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1.
Int J Behav Nutr Phys Act ; 18(1): 98, 2021 07 17.
Artículo en Inglés | MEDLINE | ID: mdl-34274002

RESUMEN

BACKGROUND: Validation of self-reported tools, such as physical activity (PA) questionnaires, is crucial. The aim of this study was to determine test-retest reliability, internal consistency, and the concurrent, construct, and predictive validity of the short semi-quantitative Physical Activity Unit 7 item Screener (PAU-7S), using accelerometry as the reference measurement. The effect of linear calibration on PAU-7S validity was tested. METHODS: A randomized sample of 321 healthy children aged 8-16 years (149 boys, 172 girls) from the nationwide representative PASOS study completed the PAU-7S before and after wearing an accelerometer for at least 7 consecutive days. Weight, height, and waist circumference were measured. Cronbach alpha was calculated for internal consistency. Test-retest reliability was determined by intra-class correlation (ICC). Concurrent validity was assessed by ICC and Spearman correlation coefficient between moderate to vigorous PA (MVPA) derived by the PAU-7S and by accelerometer. Concordance between both methods was analyzed by absolute agreement, weighted kappa, and Bland-Altman statistics. Multiple linear regression models were fitted for construct validity and predictive validity was determined by leave-one-out cross-validation. RESULTS: The PAU-7S overestimated MVPA by 18%, compared to accelerometers (106.5 ± 77.0 vs 95.2 ± 33.2 min/day, respectively). A Cronbach alpha of 0.76 showed an acceptable internal consistency of the PAU-7S. Test-retest reliability was good (ICC 0.71 p < 0.001). Spearman correlation and ICC coefficients of MVPA derived by the PAU-7S and accelerometers increased from 0.31 to 0.62 and 0.20 to 0.62, respectively, after calibration of the PAU-7S. Between-methods concordance improved from a weighted kappa of 0.24 to 0.50 after calibration. A slight reduction in ICC, from 0.62 to 0.60, yielded good predictive validity. Multiple linear regression models showed an inverse association of MVPA with standardized body mass index (ß - 0.162; p < 0.077) and waist to height ratio (ß - 0.010; p < 0.014). All validity dimensions were somewhat stronger in boys compared to girls. CONCLUSION: The PAU-7S shows a good test-retest reliability and acceptable internal consistency. All dimensions of validity increased from poor/fair to moderate/good after calibration. The PAU-7S is a valid instrument for measuring MVPA in children and adolescents. TRIAL REGISTRATION: Trial registration number ISRCTN34251612 .


Asunto(s)
Acelerometría , Ejercicio Físico , Encuestas y Cuestionarios/normas , Acelerometría/normas , Adolescente , Calibración , Niño , Femenino , Humanos , Masculino , Reproducibilidad de los Resultados , Conducta Sedentaria
2.
Animals (Basel) ; 11(5)2021 Apr 23.
Artículo en Inglés | MEDLINE | ID: mdl-33922526

RESUMEN

Extensive livestock production and urbanization entail modifications of natural landscapes, including installation of fences, development of agriculture, urbanization of natural areas, and construction of roads and infrastructure that, together, impact native fauna. Here, we evaluate the diversity and genetic structure of endemic guanacos (Lama guanicoe) of the Monte and Patagonian Steppe of central Argentina, which have been reduced and displaced by sheep ranching and other impacts of human activities. Analyses of genetic variation of microsatellite loci and d-loop revealed high levels of genetic variation and latitudinal segregation of mitochondrial haplotypes. There were indications of at least two historical populations in the Monte and the Patagonian Steppe based on shared haplotypes and shared demographic history among localities. Currently, guanacos are structured into three groups that were probably reconnected relatively recently, possibly facilitated by a reduction of sheep and livestock in recent decades and a recovery of the guanaco populations. These results provide evidence of the genetic effects of livestock activity and urbanization on wild herbivore populations, which were possibly exacerbated by an arid environment with limited productive areas. The results highlight the importance of enacting conservation management plans to ensure the persistence of ancestral and ecologically functional populations of guanacos.

