{"id":74020,"date":"2018-03-09T23:18:57","date_gmt":"2018-03-09T23:18:57","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/tram-versus-diep-e-implicacion-de-los-vasos-receptores-en-la-viabilidad-del-colgajo\/"},"modified":"2018-03-09T23:18:57","modified_gmt":"2018-03-09T23:18:57","slug":"tram-versus-diep-e-implicacion-de-los-vasos-receptores-en-la-viabilidad-del-colgajo","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/tram-versus-diep-e-implicacion-de-los-vasos-receptores-en-la-viabilidad-del-colgajo\/","title":{"rendered":"Tram versus diep e implicaci\u00f3n de los vasos receptores en la viabilidad del colgajo."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Francisco Pedre\u00f1o Guerao <\/strong><\/h2>\n<p>&#8211; introducci\u00f3n: la recontrucci\u00f3n mamaria microquir\u00fargica con tejido libre abdominal (tram libre o diep) ha supuesto una revoluci\u00f3n en la restauraci\u00f3n de la anatom\u00eda normal mamaria.  &#8211; objetivos: comparar el tram libre y el diep en lo referente a la morbilidad abdominal. Estudiar la implicaci\u00f3n de los vasos receptores(axilaresy mamariosinternos)en la viabilidaddel colgajo.  &#8211; material y m\u00e9todos: 56 pacientes mastectomizadas reconstruidas mediante 63 colgajos (33 trami y 30 diep) fueron incluidas. Se subclasificaron los colgajos por el grado de conservaci\u00f3n muscular. Se utilizaron 63 fuentes receptoras vasculares principales (33 axilares y 30 mamarias internas). se realizaron exploraciones abdominales, ejercicios de flexi\u00f3n ventral del tronco, cuestionarios de dolor y de calidad de vida antes y despu\u00e9s de la reconstrucci\u00f3n. A los 9 meses, todas las pacientes fueron sometidas a una emg  abdominal. Los calibres vasculares se determinaron mediante un calibrador microvascular. Se registraron todas las incidencias vasculares del per\u00edodo cr\u00edtico, as\u00ed como las complicaciones del colgajo que eran imputables a los vasos receptores por problemas de perfusi\u00f3n o congesti\u00f3n. El resultado est\u00e9tico y grado de satisfacci\u00f3n de equipo y paciente fue obtenido a trav\u00e9s de diversos cuestionarios.  &#8211; resultados: se obtuvieron diferencias significativas en n\u00famero de abultam\u00edentos abdominales, capacidad de realizar abdominales, calidad de vida y dolor entre todos los grupos de tram con respecto al diep, exceptuando el diep con el tram ms-2. La emg arroj\u00f3 diferencias a favor del diep con todos los grupos de tram. Los calibres arteriales mamarios internos son significativamente mayores que los axilares. Los vasos mamarios internos producen un n\u00famero significativamente menor de compliciones perioperatorias, de  reintervencionesy de problemasde perfusi\u00f3n.  &#8211; conclusiones: el diep produce menor morbilidad abdominal que el tram, pero e<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Tram versus diep e implicaci\u00f3n de los vasos receptores en la viabilidad del colgajo.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Tram versus diep e implicaci\u00f3n de los vasos receptores en la viabilidad del colgajo. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Francisco Pedre\u00f1o Guerao <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 C\u00f3rdoba<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 19\/05\/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> Rioja Torrejon Luis Fernando<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: sebastian Rufian pe\u00f1a <\/li>\n<li>marina Alvarez benito (vocal)<\/li>\n<li>Francisco Javier Padillo ruiz (vocal)<\/li>\n<li>Jes\u00fas Torres corpas (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Francisco Pedre\u00f1o Guerao &#8211; introducci\u00f3n: la recontrucci\u00f3n mamaria microquir\u00fargica con tejido libre abdominal (tram libre o diep) [&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 center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[9,141,1456,973],"tags":[71500,160494,160497,160496,160495,20861],"class_list":["post-74020","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-plastica","category-cordoba","tag-francisco-javier-padillo-ruiz","tag-francisco-pedreno-guerao","tag-jesus-torres-corpas","tag-marina-alvarez-benito","tag-rioja-torrejon-luis-fernando","tag-sebastian-rufian-pena"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/74020","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/comments?post=74020"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/74020\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=74020"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=74020"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=74020"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}