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    2224 results match your criteria Cirugia y cirujanos[Journal]

    1 OF 45

    Paraneoplastic Lambert-Eaton syndrome in a patient with disseminated metastatic cancer.
    Cir Cir 2018 ;86(1):79-83
    Medicina de Rehabilitación, Facultad de Medicina, Universidad de Guanajuato. León, Gto., México.
    Background: Neurological paraneoplastic syndromes are rare, occur in 0.01% of all cancer patients; like part of them, the Lambert-Eaton syndrome is an autoimmune presynaptic disorder of neuromuscular transmission characterized by muscle weakness and neurovegetative dysfunction, and often associated with small cell lung cancer.

    Case Report: A 72 years old female with a family history of lung cancer and leukemia, with 7 months of dry cough and 3 months with waist and pelvic muscle weakness, oropharyngeal dysphagia, dry mouth, chronic constipation and weight loss of 10 kg. Read More

    Prevalence of alexithymia in eating disorders in a clinical sample of 800 Mexican patients.
    Cir Cir 2018 ;86(1):43-49
    Universidad de Valencia, Valencia, España.
    Introduction: The inability to identify, express feelings, and not distinguish between emotions and bodily sensations, is known as alexithymia. In 1988, it developed The Toronto Alexithymia Scale (TAS-20), consists of 20 items and three factors: a) difficulty of identifying feelings and differences between feelings and bodily sensations; b) difficulty of describing feelings; and c) externally oriented thinking. It's considered that people with eating disorders have specific deficits in identify and communicate their feelings. Read More

    SDHD gene mutation in Mexican population whit carotid body tumor.
    Cir Cir 2018 ;86(1):38-42
    Servicio de Angiología y Cirugía Vascular, Hospital de Especialidades, Ciudad de México, México.
    Introduction: Among the U.S. population, the p81L SDHD (11q23) gene mutation is present in 6-36% of patients with sporadic carotid body tumor (CBT), but in familial cases is high as 80%. Read More

    New subtype of familial achondrogenesis type IA (Houston-Harris).
    Cir Cir 2018 ;86(1):89-98
    Medicina Molecular, Centro de Investigación Biomédica de Occidente, Instituto Mexicano del Seguro Social. Guadalajara, Jal. México.
    Background: Achondrogenesis is a skeletal dysplasia characterized primarily by short stature, severe micromelia, short and narrow chest, prematurity, polyhydramnios, fetal hydrops, and in utero or neonatal death. Based on the radiological and histopathological findings, there are three types of achondrogenesis: type 1A (Houston-Harris), type 1B (Fraccaro) and type 2 (Langer-Saldino).

    Clinical Case: A premature female product was studied whose clinical, radiological and histopathological characteristics were compatible with achondrogenesis Type 1A. Read More

    Reproducibility of the measurement of central corneal thickness in healthy subjects obtained with the optical low coherence reflectometry pachymeter and comparison with the ultrasonic pachymetry.
    Cir Cir 2018 ;86(1):50-55
    Fundación Destellos de Luz, Universidad de Monterrey. Monterrey, N.L. México.
    Background: Corneal pachymetry is widely used for refractive surgery and follow up in keratoconus, accurate measurement is essential for a safe surgery.

    Objective: To assess intraobserver reliability of central corneal thickness (CCT) measurements using optical low-coherence reflectometry (OLCR) technology and its agreement with ultrasonic pachymeter (US).

    Method: Randomized and prospective comparative evaluation of diagnostic technology. Read More

    Effectiveness of surgical treatment in chronic migraine.
    Cir Cir 2018 ;86(1):99-104
    Servicio de Cirugía Plástica, Estética, Reconstructiva y Maxilofacial, Universidad Autónoma de Nuevo León, Monterrey, N.L., Mexico.
    Objective: Migraine affects more than 35 million people in the United States of America, and 10% of the population in the world. The purpose of this study was to evaluate the effectiveness of surgical treatment in chronic migraine with frontal or occipital trigger areas.

