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array:24 [ "pii" => "S021048060972875X" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)72875-X" "estado" => "S300" "fechaPublicacion" => "2009-09-01" "aid" => "72875" "copyright" => "Asociación Española de Urología (AEU)" "copyrightAnyo" => "2009" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:873-80" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 10414 "formatos" => array:3 [ "EPUB" => 10 "HTML" => 9207 "PDF" => 1197 ] ] "itemSiguiente" => array:18 [ "pii" => "S0210480609728761" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)72876-1" "estado" => "S300" "fechaPublicacion" => "2009-09-01" "aid" => "72876" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:881-7" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 4197 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 3006 "PDF" => 1184 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original – Traumatismo renal</span>" "titulo" => "Experiencia clínica en el manejo del traumatismo renal en el Hospital Universitario del Valle (Cali, Colombia)" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "881" "paginaFinal" => "887" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "]Clinical management of renal injuries at Hospital Universitario Del Valle (Cali, Colombia)" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Herney Andrés García, María Fernanda Urrea, Alejandra Serna, Luis Javier Aluma" "autores" => array:4 [ 0 => array:2 [ "nombre" => "Herney Andrés" "apellidos" => "García" ] 1 => array:2 [ "nombre" => "María Fernanda" "apellidos" => "Urrea" ] 2 => array:2 [ "nombre" => "Alejandra" "apellidos" => "Serna" ] 3 => array:2 [ "nombre" => "Luis Javier" "apellidos" => "Aluma" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609728761?idApp=UINPBA00004N" "url" => "/02104806/0000003300000008/v2_201304261001/S0210480609728761/v2_201304261001/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0210480609728748" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)72874-8" "estado" => "S300" "fechaPublicacion" => "2009-09-01" "aid" => "72874" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:869-72" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 4016 "formatos" => array:3 [ "EPUB" => 6 "HTML" => 3081 "PDF" => 929 ] ] "es" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original – Litiasis</span>" "titulo" => "Estudio prospectivo que compara la litotricia extracorpórea y la ureteroscopia en el tratamiento de la litiasis de uréter distal" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "869" "paginaFinal" => "872" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Prospective trial comparing shock wave lithotripsy and ureteroscopy for management of distal ureteral calculi" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Fernando Marchant, Óscar Storme, Francisco Osorio, Javiera Benavides, Cristian Palma, Enrique Ossandón" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Fernando" "apellidos" => "Marchant" ] 1 => array:2 [ "nombre" => "Óscar" "apellidos" => "Storme" ] 2 => array:2 [ "nombre" => "Francisco" "apellidos" => "Osorio" ] 3 => array:2 [ "nombre" => "Javiera" "apellidos" => "Benavides" ] 4 => array:2 [ "nombre" => "Cristian" "apellidos" => "Palma" ] 5 => array:2 [ "nombre" => "Enrique" "apellidos" => "Ossandón" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609728748?idApp=UINPBA00004N" "url" => "/02104806/0000003300000008/v2_201304261001/S0210480609728748/v2_201304261001/es/main.assets" ] "es" => array:15 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Original – Gangrena de Fournier</span>" "titulo" => "Gangrena de Fournier. Análisis descriptivo de 20 casos y revisión de la bibliografía científica" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "873" "paginaFinal" => "880" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "Raúl Montoya Chinchilla, Emilio Izquierdo Morejon, Bogdan Nicolae Pietricicâ, Enrique Pellicer Franco, José Luis Aguayo Albasini, Bernardino Miñana López" "autores" => array:6 [ 0 => array:4 [ "nombre" => "Raúl Montoya" "apellidos" => "Chinchilla" "email" => array:1 [ 0 => "drraulmontoya@hotmail.com" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">¿</span>" "identificador" => "cor1" ] ] ] 1 => array:3 [ "nombre" => "Emilio Izquierdo" "apellidos" => "Morejon" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 2 => array:3 [ "nombre" => "Bogdan Nicolae" "apellidos" => "Pietricicâ" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] 3 => array:3 [ "nombre" => "Enrique Pellicer" "apellidos" => "Franco" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 4 => array:3 [ "nombre" => "José Luis Aguayo" "apellidos" => "Albasini" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] ] 5 => array:3 [ "nombre" => "Bernardino Miñana" "apellidos" => "López" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Urología, Hospital General Universitario J.M. Morales Meseguer, Murcia, España" "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff1" ] 1 => array:3 [ "entidad" => "Servicio de Cirugía General, Hospital General Universitario J.M. Morales Meseguer, Murcia, España" "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff2" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Autor para correspondencia." