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array:23 [ "pii" => "S0009739X04722848" "issn" => "0009739X" "doi" => "10.1016/S0009-739X(04)72284-8" "estado" => "S300" "fechaPublicacion" => "2004-02-01" "aid" => "72284" "copyright" => "Asociación Española de Cirujanos" "copyrightAnyo" => "2004" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Cir Esp. 2004;75:91-4" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 12470 "formatos" => array:3 [ "EPUB" => 8 "HTML" => 11041 "PDF" => 1421 ] ] "itemSiguiente" => array:18 [ "pii" => "S0009739X0472285X" "issn" => "0009739X" "doi" => "10.1016/S0009-739X(04)72285-X" "estado" => "S300" "fechaPublicacion" => "2004-02-01" "aid" => "72285" "copyright" => "Asociación Española de Cirujanos" "documento" => "article" "crossmark" => 0 "subdocumento" => "sco" "cita" => "Cir Esp. 2004;75:95-6" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 3108 "formatos" => array:3 [ "EPUB" => 7 "HTML" => 2374 "PDF" => 727 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Tumor del estroma gastrointestinal de localización anorrectal" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "95" "paginaFinal" => "96" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Gastrointestinal stromal tumor located in the rectum" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Ana Isabel López-López, Luis Martín-Díaza, Manuel Vicente-Cantero, Luis Polo-García, Antonio Ríos-Zambudio, Manuel del Pozo-Rodríguez" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Ana Isabel" "apellidos" => "López-López" ] 1 => array:2 [ "nombre" => "Luis" "apellidos" => "Martín-Díaza" ] 2 => array:2 [ "nombre" => "Manuel" "apellidos" => "Vicente-Cantero" ] 3 => array:2 [ "nombre" => "Luis" "apellidos" => "Polo-García" ] 4 => array:2 [ "nombre" => "Antonio" "apellidos" => "Ríos-Zambudio" ] 5 => array:2 [ "nombre" => "Manuel del" "apellidos" => "Pozo-Rodríguez" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0009739X0472285X?idApp=UINPBA00004N" "url" => "/0009739X/0000007500000002/v1_201307101358/S0009739X0472285X/v1_201307101358/es/main.assets" ] "itemAnterior" => array:18 [ "pii" => "S0009739X04722836" "issn" => "0009739X" "doi" => "10.1016/S0009-739X(04)72283-6" "estado" => "S300" "fechaPublicacion" => "2004-02-01" "aid" => "72283" "copyright" => "Asociación Española de Cirujanos" "documento" => "article" "crossmark" => 0 "subdocumento" => "fla" "cita" => "Cir Esp. 2004;75:85-90" "abierto" => array:3 [ "ES" => true "ES2" => true "LATM" => true ] "gratuito" => true "lecturas" => array:2 [ "total" => 4486 "formatos" => array:3 [ "EPUB" => 9 "HTML" => 3665 "PDF" => 812 ] ] "es" => array:10 [ "idiomaDefecto" => true "titulo" => "Tratamiento quirúrgico del bocio multinodular en pacientes geriátricos" "tienePdf" => "es" "tieneTextoCompleto" => 0 "tieneResumen" => array:2 [ 0 => "es" 1 => "en" ] "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "85" "paginaFinal" => "90" ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Surgical treatment of multinodular goiter in the elderly" ] ] "contieneResumen" => array:2 [ "es" => true "en" => true ] "contienePdf" => array:1 [ "es" => true ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "Antonio Ríos, José Manuel Rodríguez, Pedro José Galindo, Nuria M. Torregrosa, Manuel Canteras, Pascual Parrilla" "autores" => array:6 [ 0 => array:2 [ "nombre" => "Antonio" "apellidos" => "Ríos" ] 1 => array:2 [ "nombre" => "José" "apellidos" => "Manuel Rodríguez" ] 2 => array:2 [ "nombre" => "Pedro" "apellidos" => "José Galindo" ] 3 => array:2 [ "nombre" => "Nuria M." "apellidos" => "Torregrosa" ] 