3.
Acta Vet Hung ; 68(1): 8-11, 2020 03.
Artículo en Inglés | MEDLINE | ID: mdl-32384069

RESUMEN

This paper describes the first documented outbreak of haemorrhagic septicaemia (HS) caused by Pasteurella multocida type B in cattle in Spain. This acute, highly fatal septicaemia causes major economic losses in cattle and buffaloes in many areas of Asia and Africa. In other species and in European countries it is an infrequently reported disease. Acute septicaemic pasteurellosis occurred in a free-range farm of 150 cattle and 70 beef calves in Southern Spain. Twenty-one calves and one cow were affected, of which three calves and the adult cow died. Postmortem examination revealed characteristic oedema in the ventral area of the neck and the brisket region, and widespread haemorrhages in all organs. Pure cultures of P. multocida were obtained from all tissues and organs studied. The aetiological agent was further confirmed by molecular and biochemical analysis as P. multocida capsular type B, biovar 3. Although the source of infection could not be determined, wildlife may play an important role. The use of tulathromycin in the initial stage of the disease might be related to the low morbidity and mortality of this outbreak. After using an autogenous vaccine no more cases of HS were observed.


Asunto(s)
Enfermedades de los Bovinos/epidemiología , Brotes de Enfermedades/veterinaria , Septicemia Hemorrágica/veterinaria , Infecciones por Pasteurella/veterinaria , Pasteurella multocida/aislamiento & purificación , Enfermedad Aguda/epidemiología , Animales , Bovinos , Femenino , Septicemia Hemorrágica/epidemiología , Septicemia Hemorrágica/microbiología , Infecciones por Pasteurella/epidemiología , Infecciones por Pasteurella/microbiología , Pasteurella multocida/clasificación , España/epidemiología
4.
Front Genet ; 9: 487, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30483307

RESUMEN

The domestication of wild vicuña and guanaco by early pre-Inca cultures is an iconic example of wildlife management and domestication in the Americas. Although domestic llamas and alpacas were clearly selected for key, yet distinct, phenotypic traits, the relative patterns and direction of selection and domestication have not been confirmed using genetic approaches. However, the detailed archaeological records from the region suggest that domestication was a process carried out under significant control and planning, which would have facilitated coordinated and thus extremely effective selective pressure to achieve and maintain desired phenotypic traits. Here we link patterns of sequence variation in two well-characterised genes coding for colour variation in vertebrates and interpret the results in the context of domestication in guanacos and vicuñas. We hypothesise that colour variation in wild populations of guanacos and vicunas were strongly selected against. In contrast, variation in coat colour variation in alpaca was strongly selected for and became rapidly fixed in alpacas. In contrast, coat colour variants in llamas were of less economic value, and thus were under less selective pressure. We report for the first time the full sequence of MC1R and 3 exons of ASIP in 171 wild specimens from throughout their distribution and which represented a range of commonly observed colour patterns. We found a significant difference in the number of non-synonymous substitutions, but not synonymous substitutions among wild and domestics species. The genetic variation in MC1R and ASIP did not differentiate alpaca from llama due to the high degree of reciprocal introgression, but the combination of 11 substitutions are sufficient to distinguish domestic from wild animals. Although there is gene flow among domestic and wild species, most of the non-synonymous variation in MC1R and ASIP was not observed in wild species, presumably because these substitutions and the associated colour phenotypes are not effectively transmitted back into wild populations. Therefore, this set of substitutions unequivocally differentiates wild from domestic animals, which will have important practical application in forensic cases involving the poaching of wild vicuñas and guanacos. These markers will also assist in identifying and studying archaeological remains pre- and post-domestication.

