Estadísticas

 array:18 [
  "pii" => "5251"
  "issn" => "0009739X"
  "estado" => "S300"
  "fechaPublicacion" => "1998-01-01"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Cir Esp. 1998;63:30-5"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 861
    "formatos" => array:3 [
      "EPUB" => 7
      "HTML" => 758
      "PDF" => 96
    ]
  ]
  "itemSiguiente" => array:15 [
    "pii" => "5252"
    "issn" => "0009739X"
    "estado" => "S300"
    "fechaPublicacion" => "1998-01-01"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Cir Esp. 1998;63:36-9"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1943
      "formatos" => array:3 [
        "EPUB" => 7
        "HTML" => 1773
        "PDF" => 163
      ]
    ]
    "es" => array:8 [
      "idiomaDefecto" => true
      "titulo" => "Estudio de 44 heridas por asta de toro"
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "es"
        1 => "en"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "36"
          "paginaFinal" => "39"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "A study of 44 penetrating wounds from bulls' horns"
        ]
      ]
      "contieneResumen" => array:2 [
        "es" => true
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "A Mansilla Roselló, R Fuentes Martos, A Astruc Hoffmann, A Flores Arcas, A Albert Vila, R Fernández Valdearenas, R Grana Páez, A Ruiz de Adana Garrido, A López Yévenes"
          "autores" => array:9 [
            0 => array:2 [
              "Iniciales" => "A"
              "apellidos" => "Mansilla Roselló"
            ]
            1 => array:2 [
              "Iniciales" => "R"
              "apellidos" => "Fuentes Martos"
            ]
            2 => array:2 [
              "Iniciales" => "A"
              "apellidos" => "Astruc Hoffmann"
            ]
            3 => array:2 [
              "Iniciales" => "A"
              "apellidos" => "Flores Arcas"
            ]
            4 => array:2 [
              "Iniciales" => "A"
              "apellidos" => "Albert Vila"
            ]
            5 => array:2 [
              "Iniciales" => "R"
              "apellidos" => "Fernández Valdearenas"
            ]
            6 => array:2 [
              "Iniciales" => "R"
              "apellidos" => "Grana Páez"
            ]
            7 => array:2 [
              "Iniciales" => "A"
              "apellidos" => "Ruiz de Adana Garrido"
            ]
            8 => array:2 [
              "Iniciales" => "A"
              "apellidos" => "López Yévenes"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/5252?idApp=UINPBA00004N"
    "url" => "/0009739X/0000006300000001/v0_201402051830/5252/v0_201402051830/es/main.assets"
  ]
  "itemAnterior" => array:15 [
    "pii" => "5250"
    "issn" => "0009739X"
    "estado" => "S300"
    "fechaPublicacion" => "1998-01-01"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Cir Esp. 1998;63:25-9"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1416
      "formatos" => array:3 [
        "EPUB" => 10
        "HTML" => 1266
        "PDF" => 140
      ]
    ]
    "es" => array:8 [
      "idiomaDefecto" => true
      "titulo" => "Hipoparatiroidismo posquirúrgico"
      "tieneTextoCompleto" => 0
      "tieneResumen" => "en"
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "25"
          "paginaFinal" => "29"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "en" => array:1 [
          "titulo" => "Postoperative hypoparathyroidism"
        ]
      ]
      "contieneResumen" => array:1 [
        "en" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "JM Martos Martínez, M Pérez Andrés, A del Valle López de Ayala, JR Naranjo Fernández, MI Pérez Andrés, JM Sousa Vaquero, JM Flores Rivera, D Salvador-Almeida Reyes, A Razak Muchref, T Charlo Dupont"
          "autores" => array:10 [
            0 => array:2 [
              "Iniciales" => "JM"
              "apellidos" => "Martos Martínez"
            ]
            1 => array:2 [
              "Iniciales" => "M"
              "apellidos" => "Pérez Andrés"
            ]
            2 => array:2 [
              "Iniciales" => "A"
              "apellidos" => "del Valle López de Ayala"
            ]
            3 => array:2 [
              "Iniciales" => "JR"
              "apellidos" => "Naranjo Fernández"
            ]
            4 => array:2 [
              "Iniciales" => "MI"
              "apellidos" => "Pérez Andrés"
            ]
            5 => array:2 [
              "Iniciales" => "JM"
              "apellidos" => "Sousa Vaquero"
            ]
            6 => array:2 [
              "Iniciales" => "JM"
              "apellidos" => "Flores Rivera"
            ]
            7 => array:2 [
              "Iniciales" => "D"
              "apellidos" => "Salvador-Almeida Reyes"
            ]
            8 => array:2 [
              "Iniciales" => "A"
              "apellidos" => "Razak Muchref"
            ]
            9 => array:2 [
              "Iniciales" => "T"
              "apellidos" => "Charlo Dupont"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "es"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/5250?idApp=UINPBA00004N"
