{"id":18721,"date":"2018-03-09T09:07:22","date_gmt":"2018-03-09T09:07:22","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/manejo-de-las-mallas-y-material-de-sutura-en-el-tratamiento-de-las-hernias-ventrales-por-va%c2%ada-laparoscopica-estudio-experimental\/"},"modified":"2018-03-09T09:07:22","modified_gmt":"2018-03-09T09:07:22","slug":"manejo-de-las-mallas-y-material-de-sutura-en-el-tratamiento-de-las-hernias-ventrales-por-va%c2%ada-laparoscopica-estudio-experimental","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/manejo-de-las-mallas-y-material-de-sutura-en-el-tratamiento-de-las-hernias-ventrales-por-va%c2%ada-laparoscopica-estudio-experimental\/","title":{"rendered":"Manejo de las mallas y material de sutura en el tratamiento de las hernias ventrales por v\u00edalaparosc\u00f3pica. estudio experimental"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Salvador Morales Conde <\/strong><\/h2>\n<p>Introducci\u00f3n  el tratamiento por v\u00eda laparosc\u00f3pica de la hernia ventrales conlleva la colocaci\u00f3n de una malla intraperitonealmente en contacto de las asas intestinales. Una de las preocupaciones de los cirujanos viene de la mano del comportamiento de estas mallas y los materiales de fijaci\u00f3n, colocada en eta posici\u00f3n, y del correcto manejo de los mismos para evitar complicaciones y recidivas.  material y m\u00e9todos  hemos utilizado 20 cerdos divididos en dos grupos, uno sacrificado a la semana y otro a las cinco semanas. Eran establecidas cinco \u00e1reas en el interior del cerdo donde eran implantadas las mallas y los materiales de sutura: micro-mesh con peritoneo indemne, micro-mesh con ablaci\u00f3n previa del peritoneo, para simular la adhesiolisis previa al implante de la malla, dual-mesh plus with holes con peritoneo indemne, dual-mesh plus white holes con ablaci\u00f3n previa del peritoneo y una zona con suturas helicoidales exclusivamente. los par\u00e1metros medidos son: tama\u00f1o de la malla, hematomas, seromas, granulomas, infecci\u00f3n, abscesos y adherencias, todo referido al centro y al borde de la malla.  resultados  no existieron casos de seromas, hemtomas, granulomas, infecci\u00f3n o bascesos. existieron m\u00e1s adherencias y estas eran m\u00e1s fuertes al micro-mesh, a los bordes de las mallas, especialmente cuando la malla no coactaba adecuadamente con la pared o las suturas quedaban colgando de la malla, y a aquellas mallas implantadas en las zonas donde se hab\u00eda realizado la ablaci\u00f3n del peritoneo. Existe una reducci\u00f3n del tama\u00f1o de la malla que llega hasta 1,63 cm de media en el caso de la dual-mesh a las cinco semanas.  conclusiones  la dual-mesh plus with hoteles es una excelente malla que produce escasas adherencias, y parte de ellas son debidas al proceso de adhesiolisis previo a la colocaci\u00f3n de la malla. Es conveniente que la malla coacte completamente contra la pared abdominal y evitar que las saturas cuelguen de la pared<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Manejo de las mallas y material de sutura en el tratamiento de las hernias ventrales por v\u00edalaparosc\u00f3pica. estudio experimental<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Manejo de las mallas y material de sutura en el tratamiento de las hernias ventrales por v\u00edalaparosc\u00f3pica. estudio experimental <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Salvador Morales Conde <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 25\/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>Salvador Morales Mendez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal:  Orlea bevia Jos\u00e9 m. <\/li>\n<li>eduardo Targona soler (vocal)<\/li>\n<li>  (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Salvador Morales Conde Introducci\u00f3n el tratamiento por v\u00eda laparosc\u00f3pica de la hernia ventrales conlleva la colocaci\u00f3n 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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