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Search Results: 1 - 10 of 479101 matches for " Jorge Lecannelier A "
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SUSPENSIóN TRANSVAGINAL ALTA A LIGAMENTOS UTEROSACROS PARA EL TRATAMIENTO DE DEFECTOS APICALES (STALUS): DESCRIPCIóN DE LA TéCNICA Y RESULTADOS ANATóMICOS A MEDIANO PLAZO
Jorge Lecannelier A,César Sandoval S,Michel Naser N,Valentín Manríquez G
Revista Chilena de Obstetricia y Ginecología , 2008,
Abstract: Objetivos: Describir una técnica quirúrgica, novedosa en el medio nacional, de abordaje vaginal, para el tratamiento del prolapso apical: la suspensión transvaginal alta a ligamentos úterosacros (STALUS). Método: Estudio descriptivo longitudinal, de 57 pacientes con defectos apicales, a los cuales se les realizó esa técnica entre Diciembre de 2002 y Octubre 2005. Se realizó estadística descriptiva y test t (2 muestras) para análisis de pronóstico anatómico (POP-Q). Para análisis de potenciales factores pronósticos se utilizó ANOVA, regresión lineal y logística. Resultados: El tiempo operatorio promedio fue de 151 minutos. El resultado anatómico (POP-Q), pre y postoperatorio, resultó favorable y estadísticamente significativo, en los nueve puntos evaluados, 49 de las 54 pacientes fueron seguidas en promedio durante 15 meses. En el compartimiento apical (punto C) obtuvimos curación del 89% y no hubo fracasos. En la pared anterior, 22% de las pacientes recidivaron. En cuanto a las complicaciones, se produjo una fístula ureterovaginal. Conclusiones: Tomando las precauciones necesarias, es una técnica segura y reproducible, con buenas tasa de curación. Asegurar la indemnidad del uréter, siempre será una obligación. La recidiva en pared anterior, aunque sea asintomática, resulta ser extremadamente alta, lo que nos obliga a pensar en nuevas técnicas de abordaje de este compartimiento. Objective: To describe a novel surgery technique in the national ground, of vaginal approach for the treat-ment of apical prolapse: the transvaginal high suspensión to the uterosacral ligaments (STALUS). Method: It is a longitudinal descriptive study that included 57 patients with apical support defects, in which this technique was performed between December 2002 and October 2005. Descriptive statistics and t test were per-formed for the anatomical outcome (POP-Q). For the potential prognosis factors, ANOVA, lineal regression and logistic, were used. Results: The average surgery time was 151 minutes. The anatomical result (POP-Q), before and after surgery, was favourable and significant in the nine points evaluated. 49 of 54 patients were followed for 15 months in average. In the apical compartment (C point) we got an 89% of cure and there were no failure. In the anterior wall, instead, 22% of our patients recurred. About complications, there was an ureterovaginal fistula. Conclusions: If all precautions are taking, there is a secure and reproducible technique, with good cure rate. To secure the uréter it is always an obligation. The recurrence in the anterior wall, even been asy
NEUROMODULACIóN EN PATOLOGíAS DE PISO PéLVICO
Valentín Manríquez G,César Sandoval S,Jorge Lecannelier A,Michel Naser N
Revista Chilena de Obstetricia y Ginecología , 2010,
Abstract: A través de la historia la neuromodulación ha demostrado ser una alternativa de tratamiento eficaz en el manejo de diversas disfunciones del piso pélvico. Distintas técnicas intentan conseguir un objetivo común, sin embargo, el éxito terapéutico es disímil dependiendo de la severidad y tipo de patología. Describimos los aspectos clínicos y operacionales relacionados con las diversas técnicas, así como los mecanismos de acción propuestos para la neuromodulación. Through hystory, neuromodulation have proved to be an effective alternative of management of pelvic floor dysfunctions. Several technical alternatives try to reach a same therapeutic objetive, however, depending on the severity and type of symptom their succes differ. We describe the clinical and technical aspects related to those different technics so as the mechanisms of action that are propose for the neuromodulation.
