{"id":30340,"date":"2018-03-09T09:23:54","date_gmt":"2018-03-09T09:23:54","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/esfinterotoma%c2%ada-lateral-interna-en-el-tratamiento-de-la-fisura-anal-cronica-evaluacion-mediante-endosonografa%c2%ada-anal\/"},"modified":"2018-03-09T09:23:54","modified_gmt":"2018-03-09T09:23:54","slug":"esfinterotoma%c2%ada-lateral-interna-en-el-tratamiento-de-la-fisura-anal-cronica-evaluacion-mediante-endosonografa%c2%ada-anal","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/esfinterotoma%c2%ada-lateral-interna-en-el-tratamiento-de-la-fisura-anal-cronica-evaluacion-mediante-endosonografa%c2%ada-anal\/","title":{"rendered":"Esfinterotom\u00edalateral interna en el tratamiento de la fisura anal cr\u00f3nica. evaluaci\u00f3n mediante endosonograf\u00edaanal"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Sanahuja Santaf\u00e9 Angel Antonio <\/strong><\/h2>\n<p>La fisura anal es un proceso proctol\u00f3gico muy frecuente y con gran coste social, estos dos hechos asociados a la falta de trabajos publicados en torno a su tratamiento quir\u00fargico justifican el presente estudio.  hemos realizado un estudio observacional de una serie prospectiva de pacientes con fisura anal cr\u00f3nica, intervenidos quir\u00fargicamente con las t\u00e9cnicas de elip (esfinterotom\u00eda lateral interna percutanea) y elia (esfinterotom\u00eda lateral interna abierta), tratando de establecer la t\u00e9cnica m\u00e1s adecuada y la extensi\u00f3n de la secci\u00f3n del eai que garantice la curaci\u00f3n de la fisura sin comprometer la continencia.  para ello se ha planteado la siguiente hip\u00f3tesis:  la ecograf\u00eda endoanal (eea) podr\u00eda demostrar la relaci\u00f3n entre la falta de curaci\u00f3n de las fisuras (recidivas) y la insuficiente secci\u00f3n del eai, as\u00ed mismo, permitir\u00eda correlacinar los diferentes grados de incontinencia y el grado de secci\u00f3n transversal y longitudinal del eai, las lesiones esfinterianas y finalmente comparar la eficacia de las dos t\u00e9cnicas, elia y elip.  el periodo de estudio abarca desde enero del a\u00f1o 1996 hasta abril del a\u00f1o 2001. Todos los pacientes se controlaron en el postoperatorio con un seguimiento medio de 24 meses y a todos se les evalu\u00f3 por un observador independiente que realiz\u00f3 un control cl\u00ednico incidiendo en la posible aparici\u00f3n de recidivas o signos de incontinencia y una eea que valor\u00f3 la extensi\u00f3n de la eli y la posible existencia de lesiones del eae (esf\u00ednter anal externo).  los resultados comparan ambos grupos de pacientes (elip vs elia) desde el punto de vista cl\u00ednico y ecogr\u00e1fico y establecen la relaci\u00f3n existente entre el tipo de t\u00e9cnica utilizada y la aparici\u00f3n de recidivas e incontinencias, entre la extensi\u00f3n de la esfinterotom\u00eda y la curaci\u00f3n de la fisura y aparici\u00f3n de incontinencias.  a la luz de los resultados se obtienen las siguientes conclusiones:  1,- al comparar ambas t\u00e9cnicas , no se<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Esfinterotom\u00edalateral interna en el tratamiento de la fisura anal cr\u00f3nica. evaluaci\u00f3n mediante endosonograf\u00edaanal<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Esfinterotom\u00edalateral interna en el tratamiento de la fisura anal cr\u00f3nica. evaluaci\u00f3n mediante endosonograf\u00edaanal <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Sanahuja Santaf\u00e9 Angel Antonio <\/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 27\/05\/2004<\/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>Eduardo Garcia Granero Ximenez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Francisco Sanchez bueno <\/li>\n<li>damian Garc\u00eda olmo (vocal)<\/li>\n<li>Antonio Compa\u00f1 rosique (vocal)<\/li>\n<li>Miguel Minguez p\u00e9rez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Sanahuja Santaf\u00e9 Angel Antonio La fisura anal es un proceso proctol\u00f3gico muy frecuente y con gran coste [&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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