5.
Mycopathologia ; 182(5-6): 505-515, 2017 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-27913978

RESUMEN

Diagnosis of invasive pulmonary aspergillosis (IPA) is challenging. The objective of the study was to assess the value of microbiological tests to the diagnosis of IPA in the absence of non-specific radiological data. A retrospective study of 23 patients with suspicion of IPA and positivity of some microbiological diagnostic tests was performed. These tests included conventional microbiological culture, detection of Aspergillus galactomannan (GM) antigen and in some patients (1 â†’ 3)-ß-D-glucan (BDG) and Aspergillus fumigatus DNA using the LightCycler® SeptiFast test. In 10 patients with hematological malignancy, 6 cases were considered 'probable' and 4 'non-classifiable.' In 8 patients with chronic lung disease, 7 cases were classified as 'probable' and 1 as 'proven,' and in 5 patients with prolonged ICU stay (>7 days), there were 2 'proven' cases, 2 'non-classifiable' and 1 putative case. Microbiological culture was positive in 17 cases and 18 Aspergillus spp. were isolated (one mixed culture). A. fumigatus was the most frequent (44.4%) followed by A. tubingensis. The Aspergillus galactomannan (GM) antigen assay was positive in 21 cases (91.3%). The GM antigen and the (1 â†’ 3)-ß-D-glucan (BDG) assays were both performed in 12 cases (52.2%), being positive in 9. The SeptiFast test was performed in 7 patients, being positive in 4. In patients with non-classifiable pulmonary aspergillosis and one or more positive microbiological tests, radiological criteria may not be considered a limiting factor for the diagnosis of IPA.


Asunto(s)
Aspergillus fumigatus/aislamiento & purificación , Pruebas Diagnósticas de Rutina/métodos , Aspergilosis Pulmonar Invasiva/diagnóstico , Aspergilosis Pulmonar Invasiva/patología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Animales , Femenino , Humanos , Aspergilosis Pulmonar Invasiva/microbiología , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Adulto Joven
6.
Int J Surg Case Rep ; 19: 14-6, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-26706595

RESUMEN

BACKGROUND: Carotid aneurysms are a rare pathology. This vascular disorder can be asymptomatic or it can cause local compression. The disorder poses a high risk of embolization and rupture. PRESENTATION OF CASE: A 79 years old female, presents with a right internal carotid fusiform aneurysm, approximately 3.8cm in diameter, localized 3.30cm from the common carotid artery bifurcation with an extremely tortuous common carotid artery. DISCUSSION: Surgical management of the extracranial internal carotid artery remains varying and challenging, particularly with a distal internal carotid aneurysm and with anatomical difficulties. CONCLUSION: Endovascular management of an internal carotid aneurysm with cervical access using an expanded polytetrafluoroethylene covered stent with Heparin Bioactive Surface in the carotid area, is safe and effective.

7.
Bioresour Technol ; 200: 380-7, 2016 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-26512862

RESUMEN

The aim of this study was to evaluate the feasibility of achieving nitrogen (N) removal using a lab-scale sequencing batch reactor (SBR) exposed to anoxic/aerobic (AN/OX) phases, focusing to achieve aerobic denitrification. This process will minimize emissions of N2O greenhouse gas. The effects of different operating parameters on the reactor performance were studied: cycle duration, AN/OX ratio, pH, dissolved oxygen concentration (DOC), and organic load. The highest inorganic N removal (NiR), close to 70%, was obtained at pH=7.5, low organic load (440mgCOD/(Lday)) and high aeration given by 12h cycle, AN/OX ratio=0.5:1.0 and DOC higher than 4.0mgO2/L. Nitrification followed by high-rate aerobic denitrification took place during the aerobic phase. Aerobic denitrification could be attributed to Tetrad-forming organisms (TFOs) with phenotype of glycogen accumulating organisms using polyhydroxyalkanoate and/or glycogen storage. The proposed AN/OX system constitutes an eco-friendly N removal process providing N2 as the end product.


