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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Analizar la eficacia de una soluci&#243;n hidroalcoh&#243;lica de povidona yodada como agente qu&#237;mico sinfisante&#44; en el tratamiento del neumot&#243;rax espont&#225;neo</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio descriptivo y retrospectivo de 81 pacientes con diagn&#243;stico de neumot&#243;rax espont&#225;neo&#44; tratados mediante videotoracoscopia y pleurodesis qu&#237;mica con una soluci&#243;n hidroalcoh&#243;lica de povidona yodada&#44; en el Servicio de Cirug&#237;a Tor&#225;cica del Hospital de la Santa Creu i Sant Pau de Barcelona&#44; desde enero de 1993 a diciembre de 1999</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se trata de 81 pacientes&#44; 59 varones &#40;73&#37;&#41; y 22 mujeres &#40;27&#37;&#41; con edades comprendidas entre los 14 y los 82 a&#241;os &#40;media de 33 a&#241;os&#41;&#46; El hemit&#243;rax afectado con mayor frecuencia fue el derecho&#44; en 43 casos &#40;53&#37;&#41;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Las principales indicaciones de tratamiento quir&#250;rgico fueron&#58; recidivas en 52 casos &#40;64&#37;&#41; y fugas a&#233;reas persistentes en 25 &#40;31&#37;&#41;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Todos fueron tratados por videotoracoscopia&#44; se realiz&#243; resecci&#243;n del par&#233;nquima pulmonar en 30 casos &#40;37&#37;&#41; e instilaci&#243;n pleural de soluci&#243;n hidroalcoh&#243;lica de povidona yodada como agente qu&#237;mico sinfisante en todos los casos&#46; Durante el postoperatorio inmediato presentaron fugas a&#233;reas 10 pacientes &#40;12&#44;3&#37;&#41;&#44; fiebre autolimitada 5 pacientes &#40;6&#44;1&#37;&#41; y hubo dos infecciones en los orificios de los drenajes &#40;2&#44;4&#37;&#41;&#46; Durante un per&#237;odo de seguimiento postoperatorio de 6 a 67 meses &#40;media de 24 meses&#41; hemos constatado 5 recidivas &#40;6&#44;1&#37;&#41;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">La soluci&#243;n hidroalcoh&#243;lica de povidona yodada es un agente qu&#237;mico sinfisante de f&#225;cil aplicaci&#243;n por videotoracoscopia y de gran eficacia en el tratamiento del neumot&#243;rax espont&#225;neo</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">To analyze the efficacy of an iodo-povidone hydroalcoholic solution for the chemical pleurodesis of spontaneous pneumothorax</p> <span class="elsevierStyleSectionTitle">Material And Method</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">A descriptive&#44; retrospective study of 81 patients with spontaneous pneumothorax&#46; The patients were treated by video-assisted thoracoscopy and chemical pleurodesis with an iodo-povidone hydroalcoholic solution at the thoracic surgery unit of Hospital de la Santa Creu i Sant Pau in Barcelona &#40;Spain&#41; between January 1993 and December 1999</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Eighty-one patients&#44; 59 men &#40;73&#37;&#41; and 22 women &#40;27&#37;&#41;&#44; between 14 and 82 years old &#40;mean age 33 years&#41; were treated&#46; Pneumothorax was most often on the right side &#40;43 cases&#44; 53&#37;&#41;&#46; The main indications for surgery were recurrence &#40;52 cases&#44; 64&#37;&#41; and persistent air leaks &#40;25 cases&#44; 31&#37;&#41;&#46; All were treated by video-assisted thoracoscopy&#44; with resection of the pulmonary parenchyma in 30 cases &#40;37&#37;&#41; and pleural instillation of the iodo-povidone hydroalcoholic solution as the irritant in all cases&#46; Air leaks were observed during early postoperative recovery in 10 patients &#40;12&#46;3&#37;&#41;&#44; self-limited fever in 5 &#40;6&#46;1&#37;&#41; and infection of drainage openings in 2 &#40;2&#46;4&#37;&#41;&#46; During the postoperative follow-up period of 6 to 67 months &#40;mean 24 months&#41;&#44; 5 recurrences &#40;6&#46;1&#37;&#41; were seen</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">An iodo-povidone hydroalcoholic solution is easy to apply by video-assisted thoracoscopy and is highly effective for pleurodesis in cases of spontaneous pneumothorax</p>"
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Neumotórax espontáneo: sínfisis pleural con solución hidroalcohólica de povidona yodada
Spontaneous pneumothorax: pleurodesis with an iodo-povidone hydroalcoholic solution
G. Estrada Salóa,
Corresponding author
cesarfarina@yahoo.com

Correspondencia: Servicio de Cirugía Torácica. Hospital de la Santa Creu i Sant Pau.Sant Antoni M. Claret, 167. 08025 Barcelona. España
, C. Farina Ríosa, J.J. Fibla Alfaraa, G. Gómez Sebastiána, M.C. Unzuetab, Carlos León Gonzáleza
a Servicio de Cirugía Torácica. Hospital de la Santa Creu i Sant Pau. Barcelona
b Servicio de Anestesiología y Reanimación.Hospital de la Santa Creu i Sant Pau. Barcelona. España
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    "titulosAlternativos" => array:1 [
