Estadísticas

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      "titulo" => "Infección en la cirugía de la hernia: corrección con malla frente a sin malla"
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    "cita" => "Cir Esp. 1998;63:351-3"
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      "titulo" => "Infección y rechazo de prótesis de politetrafluoroetileno expandido en reparaciones de la pared abdominal"
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    "titulo" => "Resultados de la hernioplastia inguinal con malla microperforada de politetrafluoroetileno expandido"
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        "titulo" => "Results of hernioplasty with microperforated expanded polytetrafluoroethylene mesh"
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            0 => "Hernia inguinal"
            1 => "Hernioplastia"
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        "resumen" => "<span class="elsevierStyleBold">Introducci&#243;n&#46;</span> La reparaci&#243;n cl&#225;sica de la hernia inguinal en los &#250;ltimos a&#241;os se ha visto sustituida por la hernioplastia con malla que ha aportado mejores resultados en la aparici&#243;n de recidivas&#46; La t&#233;cnica de Lichtenstein es una de las m&#225;s utilizadas con unos resultados a los 5 a&#241;os del 0&#44;5&#37; de recidivas&#46; La mejora de los biomateriales implantados hace que su tolerancia local mejore al igual que la incorporaci&#243;n al tejido sea mayor&#44; lo que disminuye la posibilidad de rechazo&#46; <br/> <span class="elsevierStyleBold"><span class="elsevierStyleBold">Pacientes y M&#233;todos&#46;</span></span> Se analizan los resultados de 71 pacientes en los que se ha practicado hernioplastia inguinal mediante colocaci&#243;n de una malla de politetrafluoroetileno expandido &#40;PTFEe&#41; microperforado &#40;Mycromesh-PTFEe&#44; Gore Tex&#44; W&#46;L&#46; Gore &#38; Associates&#44; Arizona&#44; EE&#46;UU&#46;&#41; seg&#250;n la t&#233;cnica de Lichtenstein libre de tensi&#243;n&#46; <br/> <span class="elsevierStyleBold">Resultados&#46;</span> La tolerancia de la malla fue muy buena y la tasa de infecci&#243;n del 0&#37;&#44; excluyendo un caso en el que se asociaron dos resecciones intestinales y que present&#243; supuraci&#243;n cr&#243;nica&#46; La tasa de recidiva fue del 0&#37; con un seguimiento de 2-30 meses&#46; <br/> <span class="elsevierStyleBold">Conclusiones&#46;</span> Consideramos que la malla de PTFEe microperforada es f&#225;cil de colocar y aporta unos muy buenos resultados en la reparaci&#243;n de la gran hernia inguinal a pesar de ser pacientes con enfermedades asociadas graves en el 88&#44;7&#37; de los casos&#46; Ser&#237;a preciso&#44; sin embargo&#44; ampliar su seguimiento para evaluar sus resultados a largo plazo"
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        "resumen" => "<span class="elsevierStyleBold">Introduction&#46;</span> Conventional hernia repair has been replaced by hernioplasty involving mesh placement&#44; which is associated with a lower incidence of recurrence&#46; The Lichtenstein technique is one of the most widely used procedures&#44; with a 5-year recurrence rate of 0&#46;5&#37;&#46; Improvements in the biomaterials available for implantation has led to a better local tolerance&#44; resulting in greater incorporation of the tissue&#44; which has lowered the risk of rejection&#46; <br/> <span class="elsevierStyleBold">Patients and methods&#46;</span> The results in 71 patients who underwent inguinal hernioplasty involving placement of microperforated ePTFE mesh &#40;Micromesh-ePTFE&#44; Gore-Tex&#44; W&#46;L&#46; Gore &#38; Associates&#44; Arizona&#44; USA&#41; according to the tension-free Lichtenstein technique&#46; <br/> <span class="elsevierStyleBold">Results&#46;</span> Tolerance to the mesh was very good and infection developed in only two patients who also underwent bowel resection and presented chronic suppuration&#46; During follow-up&#44; ranging from 2 to 30 months&#44; there have been no cases of recurrence&#46; <br/> <span class="elsevierStyleBold">Conclusions&#46;</span>&#46; In our experience&#44; microperforated ePTFE mesh is easy to place and results in the successful repair of large inguinal hernias&#44; despite the fact that 88&#46;7&#37; of the patients present severe associated diseases&#46; However&#44; follow-up should be prolonged to allow the evaluation of the long-term results&#46;"
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