Acceso radial durante la angioplastía primaria en el infarto agudo al miocardio
Pérez,Luis; Venegas,Reinaldo; Lecannelier,Eduardo; Salda?a,álvaro; Gajardo,Jorge; Parra,Jessica; Segall,Virginia; Robles,Isabel;
Revista chilena de cardiología , 2011, DOI: 10.4067/S0718-85602011000200005
Abstract: background: radial access (ra) has been shown to help reduce vascular complications of coronary ar-teriography and angioplasty (ptca). however, little experience has been reported with ra to perform primary ptca in st elevation acute myocardial infarction (stemi). since december 2007, we selected ra as a first option for primary ptca in stemi. aim: to determine whether ra is as effective, safe and expeditious as femoral access (fa) in primary ptca for stemi method: we performed a retrospective review of our database of all patients undergoing primary ptca in our laboratory from sept 2005 through august 2009. we compared all patients who had a ptca using a fa to those in whom the ra was used. the door to balloon time, angiographic results, clinical success rate and complications related to the vascular access were compared between groups. follow-up was based con clinical visits and phone calls. values are expressed as mean and sd. results: 375 patients had an fa (75%) and 118 an ra (25%). mean age was similar in both groups (61±12 vs 62±12, respectively, ns). selected clinical characteristics did no differ between groups. door to balloon time was 62±37 min for fa and 61±29 min for ra (ns). clinical success rate exceeded 94% in both groups. vascular complications occurred in 3% in the af group. no vascular complications were observed in the ra group. thirty day overall mortality rates were 5.2% in fa and 4.0% in ra (ns). conclusion: radial access can be used for primary ptca in stemi with similar success rates and lower incidence of vascular complications, when compared to the traditional femoral access.
Los aportes de la Teoría de la Mente (ToM) a la Psicopatología del Desarrollo
Felipe Lecannelier A.
Terapia Psicológica , 2004,
Abstract:
Necesidad de nueva revascularización coronaria en pacientes diabéticos tratados con Stents no recubiertos
Pérez P,Luis; Venegas A,Reinaldo; Lecannelier F,Eduardo; Olmos C,Alfonso; Salda?a V,Alvaro; Gajardo,Jorge; Parra,Jessica; Aburto,Grinda; Robles,Isabel; Flores 0,Maritza;
Revista chilena de cardiología , 2009, DOI: 10.4067/S0718-85602009000200005
Abstract: background: diabetes mellitus is associated to a more severe and extensive coronary artery disease. coronary angioplasty (ptca) has been demonstrated to have similar immediate results compared with patients without diabetes; however, diabetic patients exhibit a higher rate of restenosis and target lesion revascularization. aim: to study the real incidence of a new interventional procedures in diabetics patients who were treated with bare metal stents. methods: from january 2005 to december 2006, 571 patients were submitted to ptca at the hospital regional de concepción. 108 patients (195) were diabetics. clinical characteristics, risk factors, and angiographic findings were tabulated. telephone follow up was used to determine the performance of coronary re intervention. a logistics regression model was used to identify predictors of coronary re intervention. results: the mean average age was 61±10 years, 66% were men and 25% required insulin treatment. dyslypidemia was present in 86%, hypertension in 86% and 25% were smokers. indication for ptca was acute coronary syndrome in 52%, myocardial infarction in 35% and stable angina in 11%. they received 1,3 stents/pts and immediate success rate was 96%. during follow up (13,7±7 months) global mortality was 4,6% and only 12 (11%) patients had a second revascularization procedure, 67% of them performed in non stented coronary arteries. four revascularizations (33%) were due to significant in-stent restenosis, seven (58%) to other significant lesions and 1 to subacute stent thrombosis. in the univariate and multivanate analysis we did not find independent clinical or angiographic factors as predictors of new revascularization. however, it was more frequent in patients with proximal left anterior descending artery stents and long lesions (58% and 50%, respectively). conclusion: in our experience, need for repeat revascularization in diabetic patients previously treated with bare metal stents is low, and mainly due to lesions
NEUROMODULACIóN EN PATOLOGíAS DE PISO PéLVICO
Manríquez G,Valentín; Sandoval S,César; Lecannelier A,Jorge; Naser N,Michel; Guzmán R,Rodrigo; Valdevenito S,Raúl; Abedrapo M,Mario;
Revista chilena de obstetricia y ginecología , 2010, DOI: 10.4067/S0717-75262010000100010
Abstract: through hystory, neuromodulation have proved to be an effective alternative of management of pelvic floor dysfunctions. several technical alternatives try to reach a same therapeutic objetive, however, depending on the severity and type of symptom their succes differ. we describe the clinical and technical aspects related to those different technics so as the mechanisms of action that are propose for the neuromodulation.
