{"id":72686,"date":"2005-11-02T00:00:00","date_gmt":"2005-11-02T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/contracepcion-definitiva-mediante-el-dispositivo-intratubarico-essure\/"},"modified":"2005-11-02T00:00:00","modified_gmt":"2005-11-02T00:00:00","slug":"contracepcion-definitiva-mediante-el-dispositivo-intratubarico-essure","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/contracepcion-definitiva-mediante-el-dispositivo-intratubarico-essure\/","title":{"rendered":"Contracepci\u00f3n definitiva mediante el dispositivo intratub\u00e1rico essure"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Alicia Ubeda Hern\u00e1ndez <\/strong><\/h2>\n<p>En octubre de 2001, la comunicad econ\u00f3mica europea, australia, canad\u00e1 y singapur aprueban la aplicaci\u00f3n cl\u00ednica de essure(r). Este m\u00e9todo consigue la o bstrucci\u00f3n de la luz tub\u00e1rica mediante la colocaci\u00f3n de un dispositivo de titantio por v\u00eda histerosc\u00f3pica. A priori parece reunir todas las caracter\u00edsticas ncesarias para sustituir a la ligadura tub\u00e1rica. As\u00ed, essure(r), representa una t\u00e9cnica que aporta eficacia y seguridad sin necesidad de intervenci\u00f3n quir\u00fargica, incisiones cut\u00e1neas, ingreso hospitalario o recuperaci\u00f3n domiciliaria.  los dos primeros estudios multic\u00e9ntricos publican sus resultados en 2003. las tasas de \u00e9xito en la colocaci\u00f3n se sit\u00faan alrededor del 92%, pero considerando necesaria la administraci\u00f3n de anestesia local o general. Refieren efectos secundarios como la perforaci\u00f3n uterina o tub\u00e1rica y la expulsi\u00f3n inadvertida de los dispositivos hasta en un 7% de los casos, sin consecuencias graves para las pacientes.  el seguimiento se realiza mediante hsg, la dual demuestra la obstrucci\u00f3n a los tres meses de la inserci\u00f3n.  la eficacia contraceptiva resulta ser absoluta durante el tiempo de seguimiento medio, alrededor de tres a\u00f1os. En julio de 2002 se introdujo la t\u00e9cnica en el instituto universitario dexeus bajo la premisa de no administraci\u00f3n de anestesia y reducci\u00f3n de los criterios de selecci\u00f3n. Tras dos a\u00f1os de experiencia con una serie de 124 pacientes, nuestras conclusiones han sido las siguientes:  1,- no ha habido ninguna complicaci\u00f3n ni ning\u00fan efecto secundario adverso severo en nuestra serie.  2,- hemos restringido los criterios de inclusi\u00f3n y exclusi\u00f3n para el m\u00e9todo essure(r) propuestos inicialmente, sin que ello haya supuesto menor eficaica, menor seguridad o efectos secundarios adversos intra ni postoperatorios, a corto o medio plazo, en las mujeres de nuestra serie.  3,- la tasa de colocaci\u00f3n exitosa del dispositivo intratub\u00e1rico essure(r) ha sido de un 97.6%.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Contracepci\u00f3n definitiva mediante el dispositivo intratub\u00e1rico essure<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Contracepci\u00f3n definitiva mediante el dispositivo intratub\u00e1rico essure <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Alicia Ubeda Hern\u00e1ndez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 11\/02\/2005<\/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>Jordi Xercavins Montosa<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: ramon Carreras collado <\/li>\n<li>aureli Torn\u00e9 blad\u00e9 (vocal)<\/li>\n<li>pedro nolasco Barri rague (vocal)<\/li>\n<li>josep Mar\u00eda Lailla vicens (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Alicia Ubeda Hern\u00e1ndez En octubre de 2001, la comunicad econ\u00f3mica europea, australia, canad\u00e1 y singapur aprueban la [&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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