{"id":71778,"date":"2004-11-12T00:00:00","date_gmt":"2004-11-12T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/ciruga%c2%ada-reconstructiva-de-la-aorta-infrarenal-mediante-el-abordaje-laparoscopico-estudio-experimental\/"},"modified":"2004-11-12T00:00:00","modified_gmt":"2004-11-12T00:00:00","slug":"ciruga%c2%ada-reconstructiva-de-la-aorta-infrarenal-mediante-el-abordaje-laparoscopico-estudio-experimental","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/ciruga%c2%ada-reconstructiva-de-la-aorta-infrarenal-mediante-el-abordaje-laparoscopico-estudio-experimental\/","title":{"rendered":"Cirugia reconstructiva de la aorta infrarenal mediante el abordaje laparosc\u00f3pico. estudio experimental"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Beatriz Loscertales Martin De Agar <\/strong><\/h2>\n<p>Desde sus inicios, la difusi\u00f3n de la cirug\u00eda a\u00f3rtica mediante abordaje laparosc\u00f3pico se ha visto muy limitada debida a la dificultad que presenta la realizaci\u00f3n de las anastomosis mediante t\u00e9cnicas de sutura laparosc\u00f3pica intracorp\u00f3rea, que se refleja en tiempos de colusi\u00f3n a\u00f3rtica excesivamente elevados.  el objetivo principal de este proyecto fue el de evaluar una pr\u00f3tesis dise\u00f1ada en el ccmi, con el fin de evitar la necesidad de crear las anastomosis mediante sutura intracorp\u00f3rea, reduciendo la duraci\u00f3n del clampado a\u00f3rtico, dentro de los l\u00edmites considerados como seguros para evitar lesiones neurol\u00f3gicas secundarias al aisquemia de la m\u00e9dula espinal. Con tal fin se ha dise\u00f1ado una pr\u00f3tesis que incluye sistemas d autofijaci\u00f3n en sus dos extremos, construidos con la combinaci\u00f3n de stents autoexpandibles y ganchos que evitan su desplazamiento, una vez implantada la pr\u00f3tesis en la aorta.  el estudio se realiz\u00f3 en diez cerdos en los que se efectu\u00f3 una sustituci\u00f3n a\u00f3rtica mediante abordaje laparosc\u00f3pico. La efectividad de la pr\u00f3tesis se evalu\u00f3 de modo agudo, durante el post-operatorio inmediato y dos semanas despu\u00e9s de la intervenci\u00f3n, mediante la combinaci\u00f3n de ecograf\u00eda percut\u00e1nea, angiograf\u00eda y ultrasonograf\u00eda intravascular.  la evaluaci\u00f3n durante el procedimiento quir\u00fargico y los estudios por imagen posteriores han demostrado la eficacia del sistema prot\u00e9sico implantado. el tiempo de oclusi\u00f3n a\u00f3rtica se redujo a lo largo del estudio hasta alcanzar el l\u00edmite propuesto de 15 minutos. Durante las dos semanas de duraci\u00f3n del seguimiento de los animales no se ha producido ning\u00fan tipo de complicaci\u00f3n asociado al uso de la pr\u00f3tesis o al abordaje laparosc\u00f3pico.  por tanto, con este trabajo hemos conseguido demostrar la eficacia del sistema evaluado y se ha logrado la reducci\u00f3n dela duraci\u00f3n del clampado a\u00f3rtico, aunque la validaci\u00f3n de la pr\u00f3tesis y los sistemas de fijaci\u00f3n requerir\u00e1 de<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Cirugia reconstructiva de la aorta infrarenal mediante el abordaje laparosc\u00f3pico. estudio experimental<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Cirugia reconstructiva de la aorta infrarenal mediante el abordaje laparosc\u00f3pico. estudio experimental <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Beatriz Loscertales Martin De Agar <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 11\/12\/2004<\/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>Francisco Miguel Sanchez Margallo<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: hugo Galera davidson <\/li>\n<li>wilfredo Casta\u00f1eda z\u00fa\u00f1iga (vocal)<\/li>\n<li>salvador Climent peris (vocal)<\/li>\n<li>Jos\u00e9 Mar\u00eda Ortega bevia (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Beatriz Loscertales Martin De Agar Desde sus inicios, la difusi\u00f3n de la cirug\u00eda a\u00f3rtica mediante abordaje laparosc\u00f3pico [&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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