{"id":25570,"date":"2018-03-09T09:17:00","date_gmt":"2018-03-09T09:17:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/valoracion-de-la-aplicacion-del-n-butil-2-cianoacrilato-en-anastomosis-intestinales-estudio-experimental\/"},"modified":"2018-03-09T09:17:00","modified_gmt":"2018-03-09T09:17:00","slug":"valoracion-de-la-aplicacion-del-n-butil-2-cianoacrilato-en-anastomosis-intestinales-estudio-experimental","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/valladolid\/valoracion-de-la-aplicacion-del-n-butil-2-cianoacrilato-en-anastomosis-intestinales-estudio-experimental\/","title":{"rendered":"Valoraci\u00f3n de la aplicaci\u00f3n del n-butil-2-cianoacrilato en anastomosis intestinales. estudio experimental"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Miguel Toledano Trincado <\/strong><\/h2>\n<p>Se ha realizado un estudio experimental utilizando el adhesivo tisular n-butil-2-cianoacrilato (histoacryl r) como sustituto de la sutura convencional en las anastomosis de intestino delgado. Se pretendi\u00f3 comprobar la eficacia como material de sutura en intestino delgado as\u00ed como el efecto del adhesivo sobre el tejido intestinal. Se emplearon 45 ratas wistar adultas de ambos sexos, repartidas en 3 grupos de 15 aleatoriamente.  grupo histoacryl: se realiz\u00f3 anastomosis a 30 cms de v\u00e1lvula ileocecal solo con el adhesivo.  grupo mixto: se realiz\u00f3 anastomosis con 3 puntos entrecortados monofilamento reabsorbible 5\/0 y adhesivo.  grupo control: se realiz\u00f3 anastomosis con 5 puntos entrecortados 5\/0 del mismo material.  se realiz\u00f3 comprobaci\u00f3n de la estanqueidad durante la intervenci\u00f3n. Al mes exacto postoperatorio se realiz\u00f3 la necropsia de los animales. Se extirp\u00f3 el segmento anastomosado y se valoraron variables marcos y microsc\u00f3picas d ela anastomosis.  la mortalidad global 37%. La mortalidad en el grupo de histoacryl fue del 100% entre los d\u00edas 15 y 30 del estudio, y simpre por dehiscencia total de la anastomosis. No obtuvimos pieza histol\u00f3gica en este grupo. La mortalidad en el grupo mixto fue del 11% y en el control 0%. El tiempo empleado en la realizaci\u00f3n de la anastomosis en el grupo mixto fue mayor que en el g. Control.  obtuvimos mayor n\u00famero de obstrucciones intestinales, dilataci\u00f3n intestinal, plastr\u00f3n inflamatorio y fugas anastom\u00f3ticas cl\u00ednicas y subcl\u00ednicas en el grupo mixto (con significaci\u00f3n estad\u00edstica) y una tendencia a tener mayor n\u00famero de engrosamiento mural e intestino de lucha tambi\u00e9n en el grupo mixto. No hubo diferencias en la permeabilidad de la anastomosis, el n\u00famero de estenosis y retracciones.  la valoraci\u00f3n microsc\u00f3pica de ambos grupos no arrojaron diferencias valorables en el n\u00famero de ulceraciones, c\u00e9lulas inflamatorias aguda y cr\u00f3nica (c\u00e9lulas gigantes), fibroblastos, disr<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Valoraci\u00f3n de la aplicaci\u00f3n del n-butil-2-cianoacrilato en anastomosis intestinales. estudio experimental<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Valoraci\u00f3n de la aplicaci\u00f3n del n-butil-2-cianoacrilato en anastomosis intestinales. estudio experimental <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Miguel Toledano Trincado <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Valladolid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 20\/09\/2003<\/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>Carlos Vaquero Puerta<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: fernando Fern\u00e1ndez de la gandara <\/li>\n<li>Rafael Mart\u00ednez sanz (vocal)<\/li>\n<li>Luis Berdejo lamabarri (vocal)<\/li>\n<li>Carlos P\u00e9rez Garc\u00eda (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Miguel Toledano Trincado Se ha realizado un estudio experimental utilizando el adhesivo tisular n-butil-2-cianoacrilato (histoacryl r) como [&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":[12451],"tags":[18002,9258,12638,74426,74425,10330],"class_list":["post-25570","post","type-post","status-publish","format-standard","hentry","category-valladolid","tag-carlos-perez-garcia","tag-carlos-vaquero-puerta","tag-fernando-fernandez-de-la-gandara","tag-luis-berdejo-lamabarri","tag-miguel-toledano-trincado","tag-rafael-Martinez-sanz"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/25570","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=25570"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/25570\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=25570"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=25570"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=25570"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}