00e9sico de polipropileno en pacientes no subsidiarios de cirugia mayor ambulatoria: estudio multivariante de factores relacionados con las complicaciones postoperatorias y la estancia hospitalaria<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Hernioplastia inguinal con cono prot\u00e9sico de polipropileno en pacientes no subsidiarios de cirugia mayor ambulatoria: estudio multivariante de factores relacionados con las complicaciones postoperatorias y la estancia hospitalaria <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Blanco Freire Manuel Narciso <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 A coru\u00f1a<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 10\/05\/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>Benigno Acea Nebril<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jorge Teijeiro vidal <\/li>\n<li>Francisco Javier Alvarez caperochipi (vocal)<\/li>\n<li>Manuel Hidalgo pascual (vocal)<\/li>\n<li>federico S\u00e1nchez gonz\u00e1lez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Blanco Freire Manuel Narciso Planteamiento y objetivos se estudia el m\u00e9todo de hernioplastia con cono de polipropileno [&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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