Asunto(s)
Reactores Biológicos , Desnitrificación , Nitrificación , Óxido Nitroso/química , Diseño de Equipo , Gases , Glucógeno/química , Concentración de Iones de Hidrógeno , Nitrógeno/química , Oxígeno/química , Fenotipo , Fósforo/química , Aguas Residuales
8.
PLoS One ; 9(3): e91714, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-24663026

RESUMEN

Fifteen guanacos were introduced to Staats Island in the Falklands/Malvinas archipelago from Patagonia in the 1930s. Twenty five years later, the population was culled from 300 to 10-20 individuals, but quickly rebounded to a population of almost 400 animals that today retain the genetic signature of the founding event and later bottleneck. The goals of this study were to (i) make a genetic assessment of this island population through comparisons with mainland populations and simulations, and (ii) assess the likely source-population of the introduced guanacos. Genetic variation was estimated from 513 bp of mitochondrial DNA sequence and 15 microsatellite loci among 154 guanacos collected from eight localities, including the adjacent mainland and the islands of Tierra del Fuego and Staats Island. Of the 23 haplotypes observed among our samples, the Staats Island population only contained three haplotypes, all of which were shared with the coastal Monte Leon population in southern Patagonia. Mitochondrial DNA and microsatellite variations on Staats Island were comparable to most mainland populations and greater than those observed on Tierra del Fuego. Patterns of genetic structure suggest that the Staats Island guanaco population was founded with animals from southern Patagonia (as opposed to northern Patagonia or Tierra del Fuego), but that effective reductions in population size lasted only a few generations and that surviving animals were a random sample of the pre-bottleneck genetic variation.


Asunto(s)
Camélidos del Nuevo Mundo/genética , Conservación de los Recursos Naturales , Efecto Fundador , Variación Genética , Islas , Animales , ADN Mitocondrial/genética , Femenino , Endogamia , Masculino , Repeticiones de Microsatélite/genética , Modelos Genéticos
9.
Zootaxa ; 3683: 377-94, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-25250459

RESUMEN

A small, new species of gerbil rodents of the genus Eligmodontia from the southwestern dunes of the Atacama Desert in northern Chile is described; the genus had not been reported for this western lowland region. Our description is based on cytogenetic and molecular data, as well as cranial and external morphology. In order to support this hypothesis, we studied 27 specimens captured in Playa Los Choros (Coquimbo) and Copiapó (Atacama), comparing them with samples of all the extant species of the genus. Nineteen individuals consistently showed 2N=50, FN=48, with telocentric chromosomes and G-bands identical to those of the geographically northeastern E. hirtipes; these two groups were geographically separated by E. puerulus (2N = 34, FN = 48). The phylogenetic analysis of 56 Eligmodontia cytochrome-b gene sequences yielded a maximum-likelihood phylogenetic tree where the new species formed a divergent and well-supported clade within the genus, which was also confirmed by unweighted parsimony, minimum evolution, and Bayesian analyses. The new species has K2P genetic distances of 12.8% from the geographically distant E. hirtipes, and 10.3% from E. puerulus. Axes 1 and 2 of Principal Component Analysis based on 12 body and skull measurements clearly separated the new species, the latter having a smaller head+body length (70.6 +/- 3.4 mm, n = 17) and lower weight (11.9 +/- 1.9 g, n = 20). We provide strong evidence to recognize a distinct new western lineage within Eligmodontia genus, Eligmodontia dunaris sp. nov., for which we give a complete taxonomic description and a hypothetical biogeographic scenario. The new species should be considered endangered, due to its level of endemism, its low population numbers (which can be occasionally increased after a blooming desert) and its fragile dry habitat patchily distributed near the Atacama Desert.


Asunto(s)
Arvicolinae/clasificación , Animales , Arvicolinae/anatomía & histología , Arvicolinae/genética , Chile , Citocromos b/genética , Variación Genética , Cariotipo , Proteínas Mitocondriales/genética , Datos de Secuencia Molecular , Filogenia , Reacción en Cadena de la Polimerasa , Análisis de Secuencia de ADN , Especificidad de la Especie
10.
Mol Ecol ; 22(2): 463-82, 2013 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-23206254

