{"id":18358,"date":"2002-12-07T00:00:00","date_gmt":"2002-12-07T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-cla%c2%adnico-experimental-de-la-contraccion-de-las-mallas-de-polipropileno-empleadas-en-la-reparacion-de-eventraciones\/"},"modified":"2002-12-07T00:00:00","modified_gmt":"2002-12-07T00:00:00","slug":"estudio-cla%c2%adnico-experimental-de-la-contraccion-de-las-mallas-de-polipropileno-empleadas-en-la-reparacion-de-eventraciones","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-cla%c2%adnico-experimental-de-la-contraccion-de-las-mallas-de-polipropileno-empleadas-en-la-reparacion-de-eventraciones\/","title":{"rendered":"Estudio cl\u00ednico-experimental de la contracci\u00f3n de las mallas de polipropileno empleadas en la reparaci\u00f3n de eventraciones"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Vicente Vega Ru\u00edz <\/strong><\/h2>\n<p>Introducci\u00f3n y objetivos  las hernias incisionales se producen en al menos un 10% de los pacientes sometidos a una laparotom\u00eda media. Actualmente la reparaci\u00f3n conlleva el uso de biomateriales que reducen la tasa de recidiva, aunque esta sigue presentando cifras cercanas al 15%. Se han descrito complicaciones por el uso del polipropileno, tales como la infecci\u00f3n, aparici\u00f3n de seromas mantenidos, adherencias intestinales y la formaci\u00f3n de fistulas intestinales. la contracci\u00f3n de las fibras de la malla durante el proceso de reparaci\u00f3n de la herida conduce a un encogimiento de la misma despu\u00e9s del implante del biomaterial. Esta contracci\u00f3n podr\u00eda conllevar una morbilidad por la aparici\u00f3n de recidivas. Se realiza un estudio cl\u00ednico-experimental para confirmar la contracci\u00f3n y se ha analizado si existen diferencias de contracci\u00f3n seg\u00fan la localizaci\u00f3n subfascial o prefascial del implante. Se ha observado el periodo en el que se produce y se estudian los factores influyentes, asimismo se ha realizado un estudio histol\u00f3gico y ultraestructural de las interfases tisulares describiendo las diferencias seg\u00fan la localizaci\u00f3n del implante.  material y m\u00e9todos  en el estudio cl\u00ednico se intervinieron un total de 24 pacientes (6 varones y 18 mujeres) con eventraci\u00f3n abdominal. Se dividieron en dos grupos dependiendo de la localizaci\u00f3n del material prot\u00e9stico: prefascial (9 casos) y subfascial (15 casos). Se marcaron con clips met\u00e1licos los extremos de los ejes longitudinal y transversal. Se realizaron controles radiol\u00f3gicos (radiografia simple de abdomen) en el postoperatorio inmediato, 1,3,6 y 12 meses. En el estudio experimental se emplearon 15 conejos new-zeland. Se utiliz\u00f3 una malla de polipropileno monofilamento con medidas est\u00e1ndar 3,5 cm de anchura y 5 cm de longitud. Se realizan un total de 26 implantes y se divide la muestra en dos grupos seg\u00fan la localizaci\u00f3n del implante: subfascial y prefascial. se analizan l<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio cl\u00ednico-experimental de la contracci\u00f3n de las mallas de polipropileno empleadas en la reparaci\u00f3n de eventraciones<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio cl\u00ednico-experimental de la contracci\u00f3n de las mallas de polipropileno empleadas en la reparaci\u00f3n de eventraciones <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Vicente Vega Ru\u00edz <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00e1diz<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 12\/07\/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>Miguel Velasco Garc\u00eda<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: manuel Hidalgo pascual <\/li>\n<li>angel Celdran uriarte (vocal)<\/li>\n<li>augusto Garcia villanueva (vocal)<\/li>\n<li>Rafael Rosado cobian (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Vicente Vega Ru\u00edz Introducci\u00f3n y objetivos las hernias incisionales se producen en al menos un 10% de [&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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