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Caracterización y manejo de deformidades del tórax en un hospital pediátrico de tercer nivel de la ciudad de Manizales entre los años 2008 a 2020
Characterization and management of chest deformities in a tertiary pediatric hospital in the city of Manizales between the years 2008 to 2020
dc.contributor.advisor | Cárdenas, Consuelo | |
dc.contributor.advisor | Sepúlveda Gallego, Luz Elena | |
dc.contributor.author | Lievano Barreto, Javier Gregorio | |
dc.date.accessioned | 2022-04-21T18:15:17Z | |
dc.date.available | 2022-04-21T18:15:17Z | |
dc.date.issued | 2022-05-06 | |
dc.identifier.uri | https://repositorio.ucaldas.edu.co/handle/ucaldas/17571 | |
dc.description | Gráficas | spa |
dc.description.abstract | spa:Las deformidades de la pared torácica son un conjunto de enfermedades, la mayoría de veces congénitas que abarcan un amplio espectro de trastornos. Estos pueden manifestarse como condiciones aisladas o pueden correlacionarse con anomalías extratorácicas y síndromes genéticos. Los efectos deletéreos pueden ocurrir desde el nacimiento hasta la adolescencia, desde afecciones potencialmente mortales hasta preocupaciones cosméticas o psicosociales. La piedra angular del tratamiento radica en el manejo médico, la reparación quirúrgica y el asesoramiento genético. Desde el punto de vista quirúrgico, las opciones de reparación son amplias y complejas; por lo tanto, la edad y el sexo del paciente, así como el momento quirúrgico y la elección de los materiales protésicos e injertos, son algunos factores que juegan un papel en el proceso de toma de decisiones. Se efectuó un estudio descriptivo retrospectivo, el cual incluye una serie de casos de pacientes pediátricos con deformidades de tórax en un periodo comprendido entre los años 2008 y el 2020, buscando describir de la población estudiada las características sociodemográficas, las características clínicas y terapéuticas así como las complicaciones trans y postoperatorias. En total se analizaron 152 pacientes, las principales deformidades documentadas fueron el pectus excavatum en 77 pacientes (50,7%), pectus carinatum en 70 pacientes (46,1%) y pectus arcuatum en 5 pacientes (3,3%). La mayoría de los pacientes no tenían antecedentes familiares 137 (90%), ni antecedentes personales 89 (58,6%) asociados. La zona urbana representó un 80,9% y la rural un 19,1%. El manejo de estas deformidades fue expectante en un 65,1% y cirugía o intervenciones no invasivas en un 34,9%. Los tipos de intervenciones quirúrgicas realizadas fueron: Barra de Nuss 28 (18,4%), resección costal 1 (0,7%) y taulinosplastia 4 (2,7%). Los procedimientos no invasivos fueron representados por el sistema de compresión externa 20 (13,2%). Las complicaciones reportadas con mayor frecuencia fueron el dolor de difícil manejo 4 (5,2%) y el desplazamiento de material de osteosíntesis 2 (2,6%) | spa |
dc.description.abstract | eng:Chest wall deformities are a group of diseases, most of the time congenital, that cover a wide spectrum of disorders. These may manifest as isolated conditions or may correlate with extrathoracic abnormalities and genetic syndromes. Deleterious effects can occur from birth through adolescence, from life-threatening conditions to cosmetic or psychosocial concerns. The cornerstone of treatment lies in medical management, surgical repair, and genetic counseling. Surgically, the repair options are extensive and complex; therefore, the age and sex of the patient, as well as the surgical moment and the choice of prosthetic materials and grafts, are some of the factors that play a role in the decision-making process. A retrospective descriptive study was carried out, which includes a series of cases of pediatric patients with chest deformities in a period between 2008 and 2020, seeking to describe the sociodemographic characteristics, clinical and therapeutic characteristics of the population studied, as well as trans and postoperative complications. A total of 152 patients were analyzed, the main documented deformities were pectus excavatum in 77 patients (50.7%), pectus carinatum in 70 patients (46.1%) and pectus arcuatum in 5 patients (3.3%). Most of the patients had no family history 137 (90%), nor associated personal history 89 (58.6%). The urban area represented 80.9% and the rural area 19.1%. The management of these deformities was expectant in 65.1% and surgery or non-invasive interventions in 34.9%. The types of surgical interventions performed were: Nuss bar 28 (18.4%), rib resection 1 (0.7%) and taulinoplasty 4 (2.7%). Non-invasive procedures were represented by the external compression system 20 (13.2%). The most frequently reported complications were difficult-to-manage pain 4 (5.2%) and displacement of osteosynthesis material 2 (2.6%) | eng |
dc.description.tableofcontents | 1. Resumen/ 2. Introducción/ 3. Metodología/10 4. Resultados/ 5. Discusión/ 6. Conclusiones/ 7. Bibliografía/ 8. Anexos. | spa |
dc.format.mimetype | application/pdf | spa |
dc.language.iso | eng | spa |
dc.language.iso | spa | spa |
dc.title | Caracterización y manejo de deformidades del tórax en un hospital pediátrico de tercer nivel de la ciudad de Manizales entre los años 2008 a 2020 | spa |
dc.title | Characterization and management of chest deformities in a tertiary pediatric hospital in the city of Manizales between the years 2008 to 2020 | eng |
dc.type | Trabajo de grado - Especialización | spa |
dc.description.degreelevel | Especialización | spa |
dc.identifier.instname | Universidad de Caldas | spa |
dc.identifier.reponame | Repositorio de la Universidad de Caldas | spa |
dc.identifier.repourl | https://repositorio.ucaldas.edu.co | spa |
dc.publisher.faculty | Facultad de Ciencias para la Salud | spa |
dc.publisher.place | Manizales Colombia | spa |
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dc.rights.accessrights | info:eu-repo/semantics/closedAccess | spa |
dc.rights.accessrights | info:eu-repo/semantics/closedAccess | spa |
dc.rights.accessrights | info:eu-repo/semantics/closedAccess | spa |
dc.rights.accessrights | info:eu-repo/semantics/closedAccess | spa |
dc.subject.lemb | Genética | |
dc.subject.lemb | Enfermedades | |
dc.subject.lemb | Tórax | |
dc.subject.proposal | PE: Pectus excavatum | spa |
dc.subject.proposal | ;PC: Pectus carinatum | spa |
dc.subject.proposal | ISP: Índice severidad del Pectus | spa |
dc.subject.proposal | TC: Tomografía computarizada | spa |
dc.type.coar | http://purl.org/coar/resource_type/c_7a1f | spa |
dc.type.content | Text | spa |
dc.type.driver | info:eu-repo/semantics/bachelorThesis | spa |
dc.type.redcol | https://purl.org/redcol/resource_type/TP | spa |
dc.type.version | info:eu-repo/semantics/publishedVersion | spa |
oaire.version | http://purl.org/coar/version/c_ab4af688f83e57aa | spa |
oaire.accessrights | http://purl.org/coar/access_right/c_14cb | spa |
dc.description.degreename | Especialista en Cirugía General | spa |
dc.publisher.program | Especialización en Cirugía General | spa |
dc.rights.coar | http://purl.org/coar/access_right/c_14cb | spa |