4 => array:2 [ "nombre" => "Manuel" "apellidos" => "Canteras" ] 5 => array:2 [ "nombre" => "Pascual" "apellidos" => "Parrilla" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0009739X04722836?idApp=UINPBA00004N" "url" => "/0009739X/0000007500000002/v1_201307101358/S0009739X04722836/v1_201307101358/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "¿Se puede mejorar el postoperatorio de la hemorroidectomía? Estudio comparativo del dispositivo Ligasure® frente a la hemorroidectomía con diatermia" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "91" "paginaFinal" => "94" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "C. Placer, J.A. Múgica, J.M. Enriquez-Navascués" "autores" => array:3 [ 0 => array:4 [ "nombre" => "C." "apellidos" => "Placer" "email" => array:1 [ 0 => "caplacer@terra.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">1</span>" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "J.A." "apellidos" => "Múgica" ] 2 => array:2 [ "nombre" => "J.M." "apellidos" => "Enriquez-Navascués" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "1" "correspondencia" => "Correspondencia: Dr. C. Placer. Apdo. 1690. 20080 San Sebastián. España." ] ] ] 1 => array:3 [ "autoresLista" => "E. Bollo, M.A. Medrano, J.L. Elósegui" "autores" => array:3 [ 0 => array:3 [ "nombre" => "E." "apellidos" => "Bollo" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "M.A." "apellidos" => "Medrano" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "J.L." "apellidos" => "Elósegui" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Sección de Cirugía Colorectal. Servicio de Cirugía General y Digestiva. Hospital Donostia. San Sebastián." "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Cirugía General y Digestiva. Hospital de Zumárraga. San Sebastián. España." "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Can posthemorrhoidectomy pain be improved? Ligasure ® vs diathermy hemorrhoidectomy" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2003-05-08" "fechaAceptado" => "2003-11-19" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec198855" "palabras" => array:3 [ 0 => "Hemorroides" 1 => "Hemorroidectomía" 2 => "Ligasure®" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec198856" "palabras" => array:3 [ 0 => "Hemorrhoids" 1 => "Hemorrhoidectomy" 2 => "Ligasure<span class="elsevierStyleSup">TM</span>" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span class="elsevierStyleSectionTitle">Introducción</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">La hemorroidectomía es una técnica de uso frecuente y con una importante morbilidad, fundamentalmente en forma de dolor postoperatorio. El presente trabajo tiene el objetivo de comparar, en términos de dolor postoperatorio, un nuevo tipo de hemorroidectomía mediante el empleo del sellador de vasos Ligasure®.</p> <span class="elsevierStyleSectionTitle">Pacientes y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Cincuenta pacientes consecutivos intervenidos de hemorroides grados II, III y IV fueron aleatorizados en 2 grupos: en 24 pacientes se realizó una hemorroidectomía abierta con Ligasure® y en 26, como grupo control, una hemorroidectomía con diatermia. Se valoró el dolor postoperatorio mediante escala analógica visual en el primer, tercer y séptimo días, en la tercera semana y en el tercer mes. Un investigador independiente realizó una encuesta de satisfacción al final del estudio.