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Fournier's gangrene. Descriptive analysis of 20 cases and literature review" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2009-01-20" "fechaAceptado" => "2009-06-09" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec89434" "palabras" => array:2 [ 0 => "Gangrena de Fournier" 1 => "Fascitis necrosante" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Keywords" "identificador" => "xpalclavsec89433" "palabras" => array:2 [ 0 => "Fournier's gangrene" 1 => "Necrotising fasciitis" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p class="elsevierStyleSimplePara elsevierViewall">La gangrena de Fournier es una fascitis necrosante que afecta habitualmente a la zona genital externa y perineal, con eventual extensión al abdomen, los miembros inferiores e incluso el tórax, con alta letalidad, que debe tratarse de manera agresiva en las primeras horas tras el diagnóstico. Se considera que enfermedades debilitantes como la diabetes mellitus u la obesidad favorecen su aparición. El factor desencadenante más frecuente es el absceso perianal.</p> <span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">Realizar un profundo análisis descriptivo sobre los factores de riesgo y las afecciones predisponentes de la gangrena de Fournier durante toda la historia de nuestro centro, durante los últimos 12 años, así como revelar la tasa de mortalidad de éstos y el número medio de reintervenciones realizadas.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p class="elsevierStyleSimplePara elsevierViewall">El estudio realizado analiza, de manera observacional y retrospectiva, a 20 pacientes diagnosticados de gangrena de Fournier, según criterios de inclusión clínicos, en el Hospital General Universitario J.M. Morales Meseguer entre 1997 y 2008.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">La gran mayoría de los pacientes revisados eran varones, con una edad media de 61 años. Todos tenían una importante afección orgánica de base; destacaba la diabetes mellitus. La estancia media hospitalaria fue de 25,7 días. Fallecieron 2 pacientes y la mortalidad global fue del 10%.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La gangrena de Fournier es una entidad que puede ser letal, que está favorecida por distintos factores debilitantes, cuya causa desencadenante es una enfermedad perirrectal o urogenital que no ha sido tratada correctamente. Debido a su pronóstico grave, un diagnóstico temprano y una intervención multidisciplinaria adecuada, temprana y agresiva son esenciales para una buena evolución.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Background</span><p class="elsevierStyleSimplePara elsevierViewall">Fournier's gangrene is a necrotising fasciitis that usually affects the external genitalia and perineal area and may extend to the abdomen, lower limbs and chest. It hasa high fatality rate and must be treated aggressively within a few hours of being diagnosed. It is believed that debilitating diseases such as diabetes mellitus or obesity are conducive to its appearance. A perianal abscess is the most common trigger.</p> <span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">To conduct a thorough descriptive analysis of risk factors and predisposing conditions for Fournier's gangrene based on our institution's experience over the past 12 years and reveal the mortality rate for those factors as well as the average number of reoperations performed.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p class="elsevierStyleSimplePara elsevierViewall">This observational retrospective study examines 20 patients, according to clinical inclusion criteria, who were diagnosed with Fournier's gangrene, and treated in J.M. Morales Meseguer Hospital between 1997 and 2008.</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">The vast majority of patients reviewed were males, with an average age of 61 years. All patients had a significant history of organic pathology, particularly diabetes mellitus. The average hospital stay was 25.7 days. 2 patients died, and the overall mortality rate was 10%.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">Fournier's gangrene is an entity that can be lethal and it is favoured by several debilitating factors. It is triggered by a urogenital or perirectal disease that has not been treated properly. Because of its poor prognosis, early diagnosis and an appropriate early and aggressive multidisciplinary intervention are essential for proper recovery.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:15 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Gangrene foudroyante de la verge" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "J.A. Fournier" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:5 [ "tituloSerie" => "Sem Med" "fecha" => "1883" "volumen" => "3" "paginaInicial" => "345" "paginaFinal" => "347" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib2" "etiqueta" => "2." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Fournier's gangrene: ten-year experience in a medical center in northern Taiwan" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "C.F. Kuo" 1 => "W.S. Wang" 2 => "C.M. Lee" 3 => "C.P. Liu" 4 => "H.K. 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