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        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Analizamos retrospectivamente una serie de 124 pacientes intervenidos por un s&#237;ndrome de t&#250;nel carpiano entre los a&#241;os 1989 y 1994 en nuestro Servicio&#46; Son un total de 150 manos intervenidas y 14 reintervenidas&#46; Revisamos los resultados de la cirug&#237;a con t&#233;cnicas de bloqueo anest&#233;sico distal a nivel carpiano&#44; con anestesia local en la incisi&#243;n y con bloqueo del plexo braquiaI&#46; Evaluamos la utilidad del estudio neurofisiol&#243;gico&#46; Hemos comparado los resultados de los tipos de incisi&#243;n empleados&#44; de la t&#233;cnica anest&#233;sica&#44; de la cirug&#237;a realizada de forma ambulatoria y en los pacientes con ingreso hospitalario&#46; Apreciamos mejores resultados en los pacientes con datos de atrapamiento moderado o severo en el estudio neurofisiol&#243;gico&#46; Observamos menores complicaciones con la t&#233;cnica de bloqueo anest&#233;sico a nivel del carpo&#46; Encontramos de forma significativa menor incidencia de complicaciones con la incisi&#243;n longitudinal&#46; El 80&#37; de los pacientes ambulatorios mejoraron tras la cirug&#237;a&#46; En esta serie obtenemos globalmente un 85&#37; de buenos resultados&#46;</p>"
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Síndrome de túnel carpiano experiencia en 124 pacientes
A. Rodríguez de Lope, J.M. Castilla, A. Gómez, N. López-Ariztegui, V. Martín, M.J. Ramiro, E. González, R. Carrillo
Servicio de Neurocirugia. Hospital General Universitario «Gregario Marañón». Madrid
I. Jiménez*
* Servicio de Anestesiología. Hospital General Universitario «Gregario Marañón». Madrid
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          "titulo" => "Palabras Clave"
          "identificador" => "xpalclavsec162993"
          "palabras" => array:3 [
            0 => "S&#237;ndrome de t&#250;nel carpiano"
            1 => "Bloqueo anest&#233;sico distal"
            2 => "Cirug&#237;a ambulatoria"
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          "titulo" => "Key Words"
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            0 => "Carpal Tunnel Syndrome"
            1 => "Distal forearm regional block anesthesia"
            2 => "Ambulatory surgery"
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    "resumen" => array:2 [
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Analizamos retrospectivamente una serie de 124 pacientes intervenidos por un s&#237;ndrome de t&#250;nel carpiano entre los a&#241;os 1989 y 1994 en nuestro Servicio&#46; Son un total de 150 manos intervenidas y 14 reintervenidas&#46; Revisamos los resultados de la cirug&#237;a con t&#233;cnicas de bloqueo anest&#233;sico distal a nivel carpiano&#44; con anestesia local en la incisi&#243;n y con bloqueo del plexo braquiaI&#46; Evaluamos la utilidad del estudio neurofisiol&#243;gico&#46; Hemos comparado los resultados de los tipos de incisi&#243;n empleados&#44; de la t&#233;cnica anest&#233;sica&#44; de la cirug&#237;a realizada de forma ambulatoria y en los pacientes con ingreso hospitalario&#46; Apreciamos mejores resultados en los pacientes con datos de atrapamiento moderado o severo en el estudio neurofisiol&#243;gico&#46; Observamos menores complicaciones con la t&#233;cnica de bloqueo anest&#233;sico a nivel del carpo&#46; Encontramos de forma significativa menor incidencia de complicaciones con la incisi&#243;n longitudinal&#46; El 80&#37; de los pacientes ambulatorios mejoraron tras la cirug&#237;a&#46; En esta serie obtenemos globalmente un 85&#37; de buenos resultados&#46;</p>"
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      "en" => array:2 [
        "titulo" => "Summary"
        "resumen" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We report a retrospective study of the surgical results in 124 patients suffering Carpal Tunnel Syndrome operated in our Neurosurgical Service between 1989 and 1994&#46; In this series there were 150 hands operated and 14 reoperated&#46; We analyse the surgical results obtained with distal forearm regional block anaesthesia at the operative site and brachial plexus block&#46; We also analyze the preoperative valve of the electrophysiological study and compare the results obtained with different incisions&#44; anesthetic techniques and the duration of hospitalization&#46; We observed better results in patients with positive entrapment at the preoperative electrodiagnostic tets and a lower incidence of complications with distal forearm regional block anesthesia and longitudinal incision&#46; The results were satisfactory in 88&#37; of ambulatory patients&#46; Ouerall&#44; we achiened good results in 85&#37; of cases&#46;</p>"
      ]
    ]
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      0 => array:2 [
        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Rodr&#237;guez de Lope&#44; A&#46;&#59; Castilla&#44; J&#46;M&#46;&#59; G&#243;mez&#44; A&#46;&#59; L&#243;pez-Ariztegui&#44; N&#46;&#59; Mart&#237;n&#44; V&#46;&#59; Ramiro&#44; M&#46;J&#46;&#59; Gonz&#225;lez&#44; E&#46;&#59; Jim&#233;nez&#44; I&#46;&#59; Carrillo&#44; R&#46;&#58; S&#237;ndrome de t&#250;nel carpiano&#46; Experiencia en 124 pacientes&#46; Case report&#46; Neurocirug&#237;a 1996&#59; 7&#58; 193&#8211;198&#46;</p>"
      ]
    ]
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                      "autores" => array:1 [
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                          "etal" => false
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                            1 => "V&#46; Bowen"
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                        "fecha" => "1994"
                        "volumen" => "19B"
                        "paginaInicial" => "622"
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                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
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                        0 => array:2 [
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                  ]
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                  "contribucion" => array:1 [
                    0 => array:2 [
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                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
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                            0 => "R&#46;M&#46; Curtis"