Diferencias en la aterosclerosis coronaria entre hombres y mujeres con Diabetes Mellitus tipo 2 evaluados con el Score de Gensini
Gajardo,Luis; Lecannelier,Eduardo; Venegas,Reinaldo; Pérez,Luis; Salda?a,álvaro; Vargas,Gilda; Parra,Jessica; Segall,Virginia; Robles,Isabel; Gajardo,Jorge; Lamperti,Liliana;
Revista chilena de cardiología , 2012, DOI: 10.4067/S0718-85602012000200002
Abstract: diabetic women have higher morbidity and mortality associated with ischemic coronary events than diabetic men, but the extension of coronary artery disease in both groups is less well established. aim: to compare the extension, magnitude and severity of coronary atherosclerosis between men and women with type 2 diabetes mellitus. method: 162 consecutive diabetic patients with suspected coronary atherosclerosis studied by coronary angiography were included. the magnitude of atherosclerosis was quantified using the gensini score. results: the average age was 64.8 years. ninety-four patients were women (58.0%). diabetes was present for 152 ± 90.0 months for women and 120 ± 99.4 months for men (p <0.05). women had a higher body mass index (30.5 ± 5.1) than men (28.5 ± 5.2, p<0.05). the presence of significant coronary atherosclerosis in the entire diabetic population was of 61.7%: 76.5% in men and 51.5% in women (or 1.5). the mean number of atherosclerotic plaques was 195 in 68 men (2.86 plaques/patient) and 168 in 94 women (1.78 plaques/patient, p=0.0043). significant atherosclerosis in 1, 2 and 3 vessels was observed in 7.4%, 17.6% and 51.5% of men, respectively, versus 12.8%, 10.6% and 27.7% in women (p<0.0002). the magnitude of coronary disease measured by gensini score was 69.4 + 66.7 in men versus 35.6 ± 47.3 in women (p<0.005). conclusion: men with diabetes have greater extension, magnitude and severity of coronary atherosclerosis than diabetic women.
Validación del Cuestionario de Maltrato entre Iguales por Abuso de Poder (MIAP) para escolares A self administered survey to assess bullying in schools
Felipe Lecannelier,Jorge Varela,Jorge Rodríguez,Marianela Hoffmann
Revista médica de Chile , 2011,
Abstract: Background: Bullying is common in schools and has negative consequences. It can be assessed using a self-reported instrument. Aim: To validate a Spanish self-reporting tool called “Survey of High School Bullying Abuse of Power” (MIAP). Material and Methods: The instrument has 13 questions, of which 7 are multiple choice, rende-ring a total of 49 items. It was applied to 2.341 children of seventh and eighth grade attending private, subsidized and municipal schools in the city of Concepción, Chile. Expert judge analysis and estimated reliability using the Cronbach Alpha were used to validate the survey. Results: The instrument obtained a Cronbach Alpha coeffcient of 0.8892, classifed as good. This analysis generated four scales that explained 30.9% of the variance. They were called “Witness Bullying” with 18 items, accounting for 11.4% of the variance, “Bullying Victim” with 12 items, accounting for 7.5% of the variance, “Bullying Perpetrator and Severe bullying Victim”, with 10 items explaining 6.4% of the variance and “Aggressor Bullying” with 6 items accounting for 5.7% of the variance. Conclusions: The MIAP can recognize four basic factors that facilitate the analysis and understanding of bullying, with good levels of reliability and validity. The remaining questions also deliver valuable information.