</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Treinta y tres mujeres (66%) y 17 varones (34%) con una edad media de 54 años fueron intervenidos de hemorroides: 24 con el dispositivo Ligasure® y 26 con técnica de diatermia. La distribución por grados fue de 4 pacientes con grado II, 28 con grado III y 18 con grado IV. El número de paquetes intervenidos fue de un paquete en 2 pacientes, dos en 7 pacientes, tres en 39 y cuatro en 2. No se detectaron diferencias entre los grupos en relación con la edad (p = 0,724), el sexo (p = 0,556), el grado hemorroidal (p = 0,39), el número de paquetes (p = 0,25), el tiempo de intervención (p = 0,122), la escala analógica visual al primer, tercer y séptimo días postoperatorios (p = 0,850, 0,595 y 0,969, respectivamente), el tacto rectal a la tercera semana y el tercer mes (p = 0,931) así como el número y el tipo de complicaciones.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">En nuestra experiencia, en términos de dolor postoperatorio, no hay diferencias entre la cirugía hemorroidal con diatermia y el empleo del Ligasure®</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Introduction</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Hemorrhoidectomy is a frequent technique that is characterized by significant morbidity, principally postoperative pain. The aim of the present study was to evaluate postoperative pain after a new type of hemorrhoidectomy with the Ligasure® vessel sealing system.</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Fifty consecutive patients who underwent surgery for grade II, III and IV hemorrhoids were randomized to two groups: 24 patients underwent open hemorrhoidectomy with Ligasure® and 26 patients composing the control group underwent hemorrhoidectomy with diathermy. Postoperative pain was evaluated through a visual analog scale (VAS) on postoperative days 1, 3 and 7, 3 weeks, and 3 months after surgery. At the end of the study, an independent investigator performed a satisfaction survey.</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Thirty-three women (66%) and 17 men (34%) with a mean age of 54 years underwent surgery for hemorrhoids: the Ligasure® system was used in 24 patients and the Milligan-Morgan technique was used in 26. Hemorrhoids were grade II in four patients, grade III in 28 and grade IV in 18. The number of hemorrhoids was: 1 hemorrhoid in 2 patients, 2 hemorrhoids in 7 patients, 3 in 39 patients and 4 in 2 patients. No differences were found between the groups in age (p = 0.724), sex (p = 0.556), hemorrhoid grade (p = 0.39), number of hemorrhoids (p = 0.25), operating time (p = 0.122), VAS on days 1, 3 and 7 after surgery (p = 0.850; p = 0.595; p = 0.969), rectal examination 3 weeks and 3 months after surgery (p = 0.931) or number and type of complications.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">We found no differences in postoperative pain between diathermy hemorrhoidectomy and use of the Ligasure® system.</p>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografía" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:18 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." 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año/Mes | Html | Total | |
---|---|---|---|
2024 Octubre | 11 | 18 | 29 |
2024 Septiembre | 17 | 47 | 64 |
2024 Agosto | 15 | 18 | 33 |
2024 Julio | 11 | 32 | 43 |
2024 Junio | 8 | 29 | 37 |
2024 Mayo | 14 | 43 | 57 |
2024 Abril | 22 | 31 | 53 |
2024 Marzo | 35 | 53 | 88 |
2024 Febrero | 27 | 59 | 86 |
2024 Enero | 15 | 71 | 86 |
2023 Diciembre | 27 | 56 | 83 |
2023 Noviembre | 20 | 86 | 106 |
2023 Octubre | 27 | 124 | 151 |
2023 Septiembre | 16 | 47 | 63 |
2023 Agosto | 21 | 95 | 116 |
2023 Julio | 9 | 76 | 85 |