    Methods: We designed a pilot, proof of concept, and prospective study to analyze the effectiveness of surgical release of trigger nerves in severe frontal or occipital chronic migraines. Read More

    Penile and scrotal lymphedema associated with hidradenitis suppurativa: Case report and review of surgical options.
    Cir Cir 2018 ;86(1):84-88
    Servicio de Cirugía Plástica, Hospital Universitario de Gran Canaria Dr. Negrín, Las Palmas de Gran Canaria, España.
    Lymphedema is the result of an alteration of the lymphatic drainage, and its most common worldwide cause is filariasis. In our practice usually is associated to neoplasic, inflammatory and granulomatous processes, radiotherapy, hydroelectrolytic disbalances, and idiopathic. It can affect any part of the body, including the penis and scrotum. Read More

    NutriNet-Salud México. Prospective study online: 2018-2028. Relationship between nutrition and health and determinants of dietary habits and nutritional status.
    Cir Cir 2018 ;86(1):8-19
    Académie Nationale de Médecine. París, Francia.
    Background: NutriNet-Salud Mexico is a digital health information system, e-epidemiology instrument, online, open and free, to recording and analysis the determinants of dietary habits and nutritional status of the Mexican population, for the prevention of overweight, obesity and noncommunicable diseases for the period 2018-2028.

    Objective: Describe the design, development and implementation of NutriNet-Salud Mexico from the French model NutriNet-Santé France 2008-2018.

    Method: NutriNet-Salud Mexico platform is the basis for the development of health information system for prospective cohort study, scheduled for a period of 10 years (2018-2028), with a dedicated website, and its development will enable to have multiple study populations within an initial set of five self-applicable questionnaires validated in Mexican population. Read More

    Parkinsonism as presenting symptom of primary hyperparathyroidism: Improvement after surgery.
    Cir Cir 2018 ;86(1):105-107
    Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario Reina Sofía, Murcia, España.
    Introduction: Hypercalcemia can cause different neurological disorders, depending on the calcium level. We report an exceptional case of primary hyperparathyroidism presenting as neurological alteration and it has favourable outcome after parathyroidectomy.

    Case Report: A 74-year-old woman presented with progressive cognitive deterioration and impaired motor function. Read More

    Urological manifestations of the disease related to immunoglobulin G4.
    Cir Cir 2018 ;86(1):63-70
    División de Áreas Críticas CENIAQ, Instituto Nacional de Rehabilitación. Ciudad de México, México.
    Immunoglobulin G4 related disease (IgG4-RD) is a fibro-inflammatory disease of unknown etiology, characterized by lesions in the form of tumors, elevated serum IgG4 levels, plasma cells with significant IgG4 infiltration, accompanied by phlebitis obliterans and fibrosis. This disease usually has multiorgan disease, including pancreas, biliary tract, salivary glands, peri orbital tissues, kidneys, lungs, lymph nodes and retro peritoneum. IgG4-RD mainly affects men with a predominance of age by young adults until old age. Read More

    Secondary sclerosing cholangitis in critically ill patients.
    Cir Cir 2018 ;86(1):56-62
    Dirección Médica. Hospital General Naval de Alta Especialidad, Secretaría de Marina/Armada de México, Ciudad de México, México.
    Primary sclerosing cholangitis (PSC) is a rare idiopathic condition with immunopathogenic mechanisms where there is chronic progressive destruction of the biliary tree. Secondary sclerosing cholangitis (SSC) is clinically comparable to PSC, but is caused by specific processes which directly damage the biliary tree; examples include recurrent pancreatitis, bile duct malignancy, congenital bile duct abnormalities. A new cause of SSC has been described during or following significant critical illness associated with severe respiratory insufficiency, vasopressor requirement, shock and sepsis. Read More

