{"id":53068,"date":"2006-12-06T00:00:00","date_gmt":"2006-12-06T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/cirgua%c2%ada-hemodinamica-en-el-tratamiento-de-la-insuficiencia-venosa-superficial\/"},"modified":"2006-12-06T00:00:00","modified_gmt":"2006-12-06T00:00:00","slug":"cirgua%c2%ada-hemodinamica-en-el-tratamiento-de-la-insuficiencia-venosa-superficial","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/cirgua%c2%ada-hemodinamica-en-el-tratamiento-de-la-insuficiencia-venosa-superficial\/","title":{"rendered":"Cirgu\u00edahemodin\u00e1mica en el tratamiento de la insuficiencia venosa superficial"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Mar\u00eda Escribano Ferrer <\/strong><\/h2>\n<p>Introducci\u00f3n     la cura chiva consiste en una cirug\u00eda m\u00ednimamente invasiva para el tratamiento de las varices de los miembros inferiores. practicada bajo anestesia local, est\u00e1 basada en los hallazgos de un an\u00e1lisis hemodin\u00e1mico cuidadoso de la red venosa superficial mediante eco-doppler.     los principios en los que se basa la cura chiva son:     1,- fragmentaci\u00f3n de la columna de presi\u00f3n.     2,- desconexi\u00f3n de los shunts veno-venosos.     3,- preservaci\u00f3n de las perforantes de entrada.     4,- supresi\u00f3n de los r3 \u00f3 r4 no drenados.     el objetivo de la cura chiva es el de disminuir la presi\u00f3n de la columna hidrost\u00e1tica interrumpiendo los shunts veno-venosos sin eliminar la vena safena, sin eliminar el drenaje venoso de los tejidos superficiales de la extremidad.  objetivo     el objetivo de esta tesis es el de comprobar si los resultados obtenidos con esta estrategia son comparables a los del stripping y el de analizar las distintas variaciones estrat\u00e9gicas condicionadas por la anatom\u00eda particular de cada caso, es decir, qu\u00e9 variaciones estrat\u00e9gicas deb\u00edan aplicarse a cada tipo de shunt veno-venoso. esta tesis se ha estructurado como compendio de tres estudios cl\u00ednicos realizados por nuestro grupo y publicados en la literatura. el estudio se inici\u00f3 comparando nuestros resultados en el tratamiento de las varices a 3 a\u00f1os de la estrategia chiva frente a los obtenidos con la safenectom\u00eda. se compar\u00f3 la desaparici\u00f3n de las varices, la mejor\u00eda sintom\u00e1tica general observada por los pacientes, y la presencia neuralgia del safeno asociada al tratamiento quir\u00fargico. debido a que la cura chiva es una estrategia dise\u00f1ada hace pocos a\u00f1os ha sido sufriendo modificaciones a lo largo de su implementaci\u00f3n. Por este motivo nuestro grupo se decidi\u00f3 a subanalizar en los estudios subsiguientes distintos grupos de pacientes en funci\u00f3n del tipo de varices que presentaban. finalmente y como parte complementaria de la tesis, se r<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Cirgu\u00edahemodin\u00e1mica en el tratamiento de la insuficiencia venosa superficial<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Cirgu\u00edahemodin\u00e1mica en el tratamiento de la insuficiencia venosa superficial <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Mar\u00eda Escribano Ferrer <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 12\/06\/2006<\/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 Armengol Carrasco<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Antonio Navarro quilis <\/li>\n<li>eduardo Ros die (vocal)<\/li>\n<li>miquel Vilardell tarres (vocal)<\/li>\n<li>beatriz Alvarez Garc\u00eda (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 Mar\u00eda Escribano Ferrer Introducci\u00f3n la cura chiva consiste en una cirug\u00eda m\u00ednimamente invasiva para el tratamiento [&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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