RESUMEN

A comprehensive study of the phylogeography and population genetics of the largest wild artiodactyl in the arid and cold-temperate South American environments, the guanaco (Lama guanicoe) was conducted. Patterns of molecular genetic structure were described using 514 bp of mtDNA sequence and 14 biparentally inherited microsatellite markers from 314 samples. These individuals originated from 17 localities throughout the current distribution across Peru, Bolivia, Argentina and Chile. This confirmed well-defined genetic differentiation and subspecies designation of populations geographically separated to the northwest (L. g. cacsilensis) and southeast (L. g. guanicoe) of the central Andes plateau. However, these populations are not completely isolated, as shown by admixture prevalent throughout a limited contact zone, and a strong signal of expansion from north to south in the beginning of the Holocene. Microsatellite analyses differentiated three northwestern and 4-5 southeastern populations, suggesting patterns of genetic contact among these populations. Possible genetic refuges were identified, as were source-sink patterns of gene flow at historical and recent time scales. Conservation and management of guanaco should be implemented with an understanding of these local population dynamics while also considering the preservation of broader adaptive variation and evolutionary processes.


Asunto(s)
Camélidos del Nuevo Mundo/genética , Flujo Génico , Genética de Población , Filogeografía , Animales , ADN Mitocondrial/genética , Variación Genética , Repeticiones de Microsatélite , Dinámica Poblacional , Análisis de Secuencia de ADN , América del Sur
11.
J Forensic Sci ; 54(5): 1073-6, 2009 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-19549029

RESUMEN

Guanaco (Lama guanicoe) is a protected and widely distributed ungulate in South America. A poacher, after killing guanacos in Valle Chacabuco, Chilean Patagonia, transported and stored the meat. Samples were retrieved by local police but the suspect argued that the meat was from a horse. Mitochondrial cytochrome b gene (774 pb), 15 loci microsatellites, and SRY gene were used to identify the species, number of animals and their population origin, and the sex of the animals, respectively. Analysis revealed that the samples came from a female (absence of SRY gene) Patagonian guanaco (assignment probability between 0.0075 and 0.0282), and clearly distinguishing it from sympatric ungulates (E-value = 0). Based on the evidence obtained in the field in addition to forensic data, the suspect was convicted of poaching and illegally carrying fire arms. This is the first report of molecular tools being used in forensic investigations of Chilean wildlife indicating its promising future application in guanaco management and conservation.


Asunto(s)
Camélidos del Nuevo Mundo/genética , Conservación de los Recursos Naturales/legislación & jurisprudencia , Dermatoglifia del ADN/métodos , Animales , Chile , Citocromos b/genética , Cartilla de ADN , ADN Mitocondrial/análisis , Femenino , Genes sry , Repeticiones de Microsatélite , Reacción en Cadena de la Polimerasa , Procesos de Determinación del Sexo , Especificidad de la Especie
12.
J Agric Food Chem ; 53(15): 5889-95, 2005 Jul 27.
Artículo en Inglés | MEDLINE | ID: mdl-16028970

RESUMEN

Various extracts of the aerial parts of Barkleyanthus salicifolius (Asteraceae) and Penstemon gentianoides (Scrophulariaceae) have been used in folk medicine to treat many ailments, particularly inflammation and migraine. Neither the bioactive components responsible nor the mechanisms involved have been evaluated. Here are reported antioxidant activities of their methanol, dichloromethane, and ethyl acetate extracts. Samples were evaluated for oxygen radical absorption capacity (ORAC), ferric reducing antioxidant power (FRAP), 2,2-diphenyl-1-picryl-hydrazyl (DPPH) radical scavenging, and inhibition of the formation of thiobarbituric acid reactive species (TBARS), a measure of lipid peroxidation. Antioxidant activities were strongly correlated with total polyphenol content. The most active extracts from P. gentianoides in scavenging DPPH radicals and inhibiting TBARS formation were the methanol extract (A) and a further ethyl acetate extract of this (E). Partition E was further divided into eight fractions, and both E and the fractions were compared for activity against butylated hydroxytoluene, quercetin, and tocopherol. Partition E and the most active fractions, 5 and 6, were found to have I(50) values of 14.1, 38.6, and 41.8 ppm, respectively, against DPPH and 18.5, 26.0, and 12.7 ppm, respectively, against TBARS formation. Consistent with this finding, partition E and fractions 4-6 had the greatest ORAC and FRAP values. These results show that these plants could be useful antioxidant sources.