    Firsts surgical care of Mexican children in the nineteenth century.
    Cir Cir 2018 ;86(1):108-116
    Unidad Interinstitucional de Investigación Clínica y Epidemiológica, Facultad de Medicina, Universidad Autónoma de Yucatán, Mérida, Yucatán, México.
    Here, two papers are presented, which constitute the first reports of surgical procedures in Mexican children performed at the 19 century. The two publications refer to surgical operations for the extraction of bladder stones. At that time, there was no anesthesia, so part of the description alludes to the suffering of the patients and the operative difficulties. Read More

    Management of medical care, a fundamental tool for resident doctors.
    Cir Cir 2018 ;86(1):71-78
    Instituto de Oftalmología Conde de la Valenciana. Ciudad de México, México.
    In the area of medical education, and particularly in our country, medical residencies are the best educational programs for a graduated physicians; however, when young medical doctors begin a residence at hospitals, they hardly poses knowledge about the way medical services work as well as the processes they involve, which directly affects the fulfillment of their tasks, their process of learning and more importantly, it interferes in the services provided by the hospital. Therefore, it is imperative to immerse residents in the management of medical care and let them know that its main function is to harmoniously articulate every medical-administrative process related to patients as well as human, material and financial resources. One of the main goals is to achieve the fulfillment of the hospital's mission and vision with operational efficiency and humanism. Read More

    Guidelines on the application of the clinical practice guideline on low back pain.
    Cir Cir 2018 ;86(1):29-37
    Centro Médico Nacional de Occidente Hospital, Instituto Mexicano del Seguro Social, México.
    Introduction: Low back pain is defined as pain in the upper portion of T12 and below the crease of the buttocks and functional limitation. The prevalence of low back pain gradually increases 11.4% per year. Read More

    Incidence of complications in dermatological surgery of melanoma and non-melanoma skin cancer in patients with multiple comorbidity and/or antiplatelet-anticoagulants. Five year experience in our Hospital.
    Cir Cir 2018 ;86(1):20-28
    Departamento de Dermatología, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, México.
    Introduction: Surgery is performed more frequently now at days, due to the increasing incidence of melanoma and no-melanoma skin cancer. There are different opinions among dermatologic surgeons between to continue or discontinue antithrombotic therapy prior to the procedure, which increases the risk of thromboembolic events. Prophylaxis with oral antibiotics in the postsurgical period is controversial. Read More

    [Comparison of results of open simple nephrectomy secondary to lithiasis in patients with and without nephrostomy].
    Cir Cir 2017 Jul - Aug;85(4):325-329. Epub 2017 Jun 27.
    Departamento de Urología, Hospital General de México Dr. Eduardo Liceaga, Ciudad de México, México.
    Background: Simple nephrectomy is the procedure of choice in the treatment of excluded kidneys. The purpose of this study was to describe and compare surgical results in open simple retroperitoneal nephrectomies in patients with and without nephrostomy.

    Methodology: 58 patients were analyzed. Read More

    [Stone free rate assesment after percutaneous nephrolithotomy using nephrolitometric nomogram].
    Cir Cir 2017 Nov - Dec;85(6):510-514. Epub 2017 Apr 19.
    Servicio de Urología, Hospital de Especialidades Centro Médico Nacional Siglo XXI, Ciudad de México, México. Electronic address:
    Background: Percutaneous nephrolithotomy remains the standard of care for kidney stones larger than 2cm. Therefore, setting a prognosis for complete stone resolution through this method is essential. The prognostic tools available have limited prediction. Read More

    [To err is human, but to not put processes in place to avoid errors from becoming fatal is inhumane. 5th International Summit of the Patient Safety Movement (PSM), California, USA, 2017].
    Cir Cir 2017 Mar - Apr;85(2):101-103
    Vocal del Comité Directivo de la Academia Mexicana de Cirugía 2017-2018 y representante en México del Movimiento Internacional por la Seguridad del Paciente, Ciudad de México, México. Electronic address:

    [Perineal reconstruction: Salvage surgery with 2flaps technique].
    Cir Cir 2017 Dec 6;85 Suppl 1:1-5. Epub 2017 Mar 6.
    Departamento de Cirugía General y del Aparato Digestivo, Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, España.
    Background: The principles of perineal reconstructive surgery comprise adequate filling of the defect along with stable and durable skin coverage, with a low morbidity rate. Two-flap perineal reconstruction is a simple, fast and reliable technique that uses a single donor site. This improves scar position with low morbidity. Read More

