{"id":17579,"date":"2018-03-09T09:05:42","date_gmt":"2018-03-09T09:05:42","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/monitorizacion-de-los-colgajos-libres-musculares-mediante-los-niveles-sericos-de-las-enzimas-creatincinasa-y-lactatodeshidrogenasa\/"},"modified":"2018-03-09T09:05:42","modified_gmt":"2018-03-09T09:05:42","slug":"monitorizacion-de-los-colgajos-libres-musculares-mediante-los-niveles-sericos-de-las-enzimas-creatincinasa-y-lactatodeshidrogenasa","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/monitorizacion-de-los-colgajos-libres-musculares-mediante-los-niveles-sericos-de-las-enzimas-creatincinasa-y-lactatodeshidrogenasa\/","title":{"rendered":"Monitorizaci\u00f3n de los colgajos libres musculares mediante los niveles s\u00e9ricos de las enzimas creatincinasa y lactatodeshidrogenasa"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Andr\u00e9s Marcos Vivas <\/strong><\/h2>\n<p>La obstrucci\u00f3n vascular de un colgajo libre, no implica el fracaso ineludible del mismo. Mediante revisi\u00f3n quir\u00fargica de la anastomosis, o por fibrinolisis es posible el salvamento. La importancia de detectar la obstrucci\u00f3n, radica en los distintos m\u00e9todos de monitorizaci\u00f3n. Las enzimas creatincinasa (ck) y lactadodeshidrogenasa (ldh) han sido utilizadas principalmente en la monitorizaci\u00f3n del infarto de miocardio.  formulamos la hip\u00f3tesis: \u00c2\u00bfser\u00e1n \u00fatiles en la monitorizaci\u00f3n de los colgajos libres musculares?. Se han realizado dos estudios:  1,- estudio cl\u00ednico prospectivo sobre 26 pacientes, a los que se le ha realizado un colgajo libre muscular, cuantificando en suero niveles de ck y ldh a las 5, 8-10, 20-22, 32-34 y 44h. Se comparan con colgajos isqu\u00e9micos y la influencia de distintas variables.  2,- estudio experimental en 26 ratas tipo wistar machos de 350 a 650 g., De peso, sobre modelo de colgajo muscular basado en el m\u00fasculo gracilis anterior de la rata.  determinamos 3 grupos mediante ligadura vascular selectiva, denominados (grupo o) o control con ausencia de obstrucci\u00f3n vascular, (grupo a) o ligadura de la arteria y (grupo v) con ligadura de la vena.  cuantificaci\u00f3n de los nvieles enzim\u00e1ticos a las 0, 8, 12 y 24 horas del inicio de la primera cirug\u00eda a partir del suero.  a nivel cl\u00ednico, se relaciona un nivel m\u00e1ximo de ck m\u00e1s elevado y precoz en  colgajos con isquemia. La edad, masa, tiempo de isquemia y tiempo de cirug\u00eda no influyen en los niveles m\u00e1ximos. No se ha posido demostrar la influencia del sexo, tama\u00f1o muscular, localizaci\u00f3n de la lesi\u00f3n y la etiolog\u00eda.  a nivel experimental, existen diferencias significativas con elevaci\u00f3n de ck y ldh entre el grupo a frente al grupo control. No ha sido posible diferenciar estad\u00edsticamente si la isquemia es arterial o venosa.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Monitorizaci\u00f3n de los colgajos libres musculares mediante los niveles s\u00e9ricos de las enzimas creatincinasa y lactatodeshidrogenasa<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Monitorizaci\u00f3n de los colgajos libres musculares mediante los niveles s\u00e9ricos de las enzimas creatincinasa y lactatodeshidrogenasa <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Andr\u00e9s Marcos Vivas <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Granada<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/06\/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> Wilhelmi De Cal M. Luisa<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan Oca\u00f1a sierra <\/li>\n<li>Miguel Morell oca\u00f1a (vocal)<\/li>\n<li>vicente Garc\u00eda r\u00f3spide (vocal)<\/li>\n<li>Mar\u00eda  teresa Guti\u00e9rrez salmer\u00f3n (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Andr\u00e9s Marcos Vivas La obstrucci\u00f3n vascular de un colgajo libre, no implica el fracaso ineludible del mismo. [&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":[1595,160,9,141,10,1279,955,17,18],"tags":[54964,1724,41036,2167,35903,1725],"class_list":["post-17579","post","type-post","status-publish","format-standard","hentry","category-analisis-cromatografico","category-bioquimica","category-ciencias-medicas","category-cirugia","category-cirugia-de-trasplantes","category-cirugia-experimental","category-enzimologia","category-quimica","category-quimica-analitica","tag-andres-marcos-vivas","tag-juan-ocana-sierra","tag-maria-teresa-gutierrez-salmeron","tag-miguel-morell-ocana","tag-vicente-garcia-rospide","tag-wilhelmi-de-cal-m-luisa"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/17579","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=17579"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/17579\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=17579"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=17579"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=17579"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}