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    2510 results match your criteria Cirugia espanola[Journal]

    1 OF 51

    Robotic Assisted Transanal Polypectomies: Is There Any Indication?
    Cir Esp 2017 Nov 13. Epub 2017 Nov 13.
    Cirugía Colorrectal, Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario Marqués de Valdecilla, Santander, España.
    Objectives: Robotic assisted transanal polipectomy may have advantages compared with the conventional transanal minimally invasive surgery technique. We evaluate the safety, feasibility and advantages of this technique.

    Methods: Between February 2014 and October 2015, 9patients underwent robotic transanal polypectomy. Read More

    Comparison among the levels of patients' satisfaction according to the surgical technique used in breast reconstruction after mastectomy.
    Cir Esp 2017 Nov 13. Epub 2017 Nov 13.
    F.E.A. Cirugía General, Hospital Universitario Miguel Servet, Zaragoza, España.
    Background: It has been proved that a breast reconstruction after a mastectomy has a great psycho-social impact on patients. For this reason, it is increasingly done in a greater percentage of cases. There are two major groups of reconstructive techniques: a reconstruction with implants and a reconstruction with autologous tissue of the patient. Read More

    Histopathological and Immunohistochemical Analysis of the Use of Collagen Dressing as a Reinforcement of Esophagic Anastomosis in a Rat Experimental Model.
    Cir Esp 2017 Nov 5. Epub 2017 Nov 5.
    Servicio de Cirugía General y Experimental, Hospital Clínico Universitario Virgen de la Arrixaca, Instituto Murciano de Investigación Biosanitaria (IMIB), Murcia, España; CIBERehd, Barcelona, España.
    Introduction: One of the most severe complications after esophaguectomy is anastomotic dehiscence. The use of collagen sponges could be an effective way to resolve this complication. Our objective was to perform an experimental model of esophageal anastomosis in rats to study these mechanisms. Read More

    Thromboelastometric Profile and Acute Coagulopathy of the Polytraumatized Patient: Clinical and Prognostic Implications.
    Cir Esp 2017 Oct 27. Epub 2017 Oct 27.
    Servicio de Anestesiología y Reanimación, Hospital Universitario de Bellvitge, Hospitalet de Llobregat, Barcelona, España.
    Introduction: About 25-35% of polytraumatized patients have a profound alteration of hemostasis on arrival at the hospital (acute traumatic coagulopathy [CAT]). Viscoelastic tests (ROTEM(®)) measure the hemostatic capacity and provide an early detection of CAT. The objectives of this study are to describe the initial thromboelastogram of these patients and to determine the prevalence of CAT according to predefined thromboelastographic profiles. Read More

    Prevention of Surgical Site Infection: Analysis and Narrative Review of Clinical Practice Guidelines.
    Cir Esp 2017 Nov 6;95(9):490-502. Epub 2017 Nov 6.
    Servicio de Medicina Preventiva, Hospital General Universitario de Elche, Alicante, España.
    Surgical site infection is one of the most prevalent healthcare-associated infections and presents a considerable morbidity. The aim of this comprehensive narrative review is to describe the evidence and grade of recommendation of the preventive measures developed in the three phases of the surgical process (preoperative, perioperative and postoperative phases), as well as coincidences and divergences between selected Clinical Practice Guidelines (CPG). Four preventive measures were recommended with similar high grade evidence in all CPG: Hair removal, antibiotic prophylaxis, surgical site preparation and normothermia. Read More

    Sexual satisfaction following bariatric surgery: A prospective exploratory study.
    Cir Esp 2017 Nov 31;95(9):521-528. Epub 2017 Oct 31.
    Departamento de Educación, Facultad de Ciencias de la Educación, Universidad de Almería, Almería, España; Centro de Investigación CERNEP, Universidad de Almería, Almería, España.
    Introduction: Bariatric surgery improves sexual function in obese individuals, although the extent to which sexual satisfaction is improved following surgery is unknown. The aims of this study were 1) to describe sexual satisfaction in severely/morbidly obese men and women candidates for bariatric surgery; 2) to assess the effects of bariatric surgery on sexual satisfaction at 12-months follow-up; and 3) to assess whether weight changes at follow-up following bariatric surgery are associated with changes in sexual satisfaction.