    [Reconstruction of the ear in the burns patient].
    Cir Cir 2017 Sep - Oct;85(5):454-458. Epub 2017 Mar 6.
    División Áreas Críticas, Instituto Nacional de Rehabilitación, Ciudad de México, México.
    Face burns are a singular pathology with great functional and psychological impact in the patients suffering them. The ears play a fundamental role in personal interactions and damage to this organ results in physical and emotional distress. The reconstructive treatment of the burned ear is a challenge. Read More

    [Breaking paradigms. Intestinal microbiota transplantation: Preliminar report].
    Cir Cir 2017 Dec 23;85 Suppl 1:6-12. Epub 2017 Jan 23.
    Servicio de Laboratorio Clínico, Hospital Trinidad, Ciudad de México, México.
    In the fourth century, during the Chinese Dong Jin dynasty, the doctor Ge Hong described good results after the oral administration of a suspension prepared from human faeces in patients with severe diarrhoea or food poisoning. Faecal microbiota transplantation has been used for five years in order to treat different diseases in addition to the severe diarrhoea caused by Clostridium difficile. This paper aims to confirm that intestinal microbiota transplantation succeeds in reducing the negative impact of diseases such as severe diarrhoea, irritable bowel syndrome, anxiety, allergies, metabolic syndrome and others and that it is not only indicated for severe diarrhoea caused by C. Read More

    [Melanocytoma and meningeal melanocytosis, similar but different lesions].
    Cir Cir 2017 May - Jun;85(3):273-278. Epub 2017 Jan 23.
    Servicio de Patología, Hospital Juárez de México, Ciudad de México, México.
    Background: Meningeal melanomatosis is an extra-axial well-encapsulated malignant tumour with diffuse meningeal growth and dark coloration (due to high melanin contents), while meningeal melanocytoma is the focalized benign variant. Melanocytic lesions may be secondary to melanoma or be histologically benign, however, their diffuse nature makes them impossible to cure. Melanocytosis is a diffuse tumour that can form solitary extra-axial tumours, which invades the parenchyma and presents signs of malignancy with increased mitosis and Ki67, observed in 1 to 6% of immunopathological exams. Read More

    [Gastrointestinal bleeding and delirium, challenges in the diagnosis of gallstone ileus: A case report and review of literature].
    Cir Cir 2017 Dec 19;85 Suppl 1:53-57. Epub 2017 Jan 19.
    Servicio de Cirugía General, Hospital Regional «Puebla», Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, ISSSTE, Puebla, México.
    Background: Gallstone ileus is a non-strangulated mechanical obstruction of the small bowel or colon as a result of the passage of gallstones through a biliary enteric fistula. It is a rare complication of cholelithiasis, affects patients over 65 years, and the disease occurs predominantly in females. Preoperative diagnosis is difficult due to the lack of specific signs and symptoms in elderly patients with multiple comorbidities. Read More

    [Neurodevelopment in patients with retinopathy of prematurity treated with intravitreal bevacizumab. Case series].
    Cir Cir 2017 Nov - Dec;85(6):478-484. Epub 2017 Jan 19.
    Unidad de Medicina Familiar Número 80, IMSS, Morelia, Michoacán, México.
    Background: Retinopathy of prematurity (ROP) is an eye disease caused by an alteration in retinal vasculogenesis that may lead to partial or complete vision loss with a harmful impact in terms of neurodevelopment. The purpose of the present study was to determine the neurodevelopment in patients with type i retinopathy of prematurity treated with intravitreal bevacizumab.

