{"id":3310,"date":"1994-01-01T00:00:00","date_gmt":"1994-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/1994\/01\/01\/observacion-clinica-como-actitud-terapeutica-inicial-del-traumatismo-hepatico\/"},"modified":"1994-01-01T00:00:00","modified_gmt":"1994-01-01T00:00:00","slug":"observacion-clinica-como-actitud-terapeutica-inicial-del-traumatismo-hepatico","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/observacion-clinica-como-actitud-terapeutica-inicial-del-traumatismo-hepatico\/","title":{"rendered":"Observacion clinica como actitud terapeutica inicial del traumatismo hepatico"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jaume Gelonch Romeu <\/strong><\/h2>\n<p>Frente a la intervencion quirurgica obligada para hemostasia y drenaje de las lesiones hepaticas en traumatismos no penetrantes, se plantea una actitud conservadora inicial no quirurgica. La hipotesis de trabajo se fundamenta en la hemostasia espontanea y efectiva observada repetidamente en-laparotomias de pacientes intervenidos; en la posibilidad de diagnostico por medios incruentos (ecografia &#8211; t.A.C.) Y el tratamiento de soporte en las unidades de pacientes criticos. Para ello se propone un nuevo protocolo asistencial que selecciona a los pacientes hemodinamicamente estables para tratamiento no quirurgico, con la cirugia como alternativa. De los 52 pacientes inicialmente tratados, 49 (94 %) siguieron una buena evolucion hasta la total resolucion de las lesiones, sin precisar ninguna otra actitud quirurgica ni instrumental. No se han observado complicaciones infecciosas ni tromboembolicas ni mortalidad en los pacientes tratados. Un solo caso ha presentado patolog\u00eda metatraumatica por lesion de la via biliar, tratado tambien de forma conservadora no quirurgica. Por lo tanto, podemos afirmar que ante el diagnostico de traumatismo hepatico, incluso en grados avanzados, no es obligada la intervencion quirurgica como unica opcion.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Observacion clinica como actitud terapeutica inicial del traumatismo hepatico<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Observacion clinica como actitud terapeutica inicial del traumatismo hepatico <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jaume Gelonch Romeu <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1994<\/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>Manuel Oller Sales<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Pedro Quesada Marin <\/li>\n<li> F. Fdez De Sevilla Ribosa Tomas (vocal)<\/li>\n<li>Miquel Vilardell Tarres (vocal)<\/li>\n<li>Nivardo Rodriguez Conde (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jaume Gelonch Romeu Frente a la intervencion quirurgica obligada para hemostasia y drenaje de las lesiones hepaticas [&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":[9,141,387],"tags":[13904,13902,13903,13703,13905,1458],"class_list":["post-3310","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-abdominal","tag-f-fdez-de-sevilla-ribosa-tomas","tag-jaume-gelonch-romeu","tag-manuel-oller-sales","tag-miquel-vilardell-tarres","tag-nivardo-rodriguez-conde","tag-pedro-quesada-marin"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/3310","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=3310"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/3310\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=3310"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=3310"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=3310"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}