Estadísticas

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  "cita" => "Cir Esp. 1998;63:214-7"
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      "titulo" => "Suprarrenalectomía por vía posterior mediante retroperitoneoscopia"
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          "titulo" => "Endoscopic retroperitoneal adrenalectomy"
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      "titulo" => "Originales Estudio económico y consumo de grapadoras mecánicas en cirugía gástrica"
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          "autoresLista" => "JC Ruiz de Adana, S Fuerte Ruiz, J López Herrero, R Tobalina, JM Gil López, E Martín García Almenta, C Martínez Santos, D Fernández Luengas, M Moreno Azcoita"
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    "titulo" => "Nueva técnica quirúrgica por vía laparoscópica en la hernia de Morgagni"
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        "titulo" => "A novel procedure for Laparoscopic surgical treatment of morgagni hernia"
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        "resumen" => "<span class="elsevierStyleBold">Introducci&#243;n&#46;</span> La hernia de Morgagni es una enfermedad infrecuente de predominio derecho&#46; Estas hernias&#44; descubiertas tard&#237;amente&#44; se localizan por detr&#225;s de las inserciones costosternales&#46; Mayoritariamente poseen un saco herniario ocupado&#44; por lo habitual&#44; por colon transverso o epipl&#243;n&#46; <br/> <span class="elsevierStyleBold"><span class="elsevierStyleBold">Pacientes y M&#233;todos&#46;</span></span> Nos ocupa el caso de un var&#243;n de 65 a&#241;os&#44; que consulta por cuadro de &#237;leo mec&#225;nico incompleto&#44; con radiolog&#237;a simple y contrastada&#44; compatible con hernia diafragm&#225;tica&#46; <br/>T&#233;cnica&#46; Se utiliza la posici&#243;n francesa con 3 puertas de entrada&#44; usando escopio de 0&#176;&#46; Se reducen el epipl&#243;n y el colon transverso&#44; sin extirpar el saco&#46; Se realiza sutura discontinua de bordes&#44; anudada subcut&#225;neamente delante de la fascia de los m&#250;sculos rectos&#46; <br/>Discusi&#243;n&#46; Habitualmente son hallazgos casuales&#46; Ante los riesgos de complicaci&#243;n&#44; es preciso confirmar el diagn&#243;stico y practicar tratamiento quir&#250;rgico&#46; <br/>Este procedimiento&#44; por t&#233;cnica laparosc&#243;pica&#44; aporta mejoras en abordaje&#44; t&#233;cnica &#40;mayor seguridad&#41; y reintegraci&#243;n sociolaboral que la t&#233;cnica por v&#237;a laparot&#243;mica"
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        "resumen" => "<span class="elsevierStyleBold">Introduction&#46;</span> Morgagni hernia is an uncommon entity that occurs predominantly on the right side&#46; It is usually discovered late&#44; situated behind the costosternal muscular insertions&#46; In the majority of cases&#44; the hernia sac is occupied by transverse colon or omentum&#46; <br/> <span class="elsevierStyleBold">Patients and methods&#46;</span> A 65-year-old man presented with incomplete mechanical ileus&#46; The images in plain and contrast radiography were compatible with diaphragmatic hernia&#46; <br/>Technique&#46; The French position was employed with three trocar ports&#59; a 0&#176; endoscope was used&#46; Reduction of omentum and transverse colon was carried out&#46; The edges were sewn with a discontinuous suture&#44; which was knotted subcutaneously in front of the fascia of the rectus muscles&#46; <br/>Discussion&#46; These hernias are usually discovered incidentally&#46; Given the risk of complications&#44; the diagnosis must be confirmed and surgical treatment performed&#46; <br/>The laparoscopic procedure is an improvement over laparotomy in terms of the approach&#44; the technique &#40;safer&#41; and the early return to normal social and profession activity on the part of the patient"
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