    Material And Methods: Case series. Read More

    [Incidence of bacteria from cultures of bile and gallbladder wall of laparoscopic cholecystectomy patients in the University Hospital "Dr. José Eleuterio González"].
    Cir Cir 2017 Nov - Dec;85(6):515-521. Epub 2017 Jan 16.
    Servicio de Cirugía General, Hospital Universitario «Dr. José Eleuterio González», Monterrey, México.
    Background: Through experience it has been accepted that bile in normal conditions remains sterile. Bactibilia is a common finding in individuals at high risk or with complicated cholecystolithiasis, however few data prevails about the prevalence of bactibilia in patients operated on for uncomplicated laparoscopic cholecystectomy. There is s common usage of preoperative and postoperative antibiotics in the different patients without the existence of any actual bacteriologic and epidemiologic evidence. Read More

    [Results to 4-year follow-up of the treatment of the cervical stenosis by corpectomy, titanium mesh cage and anterior plate fixation].
    Cir Cir 2017 Sep - Oct;85(5):381-386. Epub 2017 Jan 16.
    División de Cirugía de Columna Vertebral, Instituto Nacional de Rehabilitación, Secretaria de Salud, Ciudad de México, México.
    Background: Cervical spondylotic myelopathy is caused by cervical stenosis. Several techniques have been described for the treatment of multilevel disease, such as the anterior corpectomy with titanium mesh cage and anterior cervical plate placement, which has the advantage of performing a wider decompression and using the same bone as graft. However, it has caused controversy since the collapse of the mesh cage continues being a major limitation of this procedure. Read More

    [Robot assisted Frykman-Goldberg procedure. Case report].
    Cir Cir 2017 Dec 16;85 Suppl 1:84-88. Epub 2017 Jan 16.
    Cirugía de Colon y Recto, Hospital Ángeles del Pedregal, Ciudad de México, México. Electronic address:
    Background: Rectal prolapse is defined as the protrusion of the rectal wall through the anal canal; with a prevalence of less than 0.5%. The most frequent symptoms include pain, incomplete defecation sensation with blood and mucus, fecal incontinence and/or constipation. Read More

    [The benefits of digital chest drainage in pleural decortication in thoracic empyema. Prospective, randomized, control trial].
    Cir Cir 2017 Nov - Dec;85(6):522-525. Epub 2017 Jan 10.
    Servicio de Cirugía Cardiotorácica, Instituto Nacional de Enfermedades Respiratorias INER, Ciudad de México, México.
    Background: Prolonged air leak after pleural decortication is one of the most frequent complications.

    Objective: The aim of this study is to compare the effects of prolonged air leak between the digital chest drainage (DCD) system and the classic drainage system in patients with empyema class IIB or III (American Thoracic Society classification) in pleural decortication patients.

    Material And Methods: A total of 37 patients were enrolled in a prospective randomized control trial over one year, consisting of 2blinded groups, comparing prolonged air leak as a main outcome, the number of days until removal of chest drain, length of hospital stay and complications as secondary outcomes. Read More

    [Characteristics and risk factors for recurrence of cutaneous squamous cell carcinoma with conventional surgery and surgery with delayed intraoperative margin assessment].
    Cir Cir 2017 Nov - Dec;85(6):499-503. Epub 2017 Jan 10.
    Servicio de Dermatología, Hospital General Dr. Manuel Gea González, Ciudad de México, México.
    Background: Non-melanoma skin cancer includes basal cell carcinoma and squamous cell carcinoma (SCC). Basal cell carcinoma is the most common and least aggressive but in a low percentage of cases, despite appropriate wide surgical margins, it can be aggressive, producing local invasion, recurrences and distance metastasis. SCC has a more aggressive behaviour invading first the skin, the lymph nodes and less frequently produces distance metastasis OBJECTIVE: To identify the characteristics of recurrent SCC and frequency of new SCC after conventional surgical and primary closure or closure delayed until a histological reporting of tumour-free surgical margins, in order to achieve a better surgical option, in our Mexican population. Read More