      "en" => array:1 [
        "titulo" => "Spontaneous pneumothorax&#58; pleurodesis with an iodo-povidone hydroalcoholic solution"
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            0 => "Neumot&#243;rax espont&#225;neo"
            1 => "Videotoracoscopia"
            2 => "S&#237;nfisis pleural"
            3 => "Yodopovidona"
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            0 => "Spontaneous pneumothorax"
            1 => "Video-assisted thoracoscopy"
            2 => "Pleurodesis"
            3 => "Iodo-povidone"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Analizar la eficacia de una soluci&#243;n hidroalcoh&#243;lica de povidona yodada como agente qu&#237;mico sinfisante&#44; en el tratamiento del neumot&#243;rax espont&#225;neo</p> <span class="elsevierStyleSectionTitle">Material y m&#233;todo</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Estudio descriptivo y retrospectivo de 81 pacientes con diagn&#243;stico de neumot&#243;rax espont&#225;neo&#44; tratados mediante videotoracoscopia y pleurodesis qu&#237;mica con una soluci&#243;n hidroalcoh&#243;lica de povidona yodada&#44; en el Servicio de Cirug&#237;a Tor&#225;cica del Hospital de la Santa Creu i Sant Pau de Barcelona&#44; desde enero de 1993 a diciembre de 1999</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Se trata de 81 pacientes&#44; 59 varones &#40;73&#37;&#41; y 22 mujeres &#40;27&#37;&#41; con edades comprendidas entre los 14 y los 82 a&#241;os &#40;media de 33 a&#241;os&#41;&#46; El hemit&#243;rax afectado con mayor frecuencia fue el derecho&#44; en 43 casos &#40;53&#37;&#41;</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Las principales indicaciones de tratamiento quir&#250;rgico fueron&#58; recidivas en 52 casos &#40;64&#37;&#41; y fugas a&#233;reas persistentes en 25 &#40;31&#37;&#41;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">Todos fueron tratados por videotoracoscopia&#44; se realiz&#243; resecci&#243;n del par&#233;nquima pulmonar en 30 casos &#40;37&#37;&#41; e instilaci&#243;n pleural de soluci&#243;n hidroalcoh&#243;lica de povidona yodada como agente qu&#237;mico sinfisante en todos los casos&#46; Durante el postoperatorio inmediato presentaron fugas a&#233;reas 10 pacientes &#40;12&#44;3&#37;&#41;&#44; fiebre autolimitada 5 pacientes &#40;6&#44;1&#37;&#41; y hubo dos infecciones en los orificios de los drenajes &#40;2&#44;4&#37;&#41;&#46; Durante un per&#237;odo de seguimiento postoperatorio de 6 a 67 meses &#40;media de 24 meses&#41; hemos constatado 5 recidivas &#40;6&#44;1&#37;&#41;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">La soluci&#243;n hidroalcoh&#243;lica de povidona yodada es un agente qu&#237;mico sinfisante de f&#225;cil aplicaci&#243;n por videotoracoscopia y de gran eficacia en el tratamiento del neumot&#243;rax espont&#225;neo</p>"
      ]
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">To analyze the efficacy of an iodo-povidone hydroalcoholic solution for the chemical pleurodesis of spontaneous pneumothorax</p> <span class="elsevierStyleSectionTitle">Material And Method</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">A descriptive&#44; retrospective study of 81 patients with spontaneous pneumothorax&#46; The patients were treated by video-assisted thoracoscopy and chemical pleurodesis with an iodo-povidone hydroalcoholic solution at the thoracic surgery unit of Hospital de la Santa Creu i Sant Pau in Barcelona &#40;Spain&#41; between January 1993 and December 1999</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Eighty-one patients&#44; 59 men &#40;73&#37;&#41; and 22 women &#40;27&#37;&#41;&#44; between 14 and 82 years old &#40;mean age 33 years&#41; were treated&#46; Pneumothorax was most often on the right side &#40;43 cases&#44; 53&#37;&#41;&#46; The main indications for surgery were recurrence &#40;52 cases&#44; 64&#37;&#41; and persistent air leaks &#40;25 cases&#44; 31&#37;&#41;&#46; All were treated by video-assisted thoracoscopy&#44; with resection of the pulmonary parenchyma in 30 cases &#40;37&#37;&#41; and pleural instillation of the iodo-povidone hydroalcoholic solution as the irritant in all cases&#46; Air leaks were observed during early postoperative recovery in 10 patients &#40;12&#46;3&#37;&#41;&#44; self-limited fever in 5 &#40;6&#46;1&#37;&#41; and infection of drainage openings in 2 &#40;2&#46;4&#37;&#41;&#46; During the postoperative follow-up period of 6 to 67 months &#40;mean 24 months&#41;&#44; 5 recurrences &#40;6&#46;1&#37;&#41; were seen</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">An iodo-povidone hydroalcoholic solution is easy to apply by video-assisted thoracoscopy and is highly effective for pleurodesis in cases of spontaneous pneumothorax</p>"
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Article information
ISSN: 03002896
Original language: Spanish
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