{"id":83424,"date":"2018-03-10T00:07:31","date_gmt":"2018-03-10T00:07:31","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/trasplante-renal-estudio-de-las-complicaciones-quirurgicas-urologicas-y-vasculares-en-250-casos\/"},"modified":"2018-03-10T00:07:31","modified_gmt":"2018-03-10T00:07:31","slug":"trasplante-renal-estudio-de-las-complicaciones-quirurgicas-urologicas-y-vasculares-en-250-casos","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/trasplante-renal-estudio-de-las-complicaciones-quirurgicas-urologicas-y-vasculares-en-250-casos\/","title":{"rendered":"Trasplante renal. estudio de las complicaciones quirurgicas urol\u00f3gicas y vasculares en 250 casos"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Angel Guardiola Mas <\/strong><\/h2>\n<p>Objetivos  estudio de la repercusi\u00f3n de los factores influyenes en la evoluci\u00f3n general del trasplante sobre las complicaciones urol\u00f3gicas y vasculares. valoraci\u00f3n de los tipos de tratamiento en las complicaciones. Incidencia de la complicaci\u00f3n existente sobre la supervivencia del injerto y del \u00f3rgano.  material y m\u00e9todos  se estudiaron 250 trasplantes. Se dividi\u00f3 el estudio en dos periodos. los donantes fueron varones en un 69%, con edad media de 39 a\u00f1os. Los receptores fueron varones en un 66%, con edad media de 38 a\u00f1os. La mayor\u00eda hab\u00edan recibido hemodi\u00e1lisis excepto 4 (con dpca). Se valor\u00f3 el numero de transfusiones y el titulo de ac. Citot\u00f3xicos. Se evalu\u00f3 la histocompatibilidad hla en los locus a. B ydr. Se valor\u00f3 el tipo de extracci\u00f3n renal, los tiempos de isquemia caliente y fr\u00eda as\u00ed como la posici\u00f3n renal invertida o normal. la implantaci\u00f3n arterial se realliz\u00f3 fundamentalmente en la arteria il\u00edaca y la venos en la cava. El implante de la v\u00eda urinaria se realiz\u00f3 sobre todo con la v\u00eda del donante mediante uretercistoneostom\u00eda utilizando las t\u00e9cnicas de leabdeter politano, lych gregoir, tauguchi, paquin y boari.  resultados  las complicaciones urol\u00f3gicas se presentaron en un 20,4% y las vasculares en un 12% existi\u00f3 una disminuci\u00f3n de complicaciones en el segundo periodo estudiado. La mayor edad de los donantes repercuti\u00f3 en la estenosis de la v\u00eda urinaria. El aumento de bocas arteriales del ri\u00f1\u00f3n injertado repercuti\u00f3 sobre la aparici\u00f3n de hemorragias. Observamos una mayor aparicion de fistulas en receptores femeninos.  encontramos una tendencia a la parici\u00f3n de trombosis arterial, linfocele y urinonma, con el aumento del numero de incompatibilidades del sistema hla, m\u00e1s significativo en las f\u00edstulas.Encontramos estenosis en la arteria renal en 2 casos con anastomosis en la arteria hipog\u00e1strica. En cuanto al tratamiento aplicado en las complicaciones urol\u00f3gicas, fue tanto percut\u00e1neo<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Trasplante renal. estudio de las complicaciones quirurgicas urol\u00f3gicas y vasculares en 250 casos<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Trasplante renal. estudio de las complicaciones quirurgicas urol\u00f3gicas y vasculares en 250 casos <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Angel Guardiola Mas <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Murcia<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 18\/02\/2000<\/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>Luis Jimeno Garc\u00eda<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: joaqu\u00edn (secretario) G\u00f3mez g\u00f3mez <\/li>\n<li>Manuel Canteras jordana (vocal)<\/li>\n<li>Francisco Garc\u00eda l\u00f3pez (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Angel Guardiola Mas Objetivos estudio de la repercusi\u00f3n de los factores influyenes en la evoluci\u00f3n general del [&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":[9,141,10,139,8235,179],"tags":[176814,99397,176816,176815,8239],"class_list":["post-83424","post","type-post","status-publish","format-standard","hentry","category-ciencias-medicas","category-cirugia","category-cirugia-de-trasplantes","category-medicina-interna","category-murcia","category-nefrologia","tag-angel-guardiola-mas","tag-francisco-garcia-lopez","tag-joaquin-secretario-gomez-gomez","tag-luis-jimeno-garcia","tag-manuel-canteras-jordana"],"_links":{"self":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/83424","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=83424"}],"version-history":[{"count":0,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/posts\/83424\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/media?parent=83424"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/categories?post=83424"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.deberes.net\/tesis\/wp-json\/wp\/v2\/tags?post=83424"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}