    [Immunohistochemical assessment of HER2 expression in gastric cancer. A clinicopathologic study of 93 cases].
    Cir Cir 2017 Nov - Dec;85(6):504-509. Epub 2017 Jan 6.
    Servicio de Sarcomas y Tubo Digestivo Alto, Hospital de Oncología, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México.
    Background: Gastric cancer in Mexico is ranked third in both males and females. Most patients present clinically with advanced disease and treatment options are sparse. HER2 overexpression in gastric cancer is related to poor outcome. Read More

    [Assessment of antibiotic use and impact of an intervention intended to modify the prescribing behavior in surgical prophylaxis in 6hospitals in the metropolitan area of Monterrey, Mexico].
    Cir Cir 2017 Nov - Dec;85(6):459-470. Epub 2017 Jan 4.
    Hospital de Pediatría, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México.
    Background: Improper use of antibiotics increases antimicrobial resistance.

    Objective: Evaluate the use of antibiotics and the impact of an intervention designed to improve antibiotic prescription for surgical prophylaxis in 6 hospitals of Monterrey, Mexico.

    Material And Methods: Design: A prospective multicenter survey and a pretest-postest experimental study. Read More

    [Coexistence of acute appendicitis and dengue fever: A case report].
    Cir Cir 2017 Dec 3;85 Suppl 1:44-48. Epub 2017 Jan 3.
    Unidad Académica, Escuela de Biología, Universidad Autónoma de Sinaloa, Culiacán, Sinaloa, México.
    Background: Dengue is the most important human viral disease transmitted by mosquitoes. It can be asymptomatic or it can present in any of its 3clinical forms: Dengue fever, dengue haemorrhagic fever and dengue shock syndrome. However, some atypical manifestations have been reported in surgical emergencies caused by acute appendicitis in patients with dengue fever. Read More

    [Digestive bleeding due to jejunal diverticula: A case report and literature review].
    Cir Cir 2017 Dec 3;85 Suppl 1:34-39. Epub 2017 Jan 3.
    Servicio de Patología, Hospital Poliplaza Médica, Ciudad Juárez, Chihuahua,, México.
    Background: Bleeding from the small bowel is a rare pathology that represents 5-10% of gastrointestinal bleeding; 0.06% to 5% of cases are due to the presence of diverticula of the small intestine. The majority of diverticula are asymptomatic and present symptoms when there is a complication. Read More

    [Laparoscopic cleavage in splenic symptomatic cyst].
    Cir Cir 2017 Dec 30;85 Suppl 1:26-29. Epub 2016 Dec 30.
    Servicio de Cirugía General y Aparato Digestivo, Hospital General Universitario Reina Sofía, Murcia, España.
    Background: Splenic cysts are rare diseases that are diagnosed incidentally during imaging studies. When cysts are recognized, surgical treatment is recommended adapted to the particular case, depending on the size and location of the cyst and the age of the patient in order to avoid dangerous complications such as spleen rupture or cyst infection with abscess.

    Clinical Case: We report 2patients with symptomatic splenic epidermoid cyst treated by laparoscopic cleavage. Read More

    [Maxillary trigeminal schwannoma. Presentation of a case and review of literature].
    Cir Cir 2017 Dec 31;85 Suppl 1:49-52. Epub 2016 Dec 31.
    Servicio de Neurocirugía, Hospital General Balbuena, Ciudad de México, México.
    Introduction: Schwannomas are benign tumours that are relatively common in the head, however the involvement of the sinunasal region is rare and there are only 5 cases reported in the maxilla in current literature, representing less than 1% of bone tumours.

    Clinical Case: We report the case of a woman with a right maxillary schwannoma who underwent a complete resection of the lesion. Emphasis is placed on the rarity of the lesion in terms of its location and includes a review of clinical behaviour, diagnosis and current treatment options. Read More

    [Paediatric pharmacobezoar in vitamin overdose].
    Cir Cir 2017 Dec 29;85 Suppl 1:30-33. Epub 2016 Dec 29.
    Servicio de Pediatría, Hospital San Agustín, Avilés, España.
    Background: Pharmacobezoars are aggregates of undigested medications that accumulate in the gastrointestinal tract and can cause obstructive or toxic complications. In this paper, the first case is reported of a paediatric pharmacobezoar formation after a vitamin overdose. The objective of this report is to prevent the occurrence of this complication and the action to be taken. Read More

    [Cervical thoracic duct cyst: An uncommon entity].
    Cir Cir 2017 Dec 29;85 Suppl 1:40-43. Epub 2016 Dec 29.
    Servicio de Cirugía General, Hospital Álvaro Cunqueiro, Complejo Hospitalario Universitario de Vigo, Vigo, España.
    Background: Cervical thoracic duct cysts are a rare anomaly.

