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array:24 [ "pii" => "S0210480609740057" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74005-7" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74005" "copyright" => "Asociación Española de Urología (AEU)" "copyrightAnyo" => "2009" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:69-75" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1820 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 1116 "PDF" => 697 ] ] "itemSiguiente" => array:18 [ "pii" => "S0210480609740069" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74006-9" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74006" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:76-82" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 2577 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 1533 "PDF" => 1036 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Clips metálicos de titanio: una técnica de sutura más rápida y fácil de utilizar que las suturas convencionales en autotrasplantes renales heterotópicos en cerdos en crecimiento" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "76" "paginaFinal" => "82" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Titanium metallic clips: easier and faster than conventional suturing for heterotopic renal autotransplant in growing pigs" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Mª Carmen calles vázquez, Elena Abellán rubio, Verónica Crisóstomo ayala, Mª Fernanda martín cancho, M. Francisco, Sánchez Margallo, Jesús Usón gargallo" "autores" => array:7 [ 0 => array:2 [ "nombre" => "Mª" "apellidos" => "Carmen calles vázquez" ] 1 => array:2 [ "nombre" => "Elena" "apellidos" => "Abellán rubio" ] 2 => array:2 [ "nombre" => "Verónica" "apellidos" => "Crisóstomo ayala" ] 3 => array:2 [ "nombre" => "Mª" "apellidos" => "Fernanda martín cancho" ] 4 => array:2 [ "nombre" => "M." "apellidos" => "Francisco" ] 5 => array:2 [ "nombre" => "Sánchez" "apellidos" => "Margallo" ] 6 => array:2 [ "nombre" => "Jesús" "apellidos" => "Usón gargallo" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609740069?idApp=UINPBA00004N" "url" => "/02104806/0000003300000001/v1_201304251919/S0210480609740069/v1_201304251919/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0210480609740045" "issn" => "02104806" "doi" => "10.1016/S0210-4806(09)74004-5" "estado" => "S300" "fechaPublicacion" => "2009-01-01" "aid" => "74004" "copyright" => "Asociación Española de Urología (AEU)" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Actas Urol Esp. 2009;33:64-8" "abierto" => array:3 [ "ES" => false "ES2" => false "LATM" => false ] "gratuito" => false "lecturas" => array:2 [ "total" => 1540 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 863 "PDF" => 670 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Seguimiento a largo plazo de la endopielotomía anterógrada. factores que influyen en el resultado" "tienePdf" => array:2 [ 0 => "es" 1 => "en" ] "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "64" "paginaFinal" => "68" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Long-term follow-up of antegrade endopyelotomy. factors that influence the outcome" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:2 [ "es" => true "en" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Jose H. Amón sesmero, Noelia Del valle gonzález, Luis A. Rodríguez toves, Consuelo Conde redondo, Verónica Rodríguez tesedo, José M. Martínez-sagarra oceja" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Jose H." "apellidos" => "Amón sesmero" ] 1 => array:2 [ "nombre" => "Noelia" "apellidos" => "Del valle gonzález" ] 2 => array:2 [ "nombre" => "Luis A." "apellidos" => "Rodríguez toves" ] 3 => array:2 [ "nombre" => "Consuelo" "apellidos" => "Conde redondo" ] 4 => array:2 [ "nombre" => "Verónica" "apellidos" => "Rodríguez tesedo" ] 5 => array:2 [ "nombre" => "José M." "apellidos" => "Martínez-sagarra oceja" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0210480609740045?idApp=UINPBA00004N" "url" => "/02104806/0000003300000001/v1_201304251919/S0210480609740045/v1_201304251919/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Resultados del uso de la técnica de mitrofanoff en pacientes con disfunción neurógena de la vejiga: análisis de la experiencia en el hospital universitario san vicente de paul" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "69" "paginaFinal" => "75" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "María E. Arango rave, Luis F. Linace varela, Catalina Salazar sanín, Francisco C. Hoyos figueroa, Sara N. Hurtado, Juan C. Rendón isaza" "autores" => array:6 [ 0 => array:4 [ "nombre" => "María E." "apellidos" => "Arango rave" "email" => array:1 [ 0 => "rafael195@une.net.co" ] "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] 1 => array:2 [ "etiqueta" => "*" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "nombre" => "Luis F." "apellidos" => "Linace varela" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "Catalina" "apellidos" => "Salazar sanín" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "Francisco C." "apellidos" => "Hoyos figueroa" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "Sara N." "apellidos" => "Hurtado" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "aff0005" ] ] ] 5 => array:3 [ "nombre" => "Juan C." "apellidos" => "Rendón isaza" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Departamento de