Asunto(s)
Antioxidantes/análisis , Asteraceae/química , Extractos Vegetales/química , Plantago/química , Antioxidantes/farmacología , Compuestos de Bifenilo , Compuestos Férricos/química , Flavonoides/análisis , Oxidación-Reducción , Fenoles/análisis , Picratos/química , Extractos Vegetales/farmacología , Polifenoles , Especies Reactivas de Oxígeno/química , Sustancias Reactivas al Ácido Tiobarbitúrico/análisis
13.
Phytochemistry ; 65(13): 1963-75, 2004 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-15280003

RESUMEN

The methanol extract from the aerial parts of Roldana barba-johannis (Asteraceae) afforded sargachromenol, sargahydroquinoic acid, and sargaquinoic acid. These natural products and their corresponding acetylated and methylated derivatives showed insecticidal and insect growth regulatory activities against the Fall Armyworm [Spodoptera frugiperda J.E. Smith, (Lepidoptera: Noctuidae)], an important insect pest of corn. The most active compounds were sargachromenol and its acetylated derivative; sargahydroquinoic acid and its acetylated derivative; and a mixture of sargachromenol, sargahydroquinoic acid, and sargaquinoic acid (6:3:1) and the acetylated form of this mixture. All these compounds and mixtures had significant inhibitory effects between 5.0 and 20.0 ppm in diets. Most compounds were insecticidal to larvae, with lethal doses between 20 and 35 ppm. In addition, these substances also demonstrated scavenging properties toward 2,2-diphenyl-1-picrylhydrazyl radical in TLC autographic and spectrophotometric assays. These compounds appear to have selective effects on the pre-emergence metabolism of the insect. The results from these compounds were fully comparable in activity to those known natural insect growth inhibitors such as gedunin and methanol extracts of Cedrela salvadorensis and Yucca periculosa. These substances may be useful as natural insecticidal agents.


Asunto(s)
Asteraceae/química , Hidroquinonas/farmacología , Insecticidas/farmacología , Spodoptera/efectos de los fármacos , Tocotrienoles/farmacología , Animales , Espectroscopía de Resonancia Magnética , Estructura Molecular , Extractos Vegetales/farmacología , Spodoptera/crecimiento & desarrollo
14.
Phytochemistry ; 64(2): 463-73, 2003 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-12943764

RESUMEN

The methanol extract from the bark of Yucca periculosa F. Baker afforded 4,4'-dihydroxstilbene, resveratrol and 3,3',5,5'-tetrahydroxy-4-methoxystilbene and had growth regulatory activity against the Fall Army worm (Spodoptera frugiperda J.E. Smith, Lepidoptera:Noctuidae) an insect pest of corn. The most active compound was 3,3',5,5'-tetrahydroxy-4-methoxystilbene which had significant effects at 3 microg/g in diets. In addition to the inhibitory activity on bleaching of crocin induced by alkoxyl radicals, these compounds also demonstrated scavenging properties toward 2,2-diphenyl-1-picrylhydrazyl in TLC autographic and spectrophotometric assays. Our results indicate that these compounds could be involved in interference of sclerotization and moulting. These compounds appear to have selective effects on the pre-emergence metabolism of the insect. The results were fully comparable to known natural insect growth inhibitors such as gedunin and Cedrela extracts and have had a possible role as natural insecticidal agents.


Asunto(s)
Antioxidantes/farmacología , Lepidópteros/crecimiento & desarrollo , Control Biológico de Vectores , Extractos Vegetales/química , Spodoptera/crecimiento & desarrollo , Estilbenos/farmacología , Yucca/química , Animales , Antioxidantes/aislamiento & purificación , Azadirachta/química , Bioensayo/métodos , Compuestos de Bifenilo , Carotenoides/química , Cedrela/toxicidad , Relación Dosis-Respuesta a Droga , Radicales Libres/antagonistas & inhibidores , Larva/efectos de los fármacos , Larva/crecimiento & desarrollo , Lepidópteros/fisiología , Limoninas/farmacología , Picratos/antagonistas & inhibidores , Corteza de la Planta/química , Pupa/efectos de los fármacos , Pupa/crecimiento & desarrollo , Spodoptera/fisiología , Estilbenos/química , Estilbenos/aislamiento & purificación
15.
Rev. argent. coloproctología ; 7(1): 52-8, 1995. ilus, tab
Artículo en Español | BINACIS | ID: bin-21288

