{"id":41420,"date":"1999-01-01T00:00:00","date_gmt":"1999-01-01T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/hernioplastia-laparoscopica-frente-a-herniplastia-abierta-estudio-de-la-respuesta-metabolica-y-resultado-funcional\/"},"modified":"1999-01-01T00:00:00","modified_gmt":"1999-01-01T00:00:00","slug":"hernioplastia-laparoscopica-frente-a-herniplastia-abierta-estudio-de-la-respuesta-metabolica-y-resultado-funcional","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/hernioplastia-laparoscopica-frente-a-herniplastia-abierta-estudio-de-la-respuesta-metabolica-y-resultado-funcional\/","title":{"rendered":"Hernioplastia laparoscopica frente a herniplastia abierta estudio de la respuesta metabolica y resultado funcional."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Ramon Moros Jos\u00e9 Manuel <\/strong><\/h2>\n<p>Introducci\u00f3n: el tratamiento laparosc\u00f3pico de la hernia inguinal sigue siendo el m\u00e1s controvertido de toda la cirug\u00eda laparosc\u00f3pica.  objetivo: comparar los resultados y determinar las posibles ventajas de la hernioplastia extraperitoneal endosc\u00f3pica tep frente a la hernioplastia preperitoneal abierta de nyhus, efectuada bajo anestesia regional.  pacientes y m\u00e9todos: estudio prospectivo y randomizado sobre 63 pacientes (57 v\/6h) a los que previo consentimiento, se practic\u00f3 una hernioplastia endosc\u00f3pica (tep, n=32) o una hernioplastia tipo nyhus (hin, n=31). En total se practicaron 82 hernioplastias, 35 (42,6%) por recidiva. En el psotoperatorio se registraron, los tiempos quir\u00fargicos y las complicaciones. los pacientes complementaron escalas anal\u00f3gicas para evaluaci\u00f3n del dolor y se registraron el empleo de analg\u00e9sicos durante el ingreso. Se estudi\u00f3 la respuesta metab\u00f3lica mediante la determinaci\u00f3n de glucosa, cortisol, interleucina-6 (il-6) y prote\u00edna c reactiva (pcr) durante las primeras 48 horas y se valor\u00f3 la calidad de vida relacionada con la salud, mediante los cuestionarios gen\u00e9ricos de salud autopercibida sf-36 y perfil de salud de nottingan (nph) previamente a la intervenci\u00f3n y a los 7 y 30 d\u00edas del postoperatorio.  resultados: los dos grupos fueron homog\u00e9neos en cuanto a edad, sexo, peso, riesgo quir\u00fargico, tipo de hernia y caracter\u00edsticas sociodemogr\u00e1ficas. El tiempo operatorio del tep no fue superior al de la htn (42+-14 vs 36+-14 p=0,23). Tres (9,3%) pacientes del grupo tep tuvieron que convertirse a cirug\u00eda abierta por rotura peritoneal y 15 (46,3%) requirieron sedaci\u00f3n complementaria intraoperatoria frente a 2(6,5%) del htn, p=0.001. El dolor postoperatorio global del grupo tep fue significativamente inferior al del grupo htn (2,95 vs 3,47 p=0,45). El n\u00famero total de dosis de analg\u00e9sicos fue tambi\u00e9n menor en el grupo endosco\u00f3pico (1,6 vs 2,5 p=0,009). La estancia hospitalaria fue<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Hernioplastia laparoscopica frente a herniplastia abierta estudio de la respuesta metabolica y resultado funcional.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Hernioplastia laparoscopica frente a herniplastia abierta estudio de la respuesta metabolica y resultado funcional. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Ramon Moros Jos\u00e9 Manuel <\/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\/1999<\/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>Jose Sanchez Ortega<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro Quesada marin <\/li>\n<li>enrique Laporte rosello (vocal)<\/li>\n<li>eduard Jaurrieta mas (vocal)<\/li>\n<li>dolores Ferrer garcia (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ramon Moros Jos\u00e9 Manuel Introducci\u00f3n: el tratamiento laparosc\u00f3pico de la hernia inguinal sigue siendo el m\u00e1s controvertido [&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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