    Objective: To report a case of cervical thoracic duct cyst, and perform a literature review.

    Clinical Case: A 78-year-old female, with a one-year history of a left-sided asymptomatic supraclavicular cystic mass. Read More

    [Macroscopic hematuria secondary to nutcracker syndrome and successful endovascular treatment].
    Cir Cir 2017 Dec 28;85 Suppl 1:19-25. Epub 2016 Dec 28.
    Sección de Angiología, Cirugía Vascular y Terapia Endovascular, Dirección de Cirugía, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, México.
    Background: Nutcracker syndrome is a rare entity, and in the majority of cases is the result of extrinsic compression of the left renal vein between the superior mesenteric artery and the aorta, associated with functional stenosis.

    Objective: To present the case of a 19-year-old female with no significant medical history with confirmed diagnosed of nutcracker syndrome treated successfully by endovascular means.

    Clinical Case: She was referred to the Vascular Surgery Department with a 6-month history of macroscopic haematuria, after other aetiologies were ruled out. Read More

    [Bone cement implant as an alternative for orbital floor reconstruction: A case report].
    Cir Cir 2017 Dec 27;85 Suppl 1:13-18. Epub 2016 Dec 27.
    Servicio de Oftalmología, Hospital General de Zona N.° 4, IMSS, Monterrey, Nuevo León, México. Electronic address:
    Background: The management of orbitary fractures is one of the most challenging in facial trauma; the variety of reconstruction materials for its treatment is broad and is constantly improving, but despite this there is no consensus for its use or literature that sustains it.

    Objective: To present the use and design of a preformed bone implant as an alternative for the reconstruction of orbital floor fractures in the pediatric age group.

    Clinical Case: A 7-year old male who suffered a right hemifacial contusion trauma with clinical and tomographic diagnosis of right pure blowout type orbital floor fracture with inferior rectus muscle entrapment and right post-traumatic palpebral ptosis. Read More

    [Guide to clinical practice for the diagnosis, treatment and rehabilitation of non-syndromic craniosynostosis on 3 levels of care].
    Cir Cir 2017 Sep - Oct;85(5):401-410. Epub 2016 Dec 26.
    Coordinación de Guías de Práctica Clínica, Centro Nacional de Excelencia Tecnológica en Salud (CENETEC), Ciudad de México, México. Electronic address:
    Introduction: Craniosynostosis is a congenital anomaly resulting from the premature fusion of the cranial sutures changing growth patterns of the skull.

    Methodology: Focus, scope, target population and clinical questions to be solved were defined. A systematic search for evidence in different databases (Medline, Embase, KoreaMed, Cochrane Library and the website of the World Health Organization) in stages was performed: clinical practice guidelines; systematic reviews, and clinical trials and observational studies; using MeSH, Decs and corresponding free terms, unrestricted language or temporality. Read More

    [Splenic late infarction after laparoscopic gastrectomy: a case report].
    Cir Cir 2017 Dec 27;85 Suppl 1:80-83. Epub 2016 Dec 27.
    Servicio Cirugía General y Aparato Digestivo, Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, España.
    Introduction: Laparoscopic gastrectomy has emerged in recent years as an effective technique for the treatment of morbid obesity due to low mortality morbidity rates. Its complications include dehiscence suture line, and others such as splenic infarction. We discuss a case of splenic infarction after laparoscopic gastrectomy. Read More

    [Laparoscopic anterior pelvic exenteration in a patient with locally advanced melanoma].
    Cir Cir 2017 Dec 24;85 Suppl 1:93-98. Epub 2016 Dec 24.
    Servicio de Ginecología Oncológica, Instituto Nacional de Cancerología, Ciudad de México, México.
    Background: Pelvic exenteration is one of the most mutilating surgical procedures with high post-operative morbidity. The laparoscopic technique aims to reduce perioperative complications and reduce post-surgical recovery.

