Search our Database of Scientific Publications and Authors

I’m looking for a

    2541 results match your criteria Cirugia espanola[Journal]

    1 OF 51

    Fecal incontinence in older patients. A narrative review.
    Cir Esp 2018 Feb 18. Epub 2018 Feb 18.
    Servicio de Cirugía General y Aparato Digestivo, Unidad Coloproctología, Hospital Universitario Virgen del Rocío, Sevilla, España.
    Fecal incontinence is one of the leading causes for the institutionalization of people in the last decades of life, associated with a great psychosocial and economic burden. The literature is scarce in this population group, due to the absence of universally accepted criteria to define "elderly patients" and difficulties in detection and diagnostic. The aim of this article was to conduct a narrative review of the main aspects related to fecal incontinence in older patients, providing management support. Read More

    Intraductal papillary neoplasm of the bile duct: A diagnostic challenge for optimal treatment.
    Cir Esp 2018 Feb 18. Epub 2018 Feb 18.
    Servicio de Cirugía General y del Aparato Digestivo, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Madrid, España.

    Does gastric conditioning decrease the incidence of cervical oesophagogastric anastomotic leakage?
    Cir Esp 2018 Feb 16. Epub 2018 Feb 16.
    Unidad de Tumores Esofágicos, Institut Català d'Oncologia, L'Hospitalet de Llobregat, Barcelona, España.
    Introduction: Oesophageal reconstruction by gastroplasty with cervical anastomosis has a higher incidence of dehiscence. The aim of the study is to analyse the incidence of anastomotic leakage in patients undergoing gastroplasty with cervical anastomosis following angiographic ischaemic conditioning of the gastric conduit.

    Methods: Prospective analysis of patients who underwent gastric conditioning two weeks prior to oesophageal reconstruction, from January 2001 to January 2014. Read More

    Incisional hernia prevention and use of mesh. A narrative review.
    Cir Esp 2018 Feb 14. Epub 2018 Feb 14.
    Servicio de Cirugía General y Digestiva, Parc de Salut Mar, Hospital del Mar. Departament de Ciències Experimentals i de la Salut, Universitat Pompeu Fabra, Barcelona, España.
    Incisional hernias are a very common problem, with an estimated incidence around 15-20% of all laparotomies. Evisceration is another important problem, with a lower rate (2.5-3%) but severe consequences for patients. Read More

    Analysis and description of disease-specific quality of life in patients with anal fistula.
    Cir Esp 2018 Feb 13. Epub 2018 Feb 13.
    Departamento de Enfermería, Fisioterapia y Medicina, Facultad de Fisioterapia, Enfermería y Ciencias de la Educación, Universidad de Almería, España; Facultad de Ciencias de la Salud, Universidad Autónoma de Chile, Temuco, Chile; Adult, Child and Midwifery Department, School of Health and Education, Middlesex University, Londres, Reino Unido.
    Introduction: In patients diagnosed with anal fistula, knowing the quality of life specifically related to the disease can help coloproctology specialists to choose the most appropriate therapeutic strategy for each case. The aim of our study is to analyzse and describe the factors related to the specific quality of life in a consecutive series of patients diagnosed with anal fistula.

    Methods: Observational, cross-sectional study carried out from March 2015 to February 2017. Read More

    International collaborative donor project.
    Cir Esp 2018 Feb 7. Epub 2018 Feb 7.
    Unidad de Trasplantes, Servicio de Cirugía. Hospital Clínico Universitario Virgen de la Arrixaca, Departamento de Cirugía, Ginecología y Pediatría. Universidad de Murcia, director del Proyecto Colaborativo Internacional Donante, Murcia, España. Electronic address:
    The International Donor Collaborative Project (PCID) research group was created in 1996 in Spain with the aim of promoting research in the field of organ donation and transplantation, led by Spanish surgeons. During this period they have developed the questionnaires of the PCID, both the attitude towards cadaver and live donation, which are the most used questionnaires in publications in indexed journals. They have been the driving group of stratified studies representative of the populations under study, and of the performance of multivariate statistical analyzes in the field of psycho-social research in organ donation and transplantation. Read More

    Systematic Second-look Surgery Plus HIPEC in Patients Without Evidence of Recurrence, at High Risk of Carcinomatosis After Colorectal Cancer Resection.
    Cir Esp 2018 Feb 2. Epub 2018 Feb 2.
    Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario de Fuenlabrada, Madrid, España.
    Introduction: To analyze the impact of systematic second-look surgery plus hyperthermic intraperitoneal chemotherapy (HIPEC) performed 1 year after resection of the primary tumor, in asymptomatic patients at high risk of developing peritoneal carcinomatosis (PC).

    Methods: Between 2012-2016, 33 patients without any sign of peritoneal recurrence on imaging studies were prospectively included in the study and underwent second-look surgery aimed at treating limited PC earlier and were prospectively recorded. They were selected based on 5 primary tumor-associated criteria: resected minimal synchronous macroscopic PC (n = 10), synchronous ovarian metastases (n = 2), positive peritoneal cytology (n = 2), pT4 primary tumors (n = 15) and perforation (n = 4). Read More

    Reoperation after laparoscopic colorectal surgery. Does the laparoscopic approach have any advantages?
    Cir Esp 2017 Dec 28. Epub 2017 Dec 28.
    Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario Virgen de la Arrixaca, Murcia, España.
    Introduction: The laparoscopic approach in colorectal complications is controversial because of its difficulty. However, it has been proven that it can provide advantages over open surgery. The aim of this study is to compare laparoscopic approach in reoperations for complications after colorectal surgery with the open approach taking into account the severity of the patient prior to reoperation. Read More

    Enlargement of the biliopancreatic channel to control the enterobiliary reflux after a choledochoduodenostomy in a duodenal switch.
    Cir Esp 2017 Dec 27. Epub 2017 Dec 27.
    Servicio de Cirugía General y Aparato Digestivo, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, Las Palmas, España.