    "url" => "/0009739X/0000006300000001/v0_201402051830/5250/v0_201402051830/es/main.assets"
  ]
  "es" => array:10 [
    "idiomaDefecto" => true
    "titulo" => "Reconstrucción mamaria en un servicio de cirugía general"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "30"
        "paginaFinal" => "35"
      ]
    ]
    "autores" => array:1 [
      0 => array:2 [
        "autoresLista" => "C Marco, X Rodríguez Alsina, C Hoyuela, A Sánchez, E Cugat, E Muñoz, P Collera, E Veloso"
        "autores" => array:8 [
          0 => array:2 [
            "Iniciales" => "C"
            "apellidos" => "Marco"
          ]
          1 => array:2 [
            "Iniciales" => "X"
            "apellidos" => "Rodríguez Alsina"
          ]
          2 => array:2 [
            "Iniciales" => "C"
            "apellidos" => "Hoyuela"
          ]
          3 => array:2 [
            "Iniciales" => "A"
            "apellidos" => "Sánchez"
          ]
          4 => array:2 [
            "Iniciales" => "E"
            "apellidos" => "Cugat"
          ]
          5 => array:2 [
            "Iniciales" => "E"
            "apellidos" => "Muñoz"
          ]
          6 => array:2 [
            "Iniciales" => "P"
            "apellidos" => "Collera"
          ]
          7 => array:2 [
            "Iniciales" => "E"
            "apellidos" => "Veloso"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Breast reconstruction in a general surgery service"
      ]
    ]
    "tienePdf" => false
    "PalabrasClave" => array:1 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Keywords"
          "identificador" => "xpalclavsec293974"
          "palabras" => array:4 [
            0 => "Breast cancer"
            1 => "Mastectomy"
            2 => "Breast reconstruction"
            3 => "Prosthesis"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:1 [
      "en" => array:1 [
        "resumen" => "<span class="elsevierStyleBold">Introduction&#46;</span> Mastectomy continues to be the proper and necessary treatment in some cases of breast cancer&#46; Breast reconstruction is no longer an occasional surgical intervention&#59; currently&#44; there is a constant and growing demand on the part of mastectomy patients&#46; The objective of this report is to analyze the morbidity&#44; mortality and cosmetic results associated with postmastectomy breast reconstruction using prosthetic implants&#46; The degree of satisfaction of patients and the surgical team are also assessed&#46; <br/> <span class="elsevierStyleBold">Patients and methods&#46;</span> The study focused on 37 consecutive patients who underwent 41 breast reconstruction &#40;BR&#41; procedures to implant prostheses in a General Surgery service between May 1992 and December 1996&#46; The Becker expander implant was utilized on 38 occasions&#46; Fourteen BR procedures were performed immediately after mastectomy and 27 were delayed until later on&#46; Immediate BR with prosthesis was carried out only in those patients who had not undergone axillary lymphadenectomy&#46; <br/> <span class="elsevierStyleBold">Results&#46;</span> There were no deaths in the series&#46; Prosthesis-related morbidity &#40;n &#61; 3&#59; 7&#46;3&#37;&#41; consisted of 2 cases of extrusion due to infection and one case of late intolerance that required replacement of the implant&#46; All the complications occurred in patients who had undergone immediate BR&#46; <br/>The degree of satisfaction of the patients surveyed&#44; in range of 0 to 5 points&#44; was as follows&#58; 0 points&#44; 2 patients&#59; 1 point&#44; 2 patients&#59; 2 points&#44; no patients&#59; 3 points&#44; 1 patient&#59; 4 points&#44; 6 patients&#59; and 5 points&#44; 20 patients&#59; average score&#58; 4&#46;1&#46; <br/>The surgical team showed the following degree of satisfaction&#58; 0 points&#44; 2&#59; 1 point&#44; 1&#59; 2 points&#44; 4&#59; 3 points&#44; 9&#59; 4 points&#44; 9&#59; and 5 points&#44; 6&#59; average score&#58; 3&#46;3&#46; <br/> <span class="elsevierStyleBold">Conclusions&#46;</span>&#46; Delayed BR with prosthesis implantation is a simple and safe technique&#44; given the low morbidity rate and nonexistent mortality of our series&#44; although in most cases&#44; a second&#44; more complex operation is necessary to symme trize the healthy breast&#46; The rate of morbidity associated with immediate BR is markedly higher than that seen in delayed BR&#46; The degree of satisfaction of patients who un dergo postmastectomy BR is elevated&#44; in most cases&#44; more so than that of the surgical team&#46; We consider that the practice of BR can and should be assumed by trained&#44; motivated surgeons&#46;"
      ]
    ]
  ]
  "idiomaDefecto" => "es"
  "url" => "/0009739X/0000006300000001/v0_201402051830/5251/v0_201402051830/es/main.assets"
  "Apartado" => array:4 [
    "identificador" => "15024"
    "tipo" => "SECCION"
    "es" => array:2 [
      "titulo" => "Originales"
      "idiomaDefecto" => true
    ]
    "idiomaDefecto" => "es"
  ]
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/5251?idApp=UINPBA00004N"
]