    Objective: We present the first case of laparoscopic anterior exenteration for locally advanced melanoma, held at the National Cancer Institute and published in Mexico. Read More

    [Splenic rupture secondary to abscess: Rare cause of pneumoperitoneum. Case report].
    Cir Cir 2017 Dec 24;85 Suppl 1:62-67. Epub 2016 Dec 24.
    Dirección General, Instituto de Servicios y Seguridad Social de los Trabajadores del Estado, Ciudad de México, México; Facultad de Medicina de Tampico «Dr. Alberto Romo Caballero», Universidad Autónoma de Tamaulipas, Tampico, Tamaulipas, México. Electronic address:
    Background: Splenic abscesses are rare entities; reports are commonly described in immunocompromised patients (72%) as: hematologic diseases, diabetes, endocarditis, acquired immunodeficiency syndrome, transplant patients and subjects who had abdominal trauma or splenic infarction. The main and most serious complication is the abscess rupture into the peritoneal cavity or adjacent organs (stomach or colon), which determines hemodynamic instability or septic state.

    Clinical Case: Fifty-year-old man, who was admitted at Emergency Room due eight days' progressive, oppressive, and current pain; intensity 4/10, irradiated at hemi-back, which was higher intensity during the standing and decreased at supine position. Read More

    [Thoracoscopic lobectomy for the treatment of tracheal bronchus. A pediatric case report].
    Cir Cir 2017 Nov - Dec;85(6):557-561. Epub 2016 Dec 24.
    Departamento de Cirugía Pediátrica, Hospital Infantil Privado, Ciudad de México, México.
    Background: Tracheal bronchus is considered a rare, congenital anomaly, which implies the abnormal origin of a bronchus. When related to repetitive infections the bronchus must be resected, usually via an open procedure.

    Objective: The aim of this paper is to present the case of a patient with tracheal bronchus of the upper right lobe who presented with repetitive pneumonias. Read More

    [Actinomycotic brain abscess in immunocompetent patient].
    Cir Cir 2017 Dec 24;85 Suppl 1:103-107. Epub 2016 Dec 24.
    Servicio de Neurocirugía, Hospital Universitario Donostia, Donostia, Guipúzcoa, España.
    Background: The actinomyces is germ commonly found in the normal flora of the oral cavity and gastro-intestinal and uro-genital tracts. Involvement in other locations is a very uncommon event.

    Objectives: To describe a patient with an actinomicotyc brain abscess CLINICAL CASE: We report the case of a patient who suffered a seizure and decreased level of consciousness. Read More

    [Efficiency of laparoscopic vs endoscopic management in cholelithiasis and choledocholithiasis. Is there any difference?]
    Cir Cir 2017 Jul - Aug;85(4):306-311. Epub 2016 Dec 23.
    Servicio de Cirugía General, Hospital Central Norte PEMEX, Ciudad de México, México.
    Background: Concomitant cholelithiasis and choledocholithiasis is a disease where incidence increases with age and can have serious complications such as pancreatitis, cholangitis and liver abscesses, but its management is controversial, because there are minimally invasive laparoscopic and endoscopic surgical procedures.

    Objective: To compare the efficiency in the management of cholelithiasis and choledocholithiasis with laparoscopic cholecystectomy with common bile duct exploration vs cholangiopancreatography endoscopic retrograde+laparoscopic cholecystectomy.

    Material And Method: Retrospective analysis of a five year observational, cross sectional multicenter study of patients with cholelithiasis and concomitant high risk of choledocholithiasis who were divided into two groups and the efficiency of both procedures was compared. Read More

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