    Methods: We conducted a prospective observational study from February 2011 to June 2014. Read More

    Simultaneous pancreas-kidney transplantation. Experience of the Doce de Octubre Hospital.
    Cir Esp 2017 Oct 28. Epub 2017 Oct 28.
    Unidad de Cirugía Hepato-Bilio-Pancreática y Trasplante de Órganos Abdominales, Departamento de Cirugía, Hospital Universitario Doce de Octubre, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, España.
    Introduction: Simultaneous pancreas-kidney transplantation (SPKT) constitutes the therapy of choice for diabetes type1 or type2 associated with end-stage renal disease, because is the only proven method to restore normo-glicemic control in the diabetic patient.

    Methods: Retrospective and descriptive study of a series of 175 patients who underwent SPKT from March 1995 to April 2016. We analyze donor and recipient characteristics, perioperative variables and immunosuppression, post-transplant morbi-mortality, patient and graft survival, and risk factors related with patient and graft survival. Read More

    C reactive protein as a predictor of anastomotic leakage in colorectal surgery. Comparison between open and laparoscopic surgery.
    Cir Esp 2017 Nov 20;95(9):529-535. Epub 2017 Oct 20.
    Unidad de Coloproctología, Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario Virgen del Rocío, Sevilla, España.
    Introduction: Anastomotic leak (AL) is a serious complication in colorectal surgery due to its increase in morbidity and mortality. The aim of this prospective non-randomised study is to determine whether C-reactive Protein (CRP) is useful as a predictor of AL in patients undergoing open versus laparoscopic surgery.

    Methods: A total of 168 patients undergoing elective colorectal surgery were included. Read More

    Simulation as a surgical teaching model.
    Cir Esp 2017 Oct 17. Epub 2017 Oct 17.
    Servicio de Cirugía, Hospital Universitario Marqués de Valdecilla, Santander, Cantabria, España.
    Teaching of surgery has been affected by many factors over the last years, such as the reduction of working hours, the optimization of the use of the operating room or patient safety. Traditional teaching methodology fails to reduce the impact of these factors on surgeońs training. Simulation as a teaching model minimizes such impact, and is more effective than traditional teaching methods for integrating knowledge and clinical-surgical skills. Read More

    Oncological results of the educational Rectal Cancer Project in Spain 10 years after its implementation.
    Cir Esp 2017 Oct 13. Epub 2017 Oct 13.
    Instituto de Investigación Biomédica de Girona (IDIBGI), Girona, España.
    Introduction: The objective of this observational, prospective, multicenter and multilevel study was to evaluate the oncological outcomes (local recurrence, metastasis and overall survival) of the Rectal Cancer Project of the Spanish Association of Surgeons (AEC) 10 years after its initiation, comparing the results with Scandinavian registries.

    Methods: The AEC teaching project database includes 17,620 patients to date, of which 4,508 were operated on with a potentially curative resection between March 2006 and December 2010. All of them come from the first 59 hospitals included in the project, and therefore followed for at least 5 years, and are the subject of the present study. Read More

    Advancement Flap Technique for Anal Fistula in Patients With Crohn's Disease: A Systematic Review of the Literature.
    Cir Esp 2017 Oct 13. Epub 2017 Oct 13.
    Unidad de Cirugía Colorrectal, Servicio de Cirugía General y Digestiva, Hospital Germans Trías i Pujol. Universitat Autónoma de Barcelona, Badalona (Barcelona), España.
    Introduction: Treatment for anal fistulas in patients with Crohn's disease is still challenging, even for the expert surgeon. The advancement flap technique is characterized by the preservation of the anal sphincter complex.

