Recidiva del neumotorax espontaneo y su relacion con la presencia de bullas

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Gomez, G. Estrada, C. Leon, C. Rodriguez, F. Alameda" "autores" => array:5 [ 0 => array:2 [ "nombre" => "G." "apellidos" => "Gomez" ] 1 => array:2 [ "nombre" => "G." "apellidos" => "Estrada" ] 2 => array:2 [ "nombre" => "C." "apellidos" => "Leon" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Rodriguez" ] 4 => array:2 [ "nombre" => "F." 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Pallotta, M.C. Garcia, D. Fantl, E. Nucifora, A. Precerutti" "autores" => array:5 [ 0 => array:2 [ "nombre" => "M.G." "apellidos" => "Pallotta" ] 1 => array:2 [ "nombre" => "M.C." "apellidos" => "Garcia" ] 2 => array:2 [ "nombre" => "D." "apellidos" => "Fantl" ] 3 => array:2 [ "nombre" => "E." "apellidos" => "Nucifora" ] 4 => array:2 [ "nombre" => "A." "apellidos" => "Precerutti" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0300289615321098?idApp=UINPBA00003Z" "url" => "/03002896/0000002100000005/v1_201509151022/S0300289615321098/v1_201509151022/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Recidiva del neumotorax espontaneo y su relacion con la presencia de bullas" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "212" "paginaFinal" => "216" ] ] "autores" => array:1 [ 0 => array:3 [ "autoresLista" => "J. Torres Lanzas, J.J. Rivas de Andres" "autores" => array:2 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "Torres Lanzas" ] 1 => array:2 [ "nombre" => "J.J." "apellidos" => "Rivas de Andres" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Cirugía Torácica. Hospital Juan Canalejo. La Coruña" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Recurrent spontaneous pneumothorax and the relationship with bullas" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1984-12-27" "fechaAceptado" => "1985-04-13" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "Entre enero de 1983 y julio de 1984 hemos analizado la presencia de bullas en pacientes con neumotórax espontáneo (NE), formando dos grupos de pacientes. El grupo A constituido por los NE recidivantes que han sido toracotomizados, 24 toracotomias (bullas en el 91,6%) y en grupo B utilizado como control, formado por los pacientes con NE a los que se les practicó toracoscopia diagnóstica en el primer episodio, 21 pacientes (bullas en el 51,7%). Encontrando, que la presencia de bullas es una causa, estadísticamente significativa, de la recidiva del NE (X2:7,2, p < 0,01), siendo ésta independiente del tratamiento con reposo o drenaje cuando las bullas estuvieron presentes (X2:0,003, p:NS) y sólo la realización de una toracotomía fue eficaz para evitar la recidiva (100%).Basándonos en estos resultados proponemos la realización de una toracoscopia diagnóstica en el primer episodio de NE a aquellos pacientes que previamente no presenten indicación o contraindicación quirúrgica, efectuándose toracotomía a aquellos que presenten bullas." ] "en" => array:1 [ "resumen" => "Between January 1983 and July 1984 the authors analyzed the incidence of bullas in patients with spontaneous pneumothorax (SP) by forming two groups: group A with patients with recurrent SP who underwent thoracotomy (24 thoracotomies; 91.66% bullas) and group B with 21 patients with SP who underwent diagnostic thoracoscopy during the first episode (bullas in 57.1%) who were used as the control group. The presence of bullas was a statistically significant cause for recurrence of the SP (X2:7.2, p < 0.01) independent from the mode of treatment (rest or drainage) when the bullas were present (X2:0.003, p:SP) and only thoracotomy proved successful in avoiding recurrence of the SP (100%).Because of these findings, the authors recommend a diagnostic thorascopy during the first episode of SP in patients without previous indication or contraindication for surgery followed by thoracotomy if bullas are present." ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:102 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Pneumothorax" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "R.W. 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Recurrent spontaneous pneumothorax and the relationship with bullas