SUSPENSIóN TRANSVAGINAL ALTA A LIGAMENTOS UTEROSACROS PARA EL TRATAMIENTO DE DEFECTOS APICALES (STALUS): DESCRIPCIóN DE LA TéCNICA Y RESULTADOS ANATóMICOS A MEDIANO PLAZO
Lecannelier A,Jorge; Sandoval S,César; Naser N,Michel; Manríquez G,Valentín; Guzmán R,Rodrigo; Valdebenito S,Raúl; Cavada C,Gabriel; Aguilera M,Amalia; Rao,XI;
Revista chilena de obstetricia y ginecología , 2008, DOI: 10.4067/S0717-75262008000300002
Abstract: objective: to describe a novel surgery technique in the national ground, of vaginal approach for the treat-ment of apical prolapse: the transvaginal high suspensión to the uterosacral ligaments (stalus). method: it is a longitudinal descriptive study that included 57 patients with apical support defects, in which this technique was performed between december 2002 and october 2005. descriptive statistics and t test were per-formed for the anatomical outcome (pop-q). for the potential prognosis factors, anova, lineal regression and logistic, were used. results: the average surgery time was 151 minutes. the anatomical result (pop-q), before and after surgery, was favourable and significant in the nine points evaluated. 49 of 54 patients were followed for 15 months in average. in the apical compartment (c point) we got an 89% of cure and there were no failure. in the anterior wall, instead, 22% of our patients recurred. about complications, there was an ureterovaginal fistula. conclusions: if all precautions are taking, there is a secure and reproducible technique, with good cure rate. to secure the uréter it is always an obligation. the recurrence in the anterior wall, even been asymptomatic, is too high, that make us think in new techniques in order to manage this compartment.
Acceso radial durante la angioplastía primaria en el infarto agudo al miocardio Radial artery access to perform primary angyoplasty in acute myocardial infarction
Luis Pérez,Reinaldo Venegas,Eduardo Lecannelier,álvaro Salda?a
Revista Chilena de Cardiología , 2011,
Abstract: Introdución: El acceso radial (AR) ha demostrado reducir las complicaciones vasculares asociadas a la coronariografía y angioplastía coronaria; sin embargo, su rol en la angioplastía primaria (AP) durante el infarto agudo al miocardio con supradesnivel del segmento ST (IAM c/SDST) es muy escasa. En diciembre de 2007, nuestro equipo adoptó esta técnica como primera opción durate la AP Objetivo. Estudiar si el AR durante la AP es tan rápido y seguro como el acceso femoral (AF). Métodos: Utilizando el registro de nuestro laboratorio, analizamos todos los pacientes con IAM c/SDST que fueron tratados con AP en nuestro hospital en el período Septiembre 2005 - Agosto 2009, y luego de identificar los pacientes de acuerdo al AF y AR, comparamos el tiempo "puerta-balón", los resultados an-giográficos, el éxito clínico y las complicaciones relacionadas al acceso. El seguimiento se efectuó a través de las visitas médicas y vía telefónica. Los valores se muestran como promedio ± DS. Resultados: En el periodo estudiado, en 354 (75%) pacientes se utilizó AF y en 118 (25%) el AR. La edad promedio de ambos grupos fue similar, 61±12 a os en el grupo con AF vs 62±12 a os en AR (p=ns) y no hubo diferencias en las características clínicas de los grupos. El tiempo "puerta-balón" fue 62±37 minutos vs 61±29 minutos en AF y AR respectivamente (p=ns) con una tasa de éxito superior al 94% en ambo grupos. En el grupo de AF hubo 3% de complicaciones vasculares vs 0% en AR. La mortalidad global a 30 días fue 5,1 % en el grupo de AF y de 4,0% en AR (p=ns). Conclusión: El acceso radial para la AP permite abrir la arteria culpable en tiempos similares al AF y con una menor incidencia de complicaciones vasculares. Background: Radial access (RA) has been shown to help reduce vascular complications of coronary ar-teriography and angioplasty (PTCA). However, little experience has been reported with RA to perform primary PTCA in ST elevation acute myocardial infarction (STEMI). Since December 2007, we selected RA as a first option for primary PTCA in STEMI. Aim: to determine whether RA is as effective, safe and expeditious as femoral access (FA) in primary PTCA for STEMI Method: we performed a retrospective review of our database of all patients undergoing primary PTCA in our laboratory from Sept 2005 through August 2009. We compared all patients who had a PTCA using a FA to those in whom the RA was used. The door to balloon time, angiographic results, clinical success rate and complications related to the vascular access were compared between groups. Follow-up was based con clinical visits
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