    Methods: A systematic review of the literature, selecting series of patients affected by Crohn's disease and anal fistulas and treated using advancement flap technique was performed. Read More

    Secondary node analysis as an indicator for axillary lymphadenectomy in breast cancer patients.
    Cir Esp 2017 Nov 14;95(9):536-541. Epub 2017 Oct 14.
    Cirugía General y Digestiva, Hospital Germans Trias i Pujol, Badalona, España.
    Introduction: Currently, there is no agreement regarding if it would be necessary to perform an axillary lymph node dissection (ALND) in patients who have macrometastases in the sentinel lymph node (SLN). We studied the utility of the secondary node analysis (SN), defined as the following node after the SLN in an anatomical and lymphatic pathway, as a sign of malignant axillary involvement.

    Methods: An observational, retrospective and multicentre study was designed to assess the utility of the SN as a sign of axillary involvement. Read More

    Surgery for hepatic hidatidosis. Risk factors and variables associated with postoperative morbidity. Overview of the existing evidence.
    Cir Esp 2017 Oct 12. Epub 2017 Oct 12.
    Departamento de Cirugía, Universidad de La Frontera, Temuco, Chile.
    There are few publications related to postoperative morbidity in hepatic hydatidosis and these have mixed results. The aim of this study was to determine risk and protective factors of postoperative morbidity in patients operated on for hepatic hydatidosis. A comprehensive review was made of the evidence, based on systematic reviews, clinical analyses and observational studies, obtained from the Trip Database, BVS, SciELO, Cochrane Central Register of Controlled Trials, WoS, MEDLINE, EMBASE, SCOPUS, EBSCOhost, IBECS, ePORTUGUESe, LILACS and WHOLIS. Read More

    Treatment of the axila in breast cancer surgery: Systematic review of its impact on survival.
    Cir Esp 2017 Nov 14;95(9):503-512. Epub 2017 Oct 14.
    Unidad de Mama, Servicio de Cirugía General y Aparato Digestivo, Complexo Hospitalario Universitario A Coruña, La Coruña, España.
    Sentinel lymph node biopsy and ACOSOG-Z0011 criteria have modified axillary treatment in breast cancer surgery. We performed a systematic review of studies assessing the impact of axillary treatment on survival. The search showed 6891 potentially eligible items. Read More

    Initial Experience in the Treatment of "Borderline Resectable" Pancreatic Adenocarcinoma.
    Cir Esp 2017 Oct 6;95(8):447-456. Epub 2017 Oct 6.
    Unitat de Cirurgia Hepatobiliopancreàtica i Trasplantament Hepàtic, Hospital Universitari de Bellvitge, Barcelona, España.
    Introduction: A borderline resectable group (APBR) has recently been defined in adenocarcinoma of the pancreas. The objective of the study is to evaluate the results in the surgical treatment after neoadjuvancy of the APBR.

    Method: Between 2010 and 2014, we included patients with APBR in a neoadjuvant and surgery protocol, staged by multidetector computed tomography (MDCT). Read More

    American vs. European Trauma Centers: A Comparison of Preventable Deaths.
    Cir Esp 2017 Oct 23;95(8):457-464. Epub 2017 Sep 23.
    Hospital Universitari Parc Taulí, Sabadell, Barcelona, España.
    Introduction: The aim is comparing the quality of care at a typical American trauma center (USC) vs. an equivalent European referral center in Spain (SRC), through the analysis of preventable and potentially preventable deaths.

    Methods: Comparative study that evaluated trauma patients older than 16 years old who died during their hospitalization. Read More

    Laparoscopic subtotal cholecystectomy: a surgical alternative to reduce complications in complex cases.
    Cir Esp 2017 Oct 14;95(8):465-470. Epub 2017 Sep 14.
    Hospital Universitario de Caracas, Caracas, Venezuela.
    Introduction: Laparoscopic cholecystectomy is a common procedure in general surgery, and in complex cases it is important for the surgeon to know all the alternatives with low associated morbidity. Laparoscopic subtotal cholecystectomy should be considered as an option when a critical view of safety cannot be obtained, because it has a low complication rate and gives the advantages of minimally invasive surgery.