    To Prevent Parastomal Hernia After Stomal Surgery, a Prophylactic Mesh does Work.
    Cir Esp 2018 Jan 15;96(1):62-63. Epub 2017 Dec 15.
    Unidad de Cirugía de la Pared Abdominal, Servicio de Cirugía General y Digestiva, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, España; Nuffield Department of Primary Care Health Sciences, Medical Sciences Division, Oxford, Reino Unido.

    Incisional hernia prevention using a cyanoacrilate-fixed retrofascial mesh.
    Cir Esp 2018 Jan 15;96(1):35-40. Epub 2017 Dec 15.
    Servicio de Cirugía Digestiva, Hospital Platón Barcelona, Universitat Autònoma de Barcelona, Barcelona, España.
    Introduction: The rate of incisional hernia in high-risk patients (obesity, cancer, etc.) is high, even in laparoscopic surgery. The aim of this study is to evaluate the safety of the use of cyanoacrylate fixed prophylactic meshes in the assistance incision in overweight or obese patients undergoing laparoscopic colorectal surgery. Read More

    SECT Clinical practice guideline on the management of patients with spontaneous pneumothorax.
    Cir Esp 2018 Jan 13;96(1):3-11. Epub 2017 Dec 13.
    Hospital Universitario Donostia, Donostia-San Sebastián, Guipúzcoa, España.
    This clinical practice guideline (CPG) emerges as an initiative of the scientific committee of the Spanish Society of Thoracic Surgery. We formulated PICO (patient, intervention, comparison, and outcome) questions on various aspects of spontaneous pneumothorax. For the evaluation of the quality of evidence and preparation of recommendations we followed the guidelines of the Grading of recommendations, Assessment, Development and Evaluation (GRADE) working group. Read More

    Results of the national survey on the treatment of chronic anal fissure in Spanish hospitals.
    Cir Esp 2018 Jan 13;96(1):18-24. Epub 2017 Dec 13.
    Hospital General Universitario de Elche, Servicio de Cirugía General y del Aparato Digestivo, Elche, Alicante, España.
    Introduction: The treatment of chronic anal fissure (FAC) differs depending on the professional. To come to a consensus, the current situation in Spain should be studied. The aim of this study is to evaluate the current situation of the management of FAC in Spanish hospitals. Read More

    Colorectal carcinoma in the frail surgical patient. Implementation of a Work Area focused on the Complex Surgical Patient improves postoperative outcome.
    Cir Esp 2017 Dec 9. Epub 2017 Dec 9.
    Servicio de Cirugía General, Hospital Sant Joan Despí Moisès Broggi, Sant Joan Despí, Barcelona, España.
    Introduction: Advanced age and comorbidity impact on post-operative morbi-mortality in the frail surgical patient. The aim of this study is to assess the impact of a comprehensive, multidisciplinary and individualized care delivered to the frail patient by implementation of a Work Area focused on the Complex Surgical Patient (CSPA).

    Methods: Retrospective study with prospective data collection. Read More

    Pelvic exenteration with rectal resection for different types of malignancies at two tertiary referral centres.
    Cir Esp 2017 Dec 8. Epub 2017 Dec 8.
    Servicio de Cirugía General y Digestiva, Unidad de Cirugía Colorrectal, Hospital Universitario de Bellvitge, Universidad de Barcelona e IDIBELL, Hospitalet de Llobregat, Barcelona, España.
    Introduction: Pelvic exenteration (PE) offers the best chance of cure for locally advanced primary or recurrent pelvic organ malignancies invading adjacent organs. The aims of this study were to analyse results for any pelvic exenteration that includes rectal resection and the analysis of results of fecal and urinary reconstruction.

    Method: From January 2000 to April 2014, 111 PE with rectal resection for any pelvic cancer were analysed retrospectively at two national tertiary referral centers. Read More

    Evaluation of the impact of preoperative education in ambulatory laparoscopic cholecystectomy. A prospective, double-blind randomized trial.
    Cir Esp 2017 Dec 7. Epub 2017 Dec 7.
    Servei de Cirurgia General i de l'Aparell Digestiu, Hospital Universitari Joan XXIII, Tarragona, España.
    Introduction: Outpatient laparoscopic cholecystectomy is a safe procedure and provides a better use of health resources and perceived satisfaction without affecting quality of care. Preoperative education has shown less postoperative stress, pain and nausea in some interventions. The principal objective of this study is to assess the impact of preoperative education on postoperative pain in patients undergoing ambulatory laparoscopic cholecystectomy. Read More

    Robotic Assisted Transanal Polypectomies: Is There Any Indication?
    Cir Esp 2017 Dec 14;95(10):601-609. Epub 2017 Nov 14.
    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 Dec 13;95(10):594-600. 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 Dec 6;95(10):588-593. Epub 2017 Nov 6.
    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 2018 Jan 28;96(1):41-48. Epub 2017 Oct 28.
    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 2018 Jan 28;96(1):25-34. 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 2018 Jan 18;96(1):12-17. Epub 2017 Oct 18.
    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

    1 OF 51