La síntesis de tejidos, es la etapa final de todo acto quirúrgico teniendo
como finalidad la cicatrización de los tejidos. Los adhesivos tisulares a base de
cianoacrilato presentan la propiedad de polimerizar al contacto con fluidos
biológico, lo cual consigue una buena fuerza de atracción entre los tejidos
afrontados, además de ser biocompatible y biodegradable. El objetivo de la
investigación es determinar la efectividad clínica para la cicatrización de las
heridas incisionales post-exodoncia del adhesivo tisular a base de cianoacrilato
en comparación a la de la sutura seda negra trenzada 3.0
El estudio se realizó en 26 pacientes entre 13 y 17 años de edad, distribuidos
en dos grupos: grupo control (seda negra trenzada) y grupo experimental
(adhesivo tisular a base de cianoacrilato). Las evaluaciones clínicas se
efectuaran a los 30 min, 24h., 72h. y 7 días post operatorio. Las variables a
evaluar fueron afrontamiento de la herida, sangrado, grado de edema, apertura
bucal y dolor. El adhesivo tisular mostró ser al menos tan efectivo como la
sutura convencional para el tratamiento de heridas quirúrgicas post exodoncia
de terceros molares.
Palabras claves (DeCS): adhesivo tisular, cianoacrilato, síntesis de tejidos / --- It is the final stage of any surgery procedure having a good/well healing
of tissues. Tissue adhesives based on cyanoacrylate have the property of
curing upon contact with biological fluids, which get to enforce the attraction
among faced tissues. In addition to being biocompatible and biodegradable.
The objective was to determinate the effectiveness in the healing of surgical
wounds post removal of mandibular third molar of the Tissue adhesive based
on cyanoacrylate compared to conventional suture 3.0
The study was carried out on 26 teenagers’ patients who needed impacted
mandibular third molar removal. They were distributed into two groups: control
group (suture) and experimental group (tissues adhesive). The clinical
evaluations were effected after surgery: 30 minutes, 24 hours, 72 hours, and 7
days. The variables evaluated were: inflammation, pain, hemostatic effect
(bleeding), and confrontation of the wound. The tissues adhesive showed to be
effective to stop bleeding and to maintain a closed wound. Finally the adhesive
was the similar effectiveness as the conventional suture for the treatment of
surge wounds post exodoncia.
Key words: Tissue adhesive, cyanoacrylate, wound healing
| Identifer | oai:union.ndltd.org:Cybertesis/oai:cybertesis.unmsm.edu.pe:cybertesis/3498 |
| Date | January 2013 |
| Creators | Cueto Astete, Karen Victoria |
| Publisher | Lima |
| Source Sets | Universidad Nacional Mayor de San Marcos - SISBIB PERU |
| Language | Spanish |
| Detected Language | English |
| Type | info:eu-repo/semantics/bacherlorThesis |
| Source | Tesis digitales - UNMSM, Universidad Nacional Mayor de San Marcos. Programa Cybertesis PERÚ |
| Rights | info:eu-repo/semantics/openAccess |
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