Factores asociados al descenso de los niveles de hemoglobina postquirúrgica en pacientes sometidas a feminización facial

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dc.contributor.advisorLeotau Rodríguez, Mario Andrés
dc.contributor.apolounabLeotau Rodríguez, Mario Andrés [mario-andrés-leotau-rodríguez]spa
dc.contributor.authorPadilla Rincón, Gabriel Fernando
dc.contributor.orcidLeotau Rodríguez, Mario Andrés [0000-0003-4374-2840]spa
dc.coverage.campusUNAB Campus Bucaramangaspa
dc.coverage.spatialColombiaspa
dc.coverage.temporal2024spa
dc.date.accessioned2024-12-04T14:56:39Z
dc.date.available2024-12-04T14:56:39Z
dc.date.issued2024-12-03
dc.degree.nameEspecialista en Anestesiologíaspa
dc.description.abstractEste estudio tuvo como objetivo determinar los factores asociados al descenso de los niveles de hemoglobina postquirúrgica en pacientes sometidas a feminización facial. Se realizó un tipo de estudio de cohorte de base de datos secundaria anonimizada a través de un análisis estadístico bivariado con una muestra total de 198 pacientes sometidos a cirugía de feminización facial durante el periodo 2022 – 2024 en una clínica de alta complejidad en la ciudad de Bucaramanga (Santander, Colombia). Los resultados muestran una asociación significativa con el descenso de hemoglobina y el tipo de abordaje quirúrgico, así como una tendencia sin significancia estadística que relaciona los antecedentes quirúrgicos y farmacológicos. De esta manera, se concluye que existe la necesidad de un enfoque integral en la evaluación preoperatoria, el manejo intraoperatorio y el seguimiento postoperatorio que otorga complejidad a la atención de estas pacientes. Por lo tanto, se hace necesario guiar estrategias futuras de optimización, investigación y personalización del cuidado anestésico en esta población.spa
dc.description.abstractenglishThis study aimed to determine the factors associated with the decrease in post-surgical hemoglobin levels in patients undergoing facial feminization surgery. A cohort study was conducted using anonymized secondary database analysis with a sample of 198 patients who underwent facial feminization surgery between 2022 and 2024 at a high-complexity clinic in Bucaramanga (Santander, Colombia). The results show a significant association between hemoglobin decrease and the type of surgical approach, as well as a non-significant trend related to surgical and pharmacological history. It is concluded that there is a need for a comprehensive approach in preoperative assessment, intraoperative management, and postoperative follow-up, which adds complexity to the care of these patients. Therefore, future strategies for optimization, research, and personalized anesthetic care for this population are necessary.spa
dc.description.degreelevelEspecializaciónspa
dc.description.learningmodalityModalidad Presencialspa
dc.description.tableofcontents1. Justificación 1 2. Marco Teórico 3 2.1 Cirugía de Feminización Facial (CFF) 3 2.1.1 Definición y objetivos de la CFF 3 2.1.2 Historia y evolución de la CFF 3 2.1.3 Técnicas quirúrgicas específicas en la CFF 5 2.2 Aspectos Psicológicos y Sociales 8 2.2.1 Impacto de la CFF en la satisfacción del paciente 8 2.2.2 Percepción de género del paciente 9 2.2.3 Perspectiva del paciente transgénero y consideraciones 10 2.2.4 Calidad de vida de los pacientes después de una CFF 11 2.3 Proceso Perioperatorio 12 2.3.1 Preparación para la CFF 12 2.4 Planificación preoperatoria 13 2.4.1 Evaluación Fotográfica 13 2.4.2 Evaluación