2023 Junio | 15 | 93 | 108 |
2023 Mayo | 25 | 89 | 114 |
2023 Abril | 11 | 68 | 79 |
2023 Marzo | 11 | 92 | 103 |
2023 Febrero | 16 | 73 | 89 |
2023 Enero | 5 | 57 | 62 |
2022 Diciembre | 25 | 56 | 81 |
2022 Noviembre | 45 | 85 | 130 |
2022 Octubre | 20 | 117 | 137 |
2022 Septiembre | 15 | 78 | 93 |
2022 Agosto | 25 | 58 | 83 |
2022 Julio | 16 | 37 | 53 |
2022 Junio | 12 | 21 | 33 |
2022 Mayo | 17 | 43 | 60 |
2022 Abril | 32 | 58 | 90 |
2022 Marzo | 24 | 37 | 61 |
2022 Febrero | 33 | 39 | 72 |
2022 Enero | 74 | 77 | 151 |
2021 Diciembre | 55 | 62 | 117 |
2021 Noviembre | 54 | 46 | 100 |
2021 Octubre | 72 | 50 | 122 |
2021 Septiembre | 59 | 52 | 111 |
2021 Agosto | 57 | 24 | 81 |
2021 Julio | 46 | 24 | 70 |
2021 Junio | 28 | 21 | 49 |
2021 Mayo | 50 | 31 | 81 |
2021 Abril | 120 | 29 | 149 |
2021 Marzo | 64 | 36 | 100 |
2021 Febrero | 44 | 39 | 83 |
2021 Enero | 49 | 37 | 86 |
2020 Diciembre | 33 | 21 | 54 |
2020 Noviembre | 41 | 17 | 58 |
2020 Octubre | 51 | 29 | 80 |
2020 Septiembre | 42 | 44 | 86 |
2020 Agosto | 45 | 23 | 68 |
2020 Julio | 45 | 18 | 63 |
2020 Junio | 24 | 18 | 42 |
2020 Mayo | 28 | 21 | 49 |
2020 Abril | 21 | 16 | 37 |
2020 Marzo | 64 | 15 | 79 |
2020 Febrero | 56 | 18 | 74 |
2020 Enero | 75 | 23 | 98 |
2019 Diciembre | 101 | 50 | 151 |
2019 Noviembre | 74 | 17 | 91 |
2019 Octubre | 59 | 16 | 75 |
2019 Septiembre | 83 | 27 | 110 |
2019 Agosto | 52 | 23 | 75 |
2019 Julio | 77 | 36 | 113 |
2019 Junio | 78 | 83 | 161 |
2019 Mayo | 212 | 153 | 365 |
2019 Abril | 115 | 108 | 223 |
2019 Marzo | 82 | 28 | 110 |
2019 Febrero | 62 | 37 | 99 |
2019 Enero | 51 | 41 | 92 |
2018 Diciembre | 53 | 43 | 96 |
2018 Noviembre | 41 | 38 | 79 |
2018 Octubre | 32 | 9 | 41 |
2018 Septiembre | 18 | 41 | 59 |
2018 Agosto | 8 | 84 | 92 |
2018 Julio | 16 | 61 | 77 |
2018 Junio | 20 | 46 | 66 |
2018 Mayo | 21 | 45 | 66 |
2018 Abril | 39 | 14 | 53 |
2018 Marzo | 12 | 11 | 23 |
2018 Febrero | 14 | 8 | 22 |
2018 Enero | 13 | 10 | 23 |
2017 Diciembre | 7 | 11 | 18 |
2017 Noviembre | 13 | 7 | 20 |
2017 Octubre | 16 | 10 | 26 |
2017 Septiembre | 28 | 7 | 35 |
2017 Agosto | 17 | 22 | 39 |
2017 Julio | 28 | 5 | 33 |
2017 Junio | 47 | 17 | 64 |
2017 Mayo | 36 | 13 | 49 |
2017 Abril | 46 | 1 | 47 |
2017 Marzo | 54 | 10 | 64 |
2017 Febrero | 67 | 7 | 74 |
2017 Enero | 44 | 4 | 48 |
2016 Diciembre | 79 | 8 | 87 |
2016 Noviembre | 107 | 3 | 110 |
2016 Octubre | 104 | 12 | 116 |
2016 Septiembre | 72 | 4 | 76 |
2016 Agosto | 51 | 4 | 55 |
2016 Julio | 141 | 5 | 146 |
2016 Junio | 112 | 14 | 126 |
2016 Mayo | 107 | 7 | 114 |
2016 Abril | 113 | 19 | 132 |
2016 Marzo | 120 | 5 | 125 |
2016 Febrero | 110 | 10 | 120 |
2016 Enero | 106 | 10 | 116 |
2015 Diciembre | 94 | 5 | 99 |
2015 Noviembre | 131 | 9 | 140 |
2015 Octubre | 153 | 2 | 155 |
2015 Septiembre | 103 | 7 | 110 |
2015 Agosto | 118 | 7 | 125 |
2015 Julio | 142 | 7 | 149 |
2015 Junio | 110 | 1 | 111 |
2015 Mayo | 145 | 4 | 149 |
2015 Abril | 142 | 7 | 149 |
2015 Marzo | 36 | 7 | 43 |
2015 Febrero | 15 | 4 | 19 |
2015 Enero | 61 | 4 | 65 |
2014 Diciembre | 83 | 5 | 88 |
2014 Noviembre | 107 | 2 | 109 |
2014 Octubre | 104 | 1 | 105 |
2014 Septiembre | 73 | 2 | 75 |
2014 Agosto | 68 | 2 | 70 |
2014 Julio | 109 | 6 | 115 |
2014 Junio | 87 | 2 | 89 |
2014 Mayo | 69 | 2 | 71 |
2014 Abril | 96 | 2 | 98 |
2014 Marzo | 116 | 2 | 118 |
2014 Febrero | 69 | 5 | 74 |
2014 Enero | 48 | 3 | 51 |
2013 Diciembre | 37 | 16 | 53 |
2013 Noviembre | 42 | 10 | 52 |
2013 Octubre | 37 | 4 | 41 |
2013 Septiembre | 39 | 6 | 45 |
2013 Agosto | 24 | 14 | 38 |
2013 Julio | 13 | 2 | 15 |
2004 Febrero | 5500 | 0 | 5500 |