{"id":38945,"date":"1998-12-12T00:00:00","date_gmt":"1998-12-12T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estres-qurirugico-en-ciruga%c2%ada-ginecologica-convencioan-vs-laparascopica\/"},"modified":"1998-12-12T00:00:00","modified_gmt":"1998-12-12T00:00:00","slug":"estres-qurirugico-en-ciruga%c2%ada-ginecologica-convencioan-vs-laparascopica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estres-qurirugico-en-ciruga%c2%ada-ginecologica-convencioan-vs-laparascopica\/","title":{"rendered":"Estr\u00e9s qurir\u00fagico en cirugia ginecol\u00f3gica convencioan vs laparasc\u00f3pica."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Juan  Jose Hern\u00e1ndez Aguado <\/strong><\/h2>\n<p>Objetivos  estudiar y comparar el estr\u00e9s quir\u00fargico peroperatorio experimentado seg\u00fan la v\u00eda de abordaje utilizada, abdominal vs vaginal vs laparosc\u00f3pica, para la realizaci\u00f3n histerectom\u00edas. Evaluar el grado de estr\u00e9s peroperatorio en funci\u00f3n de la agresividad de la cirug\u00eda laparoscopica ginecol\u00f3gica realizada y evidenciar la influencia sobre aquel de la temperatura del co2 insufladopara la creaci\u00f3n y mantenimiento del neumoperitoneo.  material y m\u00e9todos  estudio prospectivo y comparativo realizado sobre 105 pacientes sometidas a cirug\u00eda ginecol\u00f3gica electiva distribuidos en 2 grandes grupos, uno de 45 pacientes sometidas a histerectom\u00eda (15 abdominales, 15 vaginales y 15 asistidas prolaparosc\u00f3pia) y otro de 60 que requirieron cirug\u00eda laparosc\u00f3pica anexial (15 tumoraciones anexiales operadas con co2 sin calentar y 15 con co2 calentado a 37\u00c2\u00ba y 15 btb efectuadas con co2 sin calentar y 15 con co2 caliente). El grado de estr\u00e9s fue evaluado mediante la determinaci\u00f3n de par\u00e1metros bioqu\u00edmicos en distintos momentos a lo largo de la intervenci\u00f3n (adrenalina, noradrenalina, dopamina, acth, cortisol, adh y beta-endorfinas) y par\u00e1metros hemodin\u00e1micos (frecuencia card\u00edaca, ta sistolica, diast\u00f3lica y media). Tambi\u00e9n se estudi\u00f3 y compar\u00f3 aparte de los par\u00e1metros morfom\u00e9tricos, los tiempos de cirug\u00eda y neumoperitoneo, la temperatura corporal, el grado de dolor postoperatorio a las 12 y 24 horas, las estancias postquir\u00fargicas y vol\u00famen de co2 consumidos. Se buscaron correlaciones significativas entre distintos par\u00e1metros.  resultados  los resultados obtenidos demuestran que cada v\u00eda de abordaje para la realizaci\u00f3n de una histerectom\u00eda presenta un perfil neuroendocrino peroperatorio caracter\u00edstico, resultan ser m\u00e1s estresante la histerctom\u00eda asistida por laparoscopia y algo menor la abdominal. La histerectom\u00eda vaginal presenta la respuesta m\u00e1s baja y tard\u00eda de las tres. Durante la cirug\u00eda laparosc\u00f3pica<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estr\u00e9s qurir\u00fagico en cirugia ginecol\u00f3gica convencioan vs laparasc\u00f3pica.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estr\u00e9s qurir\u00fagico en cirugia ginecol\u00f3gica convencioan vs laparasc\u00f3pica. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Juan  Jose Hern\u00e1ndez Aguado <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00e1diz<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 12\/12\/1998<\/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>Rafael Comino Delgado<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: jos\u00e9 Navarro clemente <\/li>\n<li>lu\u00eds Javier Moreno corral (vocal)<\/li>\n<li>rogelio Garrido terner (vocal)<\/li>\n<li>Mar\u00eda sol Carrasco jim\u00e9nez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Juan Jose Hern\u00e1ndez Aguado Objetivos estudiar y comparar el estr\u00e9s quir\u00fargico peroperatorio experimentado seg\u00fan la v\u00eda 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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