Radiográfica 14 2.4.3 Tomografía Computarizada 14 2.4.4 Modelado 3D 14 2.4.5 Impresión 3D 14 2.4.6 Procedimientos Planificados 15 2.4.7 Anestesia quirúrgica 15 2.5 Manejo del dolor y cuidados postoperatorios 17 2.6 Factores que influyen en las perdidas sanguíneas 20 2.6.1 Factores preoperatorios 20 2.6.2 Factores intraoperatorios 21 2.7 Complicaciones y riesgos de la CFF 21 2.8 Avances Tecnológicos y Futuras Tendencias 22 2.8.1 Queiloplastia, nuevas perspectivas y avances 24 2.9 Principales procedimientos y avances en la cirugía de feminización facial en el paciente transgénero 25 3. Estado de arte 27 4. Objetivos 30 4.1 Objetivo general 30 4.2 Objetivos específicos 30 5. Metodología 30 5.1 Tipo de estudio 30 5.2 Población 30 5.3 Criterios de inclusión 31 5.4 Criterios de exclusión 31 5.5 Recolección de la información 31 5.6 Variable 32 5.7 Plan de análisis de datos 34 5.8 Cálculo de tamaño de muestra 35 5.9 Consideraciones éticas 35 6. Resultados 38 7. Discusión 44 8. Conclusiones 50 9. Cronograma de actividades 50 10. Referencias Bibliográficas 51spa
dc.format.mimetypeapplication/pdfspa
dc.identifier.instnameinstname:Universidad Autónoma de Bucaramanga - UNABspa
dc.identifier.reponamereponame:Repositorio Institucional UNABspa
dc.identifier.repourlrepourl:https://repository.unab.edu.cospa
dc.identifier.urihttp://hdl.handle.net/20.500.12749/27649
dc.language.isospaspa
dc.publisher.facultyFacultad Ciencias de la Saludspa
dc.publisher.grantorUniversidad Autónoma de Bucaramanga UNABspa
dc.publisher.programEspecialización en Anestesiologíaspa
dc.publisher.programidEANE-1049
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dc.relation.referencesju143j.spa
dc.relation.uriapolohttps://apolo.unab.edu.co/en/persons/mario-andr%C3%A9s-leotau-rodr%C3%ADguezspa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.creativecommonsAtribución-NoComercial-SinDerivadas 2.5 Colombia*
dc.rights.localAbierto (Texto Completo)spa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/*
dc.subject.keywordsAnesthesiologyspa
dc.subject.keywordsMedical sciencesspa
dc.subject.keywordsHealth sciencesspa
dc.subject.keywordsMedicinespa
dc.subject.keywordsPerioperative managementspa
dc.subject.keywordsFactors associatedspa
dc.subject.keywordsFacial feminization surgeryspa
dc.subject.keywordsBleedingspa
dc.subject.keywordsOperations, surgicalspa
dc.subject.keywordsOperative surgeryspa
dc.subject.keywordsHemorrhagespa
dc.subject.keywordsGender transitionspa
dc.subject.lembAnestesiologíaspa
dc.subject.lembCiencias médicasspa
dc.subject.lembMedicinaspa
dc.subject.lembOperaciones quirúrgicasspa
dc.subject.lembCirugía operatoriaspa
dc.subject.lembHemorragiaspa
dc.subject.lembTransición de génerospa
dc.subject.proposalCiencias de la saludspa
dc.subject.proposalFeminización facialspa
dc.subject.proposalManejo perioperatoriospa
dc.subject.proposalSangradospa
dc.subject.proposalFactores asociadosspa
dc.titleFactores asociados al descenso de los niveles de hemoglobina postquirúrgica en pacientes sometidas a feminización facialspa
dc.title.translatedFactors associated with decreased post-surgical hemoglobin levels in patients undergoing facial feminizationspa
dc.type.coarhttp://purl.org/coar/resource_type/c_bdcc
dc.type.coarversionhttp://purl.org/coar/version/c_ab4af688f83e57aaspa
dc.type.driverinfo:eu-repo/semantics/masterThesis
dc.type.hasversioninfo:eu-repo/semantics/acceptedVersion
dc.type.localTesisspa
dc.type.redcolhttp://purl.org/redcol/resource_type/TM

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