{"id":84266,"date":"2018-03-10T00:08:29","date_gmt":"2018-03-10T00:08:29","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/gluteoplastia-anal-dinamica-un-nuevo-concepto-en-el-tratamiento-de-la-incontienencia-anal-completa\/"},"modified":"2018-03-10T00:08:29","modified_gmt":"2018-03-10T00:08:29","slug":"gluteoplastia-anal-dinamica-un-nuevo-concepto-en-el-tratamiento-de-la-incontienencia-anal-completa","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/gluteoplastia-anal-dinamica-un-nuevo-concepto-en-el-tratamiento-de-la-incontienencia-anal-completa\/","title":{"rendered":"Gluteoplastia anal dinamica. un nuevo concepto en el tratamiento de la incontienencia anal completa"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Jos\u00e9 Manuel Fern\u00e1ndez Madrid <\/strong><\/h2>\n<p>El proposito de este trabajo es evaluar la eficacia de la estimacion de la gluteoplastia mediante criterios objetivos y subjetivos en relacion con el estado de continencia sin y con estimulacion en el mismo paciente.  se coloca un estimulador muscular sobre el musculo gluteo transpuesto (previamente o al tiempo) y utilizado como neoesfnter en el tratamiento de la incontinencia anal completa.  entre 1993 y 1996, se seleccionaron 16 pacientes. De ellos 5 tenian realizada previamente una transposicion muscular y la tecnica consistio en un implante diferido del estimulador y a 11 se les realizo una gluteoplastia anal dinamica.  se evaluan los resultados de 1. Morbilidad, 2. Criterios objetivos: estado de incontinencia (utilizando para este fin de clasificacion e pescatori), capacidad de retener 300ml de agua y manometria anorrectal comparando el valor preoperatorio con el postoperatorio antes y despuesde encender el estimulador. 3. Valoracion subjetiva del paciente comparando tambien el valor preoperatorio con el postoperatorio en on y off.  la morbilidad ha estado en relacion con infeccion perianal (4 pacientes) e infeccion en el trayecto de los cables (3 enfermos).  los resultados globales obtenidos en esta serie reportan unos resultados satisfactorios globales en el 68,7% de los pacientes. En el 87% de estos pacientes la mejoria hay que atribuirla a la transposicion adin\u00e1mica mas que al empleo de estimulacion electrica.  del estudio y analisis de los resultados de la gluteoplastia anal dinamica concluimos, que por el beneficio clinico adicional esperado, no es la tecnica de eleccion inicial, y solo debe reservarse para tratar mediante el implante diferido a aquellos pacientes en los que la gluteoplastia no estimulada seria susceptible de mejoria si se logra una contraccion muscular superior.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Gluteoplastia anal dinamica. un nuevo concepto en el tratamiento de la incontienencia anal completa<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Gluteoplastia anal dinamica. un nuevo concepto en el tratamiento de la incontienencia anal completa <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Jos\u00e9 Manuel Fern\u00e1ndez Madrid <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Alcal\u00e1<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 14\/04\/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> Devesa Mugica Jos\u00e9 Manuel<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: pedro Carda abella <\/li>\n<li>cesar Canales bedoya (vocal)<\/li>\n<li>Luis Ortiz quintana (vocal)<\/li>\n<li> Porrero carro Jos\u00e9 Luis (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Jos\u00e9 Manuel Fern\u00e1ndez Madrid El proposito de este trabajo es evaluar la eficacia de la estimacion de [&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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