{"id":86786,"date":"2000-05-10T00:00:00","date_gmt":"2000-05-10T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-comparativo-del-tratamiento-del-neumotorax-espontaneo-ciruga%c2%ada-abierta-v-s-ciruga%c2%ada-toracoscopica\/"},"modified":"2000-05-10T00:00:00","modified_gmt":"2000-05-10T00:00:00","slug":"estudio-comparativo-del-tratamiento-del-neumotorax-espontaneo-ciruga%c2%ada-abierta-v-s-ciruga%c2%ada-toracoscopica","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-comparativo-del-tratamiento-del-neumotorax-espontaneo-ciruga%c2%ada-abierta-v-s-ciruga%c2%ada-toracoscopica\/","title":{"rendered":"Estudio comparativo del tratamiento del neumot\u00f3rax espont\u00e1neo: cirugia abierta v.s. cirugia toracosc\u00f3pica."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Marina P\u00e9rez \u00e1ndres <\/strong><\/h2>\n<p>En un introducci\u00f3n inicial se analiza el concepto, la fisiopatolog\u00eda, clasificaci\u00f3n, cl\u00ednica, evoluci\u00f3n y posibilidades de tratamietno del neumot\u00f3rax espont\u00e1neo. Nos centramos en el tratamiento quir\u00fargico.  material:  comparamos dos series de neumot\u00f3rax espont\u00e1neo, una tratada por cirug\u00eda abierta y otra por vidotorasc\u00f3pia.  la primera de 622 pacientes y la otras de 282, la diferencia num\u00e9rica se debe a la diferencia de tiempo. El sexo masculino predomina en ambos grupso, con una proporci\u00f3n de 9 a 1. La edad osci\u00f3l entre 14-89 para el primer grupo y 13-89 para el otro. La cl\u00c2\u00bfnica, diagn\u00f3sitco y criterios de indicaci\u00f3niguales. Neumot\u00f3rax recidivante y bilateral en una proporci\u00f3n similar.  metodo:  se describe el m\u00e9todo de ambos grupos. En ambos se elimina la lesi\u00f3n y se crea una s\u00ednfisi pleural para evitar recidiva.Difieren en el abordaje (15-20 cm frente a tres incisiones de 12 mm.). Suturas autom\u00e1ticas en ambos grupos, al principio en la v\u00eda abierta se usaron suturas manuales. Abrasi\u00f3n pleural con esponja de pl\u00e1stico aosciado o no a pincelaci\u00f3n con yodo. Se dejan 2 tubos de drenaje. Ocasionalmente talcaje como pleurodesis, especialmente en neumot\u00f3rax 2\u00aa en viejos. En torascoscopia de dejan drenajes m\u00e1s finos y se retiran con m\u00e1s precodidad, debido a la r\u00e1pida recuperaci\u00f3n del paciente.  resultados:  lesiones. Similares en ambos grupos, predominando bullas y blebs apicales en neumot\u00f3rax 1\u00aa y enfisema lobar o difuso en los secundarios. Factibilidad de tratamiento: 100% en cirug\u00eda abierta. En la videotorascoscopia no, debido a las conversiones (achacables a la curva de aprendizaje y han desaparecido pr\u00e1cticamente con el tiempo).  complicaciones y mortalidad:  no existen diferencias especiales. Duraci\u00f3n de la intervenci\u00f3n: al principio m\u00e1s larga convideotorcoscopia, actualmente igual. Estancia media postoperatoria: la mitad en cirug\u00eda torascoc\u00f3pica gracias a la mejor recuperaci\u00f3n y la re<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio comparativo del tratamiento del neumot\u00f3rax espont\u00e1neo: cirugia abierta v.s. cirugia toracosc\u00f3pica.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio comparativo del tratamiento del neumot\u00f3rax espont\u00e1neo: cirugia abierta v.s. cirugia toracosc\u00f3pica. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Marina P\u00e9rez \u00e1ndres <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Sevilla<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 05\/10\/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>Jes\u00fas Loscertales Abril<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: hugo Galera davidson <\/li>\n<li>Emilio Array\u00e1n (vocal)<\/li>\n<li>Antonio  Jos\u00e9 Torres Garc\u00eda (vocal)<\/li>\n<li>Carlos Arenas linares (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Marina P\u00e9rez \u00e1ndres En un introducci\u00f3n inicial se analiza el concepto, la fisiopatolog\u00eda, clasificaci\u00f3n, cl\u00ednica, evoluci\u00f3n y [&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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