{"id":64658,"date":"2018-03-09T22:52:44","date_gmt":"2018-03-09T22:52:44","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/preparacion-preoperatoria-del-colon-versus-no-preparacion-en-ciruga%c2%ada-colorrectal-electiva\/"},"modified":"2018-03-09T22:52:44","modified_gmt":"2018-03-09T22:52:44","slug":"preparacion-preoperatoria-del-colon-versus-no-preparacion-en-ciruga%c2%ada-colorrectal-electiva","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/preparacion-preoperatoria-del-colon-versus-no-preparacion-en-ciruga%c2%ada-colorrectal-electiva\/","title":{"rendered":"Preparaci\u00f3n preoperatoria del colon versus no preparaci\u00f3n en cirugia colorrectal electiva"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Mar\u00eda Jes\u00fas Pe\u00f1a Soria <\/strong><\/h2>\n<p>La preparaci\u00f3n mec\u00e1nica del colon es una pr\u00e1ctica rutinaria en el preoperatorio de los pacientes que van a ser sometidos a cirug\u00eda colorrectal electiva. Esta pr\u00e1ctica tiene como objetivo la eliminaci\u00f3n de las heces s\u00f3lidas de la luz intestinal y con ello disminuir la morbimortalidad postoperatoria debida a las infecciones del sitio quir\u00fargico y a los fracasos de la anastomosis. En estudios realizados con anterioridad no se hab\u00eda tenido en cuenta que uno de los factores que influyen en el desarrollo de estas complicaciones es el cirujano. Se dise\u00f1\u00f3 un estudio prospectivo aleatorizado simple ciego en el que se compararon dos grupos de pacientes uno de ellos son preparaci\u00f3n mec\u00e1nica del colon y otro sin ella que iban a ser sometidos a cirug\u00eda colorrectal de forma electiva por el mismo cirujano. Las variables a estudio fueron la infecci\u00f3n de herida quir\u00fargica, abceso intra-abdominal, dehiscencia anastom\u00f3tica y mortalidad. Los resultados muestran que para los pacientes intervenidos por un mismo cirujano no existen diferencias en lo referente a tasas de infecci\u00f3n de herida quir\u00fargica, abcesos intra-abdominales ni dehiscencia de anastomosis independientemente de si fueron intervenidos realizando o no preparaci\u00f3n mec\u00e1nica del colon. Se realiz\u00f3 una revisi\u00f3n sistem\u00e1tica de la literatura y posteriormente un meta-an\u00e1lisis con los datos extra\u00eddos de otros estudios prospectivos aleatorizados y con los obtenidos del estudio prospectivo aleatorizado. Los resultados vienen a corroborar los obtenidos por otros autores recomendando que la preparaci\u00f3n mec\u00e1nica del colon en el preoperatorio de la cirug\u00eda colorrectal electiva debe limitarse a aquellos casos en los que est\u00e9 previsto realizar una exploraci\u00f3n endosc\u00f3pica del colon durante el acto quir\u00fargico.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Preparaci\u00f3n preoperatoria del colon versus no preparaci\u00f3n en cirugia colorrectal electiva<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Preparaci\u00f3n preoperatoria del colon versus no preparaci\u00f3n en cirugia colorrectal electiva <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Mar\u00eda Jes\u00fas Pe\u00f1a Soria <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Complutense de Madrid<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 23\/05\/2008<\/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>represa \u00e1lvarez Fern\u00e1ndez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Jos\u00e9 Miguel De diego carmona <\/li>\n<li>Miguel angel Dapena crespo (vocal)<\/li>\n<li>damian Garc\u00eda olmo (vocal)<\/li>\n<li>Fernando Noguerales fraguas (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Mar\u00eda Jes\u00fas Pe\u00f1a Soria La preparaci\u00f3n mec\u00e1nica del colon es una pr\u00e1ctica rutinaria en el preoperatorio 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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