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                    0 => array:1 [
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                  "contribucion" => array:1 [
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                      "titulo" => "Treatment of carpal tunnel syndrome by members of the American Society for Surgery of the Hand&#58; Results of a cuestionnaire"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "K&#46;H&#46; Duncan"
                            1 => "R&#46;C&#46; Lewin"
                            2 => "K&#46;A&#46; Foreman"
                            3 => "M&#46;D&#46; Nordyke"
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                      ]
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                  "host" => array:1 [
                    0 => array:1 [
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                        "fecha" => "1987"
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                  "contribucion" => array:1 [
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                      "titulo" => "Treatment of carpal tunnel syndrome&#46; Comparat&#237;ve study with and without epyneurolysis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46; Fissette"
                            1 => "A&#46; Onkelinx"
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                    ]
                  ]
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                      "Revista" => array:6 [
                        "tituloSerie" => "Hand"
                        "fecha" => "1979"
                        "volumen" => "11"
                        "paginaInicial" => "206"
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/488797"
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Results of treatment of severe carpal tunnel syndrome without intemal neurolysis of the median nerve"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:1 [
                            0 => "R&#46;H&#46; Gelberman"
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                      ]
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                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J&#46; Bone Joint Surgery&#46;"
                        "fecha" => "1987"
                        "volumen" => "69A"
                        "paginaInicial" => "896"
                        "paginaFinal" => "903"
                      ]
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Nerve Injuries&#46; Operative results for major nerve injuries&#44; entrapments and tumors"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "Kline David G&#46;"
                            1 => "Hudson Alan R&#46;"
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                      "Libro" => array:4 [
                        "edicion" => "1<span class="elsevierStyleSup">a</span>"
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                        "editorial" => "W&#46; B&#46; Saunders"
                        "editorialLocalizacion" => "Philadelphia"
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                      "titulo" => "Surgery of the Peripheral Nerve"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46;E&#46; MacKinnon"
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                      "Libro" => array:3 [
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                      "titulo" => "Lectures on Surgical Pathology"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
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                        "fecha" => "1865"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "G&#46;S&#46; Phalen"
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                    ]
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                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "G&#46;S&#46; Phalen"
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                  "host" => array:1 [
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                      "Revista" => array:6 [
                        "tituloSerie" => "JAMA"
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                          "etal" => false
                          "autores" => array:3 [
                            0 => "B&#46; Rydek"
                            1 => "G&#46; Lundborg"
                            2 => "C&#46; Nordberg"
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                      ]
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                  ]
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                    0 => array:1 [
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                        "volumen" => "10"
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                    0 => array:2 [
                      "titulo" => "Carpal tunnel syndrome in the elderly&#46; Beware of severe cases"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "P&#46; Seror"
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                  "host" => array:1 [
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                        "fecha" => "1991"
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                        "numero" => "n&#46;&#176; 3"
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                      "titulo" => "Sensivity of the various tests for the diagnosis of carpal tunnel syndrome"
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                          "etal" => false
                          "autores" => array:1 [
                            0 => "P&#46; Seror"
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                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "J&#46; Hand Surg&#46;"
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                          "autores" => array:3 [
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                        "tituloSerie" => "Arch&#46; Neurol&#46;"
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                    0 => array:2 [
                      "titulo" => "Carpal tunnel release without a tourniquet"
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Información del artículo
ISSN: 11301473
Idioma original: Español
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