J. Torres Lanzas, J.J. Rivas de Andres

Servicio de Cirugía Torácica. Hospital Juan Canalejo. La Coruña

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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Entre enero de 1983 y julio de 1984 hemos analizado la presencia de bullas en pacientes con neumot&#243;rax espont&#225;neo &#40;NE&#41;&#44; formando dos grupos de pacientes&#46; El grupo A constituido por los NE recidivantes que han sido toracotomizados&#44; 24 toracotomias &#40;bullas en el 91&#44;6&#37;&#41; y en grupo B utilizado como control&#44; formado por los pacientes con NE a los que se les practic&#243; toracoscopia diagn&#243;stica en el primer episodio&#44; 21 pacientes &#40;bullas en el 51&#44;7&#37;&#41;&#46; Encontrando&#44; que la presencia de bullas es una causa&#44; estad&#237;sticamente significativa&#44; de la recidiva del NE &#40;X<span class="elsevierStyleSup">2</span>&#58;7&#44;2&#44; p &#60; 0&#44;01&#41;&#44; siendo &#233;sta independiente del tratamiento con reposo o drenaje cuando las bullas estuvieron presentes &#40;X<span class="elsevierStyleSup">2</span>&#58;0&#44;003&#44; p&#58;NS&#41; y s&#243;lo la realizaci&#243;n de una toracotom&#237;a fue eficaz para evitar la recidiva &#40;100&#37;&#41;&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Bas&#225;ndonos en estos resultados proponemos la realizaci&#243;n de una toracoscopia diagn&#243;stica en el primer episodio de NE a aquellos pacientes que previamente no presenten indicaci&#243;n o contraindicaci&#243;n quir&#250;rgica&#44; efectu&#225;ndose toracotom&#237;a a aquellos que presenten bullas&#46;</p></span>"
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]

Article information

ISSN: 03002896
Original language: Spanish

DOI:10.1016/S0300-2896(15)32110-4

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Year/Month	Html	Pdf	Total

2024 November	4	3	7
2024 October	36	49	85
2024 September	31	67	98
2024 August	55	71	126
2024 July	35	46	81
2024 June	33	47	80
2024 May	36	51	87
2024 April	18	42	60
2024 March	26	29	55
2024 February	25	37	62
2024 January	0	3	3
2023 December	0	2	2
2023 November	0	7	7
2023 October	0	4	4
2023 September	0	8	8
2023 August	0	8	8
2023 July	0	15	15
2023 June	0	3	3
2023 May	0	2	2
2023 March	3	8	11
2023 February	22	19	41
2023 January	18	33	51
2022 December	26	35	61
2022 November	38	18	56
2022 October	21	33	54
2022 September	11	34	45
2022 August	30	36	66
2022 July	18	28	46
2022 June	20	41	61
2022 May	22	29	51
2022 April	23	28	51
2022 March	29	30	59
2022 February	19	24	43
2022 January	20	27	47
2021 December	14	28	42
2021 November	18	28	46
2021 October	20	29	49
2021 September	16	28	44
2021 August	15	29	44
2021 July	15	23	38
2021 June	19	35	54
2021 May	18	18	36
2021 April	41	44	85
2021 March	26	16	42
2021 February	47	13	60
2021 January	19	17	36
2020 December	14	13	27
2020 November	13	15	28
2020 October	12	6	18
2020 September	1	10	11
2020 August	16	13	29
2020 July	21	9	30
2020 June	19	12	31
2020 May	10	19	29
2020 April	15	11	26
2020 March	13	17	30
2020 February	17	18	35
2020 January	22	30	52
2019 December	30	36	66
2019 November	2	31	33
2019 October	10	20	30
2019 September	5	45	50
2019 August	11	18	29
2019 July	14	56	70
2019 June	10	38	48
2019 May	19	57	76
2019 April	29	56	85
2019 March	13	30	43
2019 February	9	36	45
2019 January	7	29	36
2018 December	9	24	33
2018 November	15	44	59
2018 October	16	30	46
2018 September	17	33	50
2018 May	5	1	6
2018 April	8	8	16
2018 March	14	6	20
2018 February	6	9	15
2018 January	7	7	14
2017 December	13	24	37
2017 November	3	31	34
2017 October	12	31	43
2017 September	10	35	45
2017 August	6	36	42
2017 July	10	18	28
2017 June	15	48	63
2017 May	9	27	36
2017 April	6	26	32
2017 March	9	47	56
2017 February	10	51	61
2017 January	7	16	23
2016 December	12	20	32
2016 November	19	27	46
2016 October	22	32	54
2016 September	26	21	47
2016 August	23	13	36
2016 July	25	17	42
2016 June	29	18	47
2016 May	18	9	27
2016 April	5	0	5
2016 March	8	0	8
2016 February	10	1	11
2016 January	23	9	32
2015 December	32	18	50
2015 November	26	8	34
2015 October	6	1	7
2015 September	1	0	1

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