{"id":77582,"date":"2005-02-12T00:00:00","date_gmt":"2005-02-12T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/nuevas-alternativas-en-el-tratamiento-quirurgico-de-la-incontinencia-fecal-grave\/"},"modified":"2005-02-12T00:00:00","modified_gmt":"2005-02-12T00:00:00","slug":"nuevas-alternativas-en-el-tratamiento-quirurgico-de-la-incontinencia-fecal-grave","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/nuevas-alternativas-en-el-tratamiento-quirurgico-de-la-incontinencia-fecal-grave\/","title":{"rendered":"Nuevas alternativas en el tratamiento quir\u00fargico de la incontinencia fecal grave"},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Ruiz Carmona  M\u00aa Dolores <\/strong><\/h2>\n<p>Introducci\u00f3n: la incontinencia fecal (if) es un s\u00edntoma con un efecto considerable en la vida de los pacientes, cuyo manejo debe ser individualizado e iniciarse con medidas conservadoras. Ante pacientes que presentan un defecto estructural del esf\u00ednter anal externo la esfinteroplastia constituye la primera opci\u00f3n de tratamiento quir\u00fargico. Sin embargo, existe un grupo de pacientes con if grave con fracaso de los tratamientos convencionales que podr\u00edan beneficiarse de alternativas quir\u00fargicas m\u00e1s novedosas.  hip\u00f3tesis de trabajo: establecer la utilidad real del esf\u00ednter anal artificial, la transposici\u00f3n anal de m\u00fasculo gracilis estimulado y la neuromodulaci\u00f3n de ra\u00edces sacras como opciones firmes y seguras en el tratamiento quir\u00fargico de los pacientes con incontinencia fecal grave.  pacientes y m\u00e9todo: estudio prospectivo de 30 pacientes con if grave tratada mediante una de estas t\u00e9cnicas: implantaci\u00f3n de esf\u00ednter anal artificial (eaa), graciloplastia din\u00e1mica (gd) y neuromodulaci\u00f3n de ra\u00edces sacras (nms). Estudios realizados: valoraci\u00f3n cl\u00ednica, escala cuantitativa para valoraci\u00f3n de gravedad de if, encuesta de minnesota y escala espec\u00edfica de calidad de vida, manometr\u00eda anorrectal, ecograf\u00eda endoanal y electroestimulaci\u00f3n nerviosa pudenda.  resultados:  implantaci\u00f3n eaa: con un seguimiento medio de 42 meses existi\u00f3 morbilidad en el 94% de pacientes. El 53% de la serie precis\u00f3 alguna reintervenci\u00f3n quir\u00fargica. Al cierre del estudio el explante del sistema se hab\u00eda producido en el 29% de casos. En el grupo de pacientes que mantuvo el implante existi\u00f3 una mejor\u00eda con significaci\u00f3n estad\u00edstica en la gravedad de la if y en la calidad de vida en todos los controles postoperatorios. Existi\u00f3 un aumento de la presi\u00f3n en reposo del conducto anal con el manguito activado con diferencias estad\u00edsticamente significativas respecto a su valor preoperatorio. la gravedad de la if y la calidad de vida mostraro<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Nuevas alternativas en el tratamiento quir\u00fargico de la incontinencia fecal grave<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Nuevas alternativas en el tratamiento quir\u00fargico de la incontinencia fecal grave <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Ruiz Carmona  M\u00aa Dolores <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 02\/12\/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>Salvador Lledo Matoses<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Francisco Sanchez bueno <\/li>\n<li>h\u00e9ctor Ort\u00edz hurtado (vocal)<\/li>\n<li>Rafael Calpena rico (vocal)<\/li>\n<li>Miguel Minguez p\u00e9rez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ruiz Carmona M\u00aa Dolores Introducci\u00f3n: la incontinencia fecal (if) es un s\u00edntoma con un efecto considerable en [&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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