RESUMEN

Los reportes iniciales sobre cirugía video laparoscópica son excitantes, pero la experiencia universal aún es pequeña para tener una conclusión definitiva, específicamente en el tratamiento del cáncer. Todavía existe gran controversia, aún no resuelta. Sin embargo, algunas suposiciones iniciales, específicamente relacionadas con la visión permitida por el laparoscopio, la cual podría hacer la disección y exposición mesentérica más difícil, fueron comprobadas como incorrectas. Los especímenes quirúrgicos resecados por laparoscopía son similares, la disección ganglionar y los bordes quirúrgicos son semejantes a los obtenidos por cirugía convencional. La exposición y ligadura de los vasos sanguíneos no constituye ningún problema. El equipo óptico y quirúrgico, ha sido mejorado con tal rapidez, que día a día tenemos uno nuevo, y la cirugía puede realizarse con más confianza. La Cirugía colorrectal realizada por laparoscopia tiene las siguientes ventajas. 1. Dolor posoperatorio, íleo, estancia hospitalaria y convalescencia son menores. 2. Retorno rápido a las actividades normales. 3. Trauma abdominal e incidencia de hernia incisional postoperatoria son más bajas y los resultados estéticos son mejores. Por otro lado las desventajas son: 1. Tiempo intraoperatorio mayor. 2. Hay algunas dificultades para extraer las piezas quirúrgicas. (AU)


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Anciano , Cirugía Colorrectal , Laparoscopía/métodos , Neoplasias Colorrectales/terapia , Enfermedades del Colon/terapia , Enfermedades del Recto/terapia , Cuidados Preoperatorios , Colostomía , Complicaciones Intraoperatorias , Complicaciones Posoperatorias , Tiempo de Internación , Anastomosis Quirúrgica , Necrosis
16.
Rev. argent. coloproctología ; 7(1): 52-8, 1995. ilus, tab
Artículo en Español | LILACS | ID: lil-187461

RESUMEN

Los reportes iniciales sobre cirugía video laparoscópica son excitantes, pero la experiencia universal aún es pequeña para tener una conclusión definitiva, específicamente en el tratamiento del cáncer. Todavía existe gran controversia, aún no resuelta. Sin embargo, algunas suposiciones iniciales, específicamente relacionadas con la visión permitida por el laparoscopio, la cual podría hacer la disección y exposición mesentérica más difícil, fueron comprobadas como incorrectas. Los especímenes quirúrgicos resecados por laparoscopía son similares, la disección ganglionar y los bordes quirúrgicos son semejantes a los obtenidos por cirugía convencional. La exposición y ligadura de los vasos sanguíneos no constituye ningún problema. El equipo óptico y quirúrgico, ha sido mejorado con tal rapidez, que día a día tenemos uno nuevo, y la cirugía puede realizarse con más confianza. La Cirugía colorrectal realizada por laparoscopia tiene las siguientes ventajas. 1. Dolor posoperatorio, íleo, estancia hospitalaria y convalescencia son menores. 2. Retorno rápido a las actividades normales. 3. Trauma abdominal e incidencia de hernia incisional postoperatoria son más bajas y los resultados estéticos son mejores. Por otro lado las desventajas son: 1. Tiempo intraoperatorio mayor. 2. Hay algunas dificultades para extraer las piezas quirúrgicas.


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Enfermedades del Colon/terapia , Neoplasias Colorrectales/terapia , Cirugía Colorrectal , Laparoscopía , Enfermedades del Recto/terapia , Anastomosis Quirúrgica , Colostomía , Complicaciones Intraoperatorias , Tiempo de Internación , Necrosis , Complicaciones Posoperatorias , Cuidados Preoperatorios
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