{"id":27310,"date":"2003-04-12T00:00:00","date_gmt":"2003-04-12T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/resultados-a-medio-y-largo-plazo-y-factores-predictivos-del-resultado-postquirurgico-en-el-tratamiento-de-la-incontinencia-fecal\/"},"modified":"2003-04-12T00:00:00","modified_gmt":"2003-04-12T00:00:00","slug":"resultados-a-medio-y-largo-plazo-y-factores-predictivos-del-resultado-postquirurgico-en-el-tratamiento-de-la-incontinencia-fecal","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/resultados-a-medio-y-largo-plazo-y-factores-predictivos-del-resultado-postquirurgico-en-el-tratamiento-de-la-incontinencia-fecal\/","title":{"rendered":"Resultados a medio y largo plazo y factores predictivos del resultado postquir\u00fargico en el tratamiento de la incontinencia fecal"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Felisa D\u00edaz G\u00f3mez <\/strong><\/h2>\n<p>Hemos estudiado 73 pacientes (65 mujeres y 8 varones), divididos en 5 grupos etiol\u00f3gicos de incontinencia: 11 por neuropat\u00eda pudenda, 23 obst\u00e9tricas, 26 post-cirug\u00eda anal, 6 post-traum\u00e1ticas y 7 asociaciadas a prolapso rectal, en tres intervalos de tiempo: preoperatorio, a los 6 meses tras la cirug\u00eda (revisi\u00f3n precoz), y revisi\u00f3n tard\u00eda (mediana de tres a\u00f1os tras la cirug\u00eda). hemos valorado las variables: edad, sexo, h\u00e1bito intestinal, partos de riesgo, tiempo de evoluci\u00f3n de la incontinencia, grado de incontinencia (seg\u00fan las escalas de browing, keighley, sagunto y wexner), tono digital y bostezo anal, lesi\u00f3n esfinteriana, nivel perineal, manometr\u00eda anal, sensibilidad electrica, latencias terminales motoras de los nervios pudendos (ltmnp), etiolog\u00eda del a lesi\u00f3n, biofeedback, tipo de cirug\u00eda, complicaciones y resultado tras la cirug\u00eda.  conclusiones  1,- mejoran en la revisi\u00f3n precoz el 95,4% y en la tard\u00eda el 86,3%. El resultado se deteriora de forma no significtiva con el tiempo.  2,- el deterioro del resultado no se debe a progresi\u00f3n de la neuropat\u00eda.  3,- las reparaciones del suelo p\u00e9lvico son \u00fatiles en pacientes con incontinencia por neuropat\u00eda pudenda.  4,- se consiguen mejor\u00edas cl\u00ednicas aunque los valores manom\u00e9tricos permanecen por debajo de los l\u00edmites normales.  5,- el mejor resultado se obtiene en el grupo de incontinencia asociada a prolapso.  6,- la calidad de la continencia en el grupo de pacientes con incontinencia por neuropat\u00eda pudenda, es la peor de  todos los grupos de estudio.  7,- el \u00fanico factor predictivo de mal resultado tras la cirug\u00eda, es la presencia de un umbral de sensaci\u00f3n rectal patol\u00f3gico (or=6,374, intervalo de confianza del 95% de 1,5-26,1).<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Resultados a medio y largo plazo y factores predictivos del resultado postquir\u00fargico en el tratamiento de la incontinencia fecal<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Resultados a medio y largo plazo y factores predictivos del resultado postquir\u00fargico en el tratamiento de la incontinencia fecal <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Felisa D\u00edaz G\u00f3mez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 04\/12\/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>Jos\u00e9 Vicente Roig Vila<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan  (secretario) Ruiz del castillo <\/li>\n<li>damian Garc\u00eda olmo (vocal)<\/li>\n<li>eduardo Garcia granero ximenez (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 Felisa D\u00edaz G\u00f3mez Hemos estudiado 73 pacientes (65 mujeres y 8 varones), divididos en 5 grupos etiol\u00f3gicos [&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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