Cirugía Pediátrica" "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Cirugía General. Universidad de Antioquia. Colombia" "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1." "correspondencia" => "Correspondencia autor: Dra. María E. Arango Rave Departamento de Cirugía Pediátrica Universidad de Antioquía. Tel.: 2637867" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Outcomes the mitrofanoff technique in the management of patients with neurogenic bladder: the experience in the san vicente de paul universitary hospital" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2008-03-01" "fechaAceptado" => "2008-09-01" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec88793" "palabras" => array:4 [ 0 => "Vejiga neurogénica" 1 => "Mitrofanoff" 2 => "Estoma continente cateterizable" 3 => "Incontinencia urinaria" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec88794" "palabras" => array:4 [ 0 => "Neurogenic bladder" 1 => "Mitrofanoff" 2 => "Continent catheterizable stoma" 3 => "Urinary incontinence" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El cuidado de los niños con vejiga neurogénica, debe ser integral, multidisciplinario y busca preservar la función renal, alcanzar continencia urinaria y fecal, logrando que el paciente sea una persona autosuficiente y útil a la sociedad.</p> <span class="elsevierStyleSectionTitle">Métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Describimos el resultado del uso de la técnica de Mitrofanoff en el manejo de pacientes con disfunción vesical neurógena, utilizada en el HUSVP desde 1998 al 2003, y las condiciones actuales de los pacientes con respecto a su enfermedad y tratamiento. Se realizó un estudio observacional descriptivo, retrospectivo 1998-2002 y prospectivo durante el 2003, analizando una serie de casos.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Fueron intervenidos 41 pacientes con vejiga neurogénica. Edad promedio 10.2 años; seguimiento promedio 27,2 meses; enfermedad de base más frecuente mielomeningocele (46,3%); vejiga disinérgica en 46,3%, esfínter hipotónico en 41,5%. Se realizo aumento vesical al 68,3%, utilizándose ileon en 71,4%, y alguna intervención sobre el cuello vesical al 51,2%. Se hizo una derivación tipo Mitrofanoff al 95,1% con continencia completa en 70,8%, incontinencia completa en 14.6% e incontinencia ocasional en 14,6%. En 31,7% se realizó un Malone con adecuada continencia fecal en 90,2%. De los estomas el 19% presentaron estenosis y el 21,9% presentaron escape de orina. Se encuentran socialmente adaptados 80% de los pacientes.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los estomas continentes cateterizables son útiles para tratar la incontinencia urinaria y fecal. Los conductos realizados con ileon tuvieron mayores complicaciones que los elaborados con apéndice, por lo cual el apéndice debe ser el tejido de elección para realizar las derivaciones, cuando esté disponible.</p>" ] "en" => array:2 [ "titulo" => "Abstract" "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The care for children with neurogenic bladder, should be integral, multidisciplinary look to preserve renal function and to accomplish urinary and fecal continence, achieving that the patient becomes self-sufficient and useful to society.</p> <span class="elsevierStyleSectionTitle">Methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">The result of the use of the Mitrofanoff technique for the treatment of patients with neurogenic dysfunction bladder used in the HUSVP 1998- 2003, and the current condition of the patients with respect to their illness and treatment are described in this article. A descriptive retrospective study 1998- 2002 and a prospective study during 2003 were done, in which a series of cases were analyzed.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">41 patients had surgery. Average age 10.2 years; average follow–up time 27.2 months; the most frequent illness was myelomeningocele (46.3%) and 46.3% had dysinergic bladder. Bladder augmentation was performed on 63.3%, of which 71.4% were constructed with ileum. A surgical intervention of the bladder neck was done on 51.2%. A continent conduct (Mitrofanoff) was performed on 95.1% of the patients with complete continence 70.4%, complete incontinence 14.6% and occasional incontinence 14.6%. 31.7% had Malone surgery with adequate fecal management on 90.2%. 19% of the stomas presented stenosis and 21.9% presented urine leakage. 80% reached appropriate social adaptation.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">The continent catheterizable stomas are useful for the treatment of urinary and fecal incontinence. The conducts constructed with ileum had more complications than the conducts done with cecal appendix, which is why the appendix is the choice tissue to perform the continent catheterizable stomas, as long as it is available.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Referencias" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:34 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:1 [ "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "S.L. Schulman" 1 => "J.W. Duckett" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "LibroEditado" => array:2 [ "serieTitulo" => "Disorders of bladder function" "serieFecha" => "1998" ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2." 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