    Methods: Retrospective study of laparoscopic subtotal cholecystectomies in an eight years period. Read More

    Hepatic resection: a safe and effective surgery.
    Cir Esp 2017 Oct 14;95(8):437-446. Epub 2017 Aug 14.
    Unidad de Cirugía HPB y Trasplantes, ICMDiM, Hospital Clínic de Barcelona, Barcelona, España.
    Introduction: We analyze major liver resections performed in 10 years, with the objective of evaluating perioperative results. As secondary objectives, factors related to major complications and comparative analyses of 25-year periods are evaluated.

    Methods: Retrospective analysis of patients undergoing major hepatic resection (3 or more segments) from January 2005 to December 2014, from pre, intra and postoperative data. Read More

    Initial results of the oesophageal and gastric cancer registry from the Comunidad Valenciana.
    Cir Esp 2017 Oct 12;95(8):428-436. Epub 2017 Aug 12.
    Servicio de Cirugía General, Hospital General Universitario de Elche, Elche, Alicante, España. Electronic address:
    Aims: To evaluate the initial results of the oesophagogastric cancer registry developed for the Sociedad Valenciana de Cirugía and the Health Department of the Comunidad Valenciana (Spain).

    Methods: Fourteen of the 24 public hospitals belonging to the Comunidad Valenciana participated. All patients with diagnosis of oesophageal or gastric carcinomas operated from January 2013 to December 2014 were evaluated. Read More

    Evolution of the treatment of splenic injuries: from surgery to non-operative management.
    Cir Esp 2017 Oct 2;95(8):420-427. Epub 2017 Aug 2.
    Department of Surgery, NYU Winthrop Hospital, Mineola (Nueva York), Estados Unidos; Hospital Vithas Santa Catalina, Las Palmas de Gran Canaria, España.
    The spleen is one of the most frequently injured organs in blunt abdominal trauma. In the past decades, the treatment of patients with blunt splenic injury has shifted from operative to non-operative management. The knowledge of physiology and immunology of the spleen have been the main reasons to develop techniques for splenic salvage. Read More

    Nutrition management in enhanced recovery after abdominal pancreatic surgery.
    Cir Esp 2017 Aug - Sep;95(7):361-368. Epub 2017 Aug 1.
    Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario Nuestra Señora de la Candelaria, Santa Cruz de Tenerife, España.
    Multimodal rehabilitation programs are perioperative standardized strategies with the objective of improving patient recovery, and decreasing morbidity, hospital stay and health cost. The nutritional aspect is an essential component of multimodal rehabilitation programs and therefore nutritional screening is recommended prior to hospital admission, avoiding pre-surgical fasting, with oral carbohydrate overload and early initiation of oral intake after surgery. However, there are no standardized protocols of diet progression after pancreatic surgery. Read More

    [Clinical and pathological features of gastrointestinal stromal tumors (GIST) in a single institution: A descriptive study and review of the literature].
    Cir Esp 2017 Aug - Sep;95(7):391-396. Epub 2017 Jul 25.
    Servicio de Cirugía General, Hospital General Universitario J.M. Morales Meseguer, Murcia, España; Universidad de Murcia, Facultad de Medicina, IMIB-Arrixaca, Campus de Excelencia Internacional Mare Nostrum, Murcia, España.
    Introduction: This study was aimed to assess the main clinical, pathological and therapeutic characteristics of a cohort of gastrointestinal stromal tumors (GIST).

    Methods: Observational study including 66 patients diagnosed with GIST admitted to our hospital between 2002 and 2015. Parameters related to medical history, clinical manifestations, medical and surgical treatment, histopathology, and morbi-mortality were studied. Read More

    Influence of psychological variables in morbidly obese patients undergoing bariatric surgery after 24 months of evolution.
    Cir Esp 2017 Aug - Sep;95(7):378-384. Epub 2017 Jul 24.
    Fundación para la Investigación Biosanitaria de Andalucía Oriental (FIBAO).
    Background: Bariatric surgery is considered a more effective means of achieving weight loss than non-surgical options in morbid obesity. Rates of failure or relapse range from 20 to 30%. The study aims to analyse the influence of psychological variables (self-esteem, social support, coping strategies and personality) in the maintenance of weight loss after bariatric surgery. Read More

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