2,339 results match your criteria Cirugia y cirujanos[Journal]


Node metastases of epidermoid carcinoma in the neck with unknown primary tumor: in the current era does it still exist?

Cir Cir 2019 ;87(2):133-135

Departamento de Tumores de Cabeza y Cuello, Hospital de Oncología, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México.

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http://dx.doi.org/10.24875/CIRU.18000553DOI Listing
January 2019

Evaluation of endothelial function and diastolic function in patients with primary hyperparathyroidism before and after parathyroidectomy.

Cir Cir 2019 ;87(2):196-204

Unidad de Investigación en Endocrinología Experimental. Hospital de Especialidades Centro Médico Nacional Siglo XXI. Ciudad de México, México.

Introduction: Primary hyperparathyroidism (PHPT) is the leading cause of outpatient hypercalcemia associated with increased cardiovascular risk. The flow-mediated vasodilation (FMV) has been proposed as a non-invasive method for assessing endothelial function.

Objective: To compare the endothelial dysfunction measured by FMV and diastolic dysfunction in patients with PHPT before and after parathyroidectomy. Read More

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http://dx.doi.org/10.24875/CIRU.18000520DOI Listing
January 2019
1 Read

Efficacy and reproducibility of lymphatics mapping technique with sentinel lymph node biopsy in melanoma.

Cir Cir 2019 ;87(2):241-246

Hospital Privado Universitario de Córdoba, Córdoba, Argentina.

Introduction: The study of the Sentinel Lymph Node (SLN) in Melanoma is a procedure that aims the identification of the first node to which the affected cutaneous sector drains in order to avoid unnecessary lymphadenectomies. The present study documents the frequency of identification of SLN; the relationship between positive SLN (PSLN) and recurrence, between the Breslow index (BI) and PSLN, and between BI and disease recurrence.

Method: We analyzed the records of 148 patients with melanoma stages I and II undergoing lymphatic mapping and GC biopsy from 1999 to 2017 in a third level institution in Córdoba, Argentina. Read More

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http://dx.doi.org/10.24875/CIRU.18000439DOI Listing
January 2019
1 Read

Starch as a risk factor for increased trans surgical bleeding in total hip arthroplasty.

Cir Cir 2019 ;87(2):164-169

División de Investigación en Salud, Unidad Médica de Alta Especialidad Dr. Victorio de la Fuente Narváez, IMSS. México.

Objective: Establish whether the use of starch in hip arthroplasty is a risk factor for excessive surgical bleeding and requirement of red blood cell transfusion.

Method: Analytical observational retrospective study in 240 patients who underwent primary total hip arthroplasty from January 2015 to January 2016. Two groups were formed: starch (94 patients) and non-starch (146 patients). Read More

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http://dx.doi.org/10.24875/CIRU.18000397DOI Listing
January 2019

Antibiotic resistance: Microbiological profile of urinary tract infections in Mexico.

Cir Cir 2019 ;87(2):176-182

Departamento de Inmunología, Centro de Investigación Biomédica de Occidente. Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México.

Objective: The objective of this study was to describe the prevalence, microbiological profile, bacterial resistance, and the sensitivity to antibiotics of microorganisms causing urinary tract infection (UTI) at a single-site tertiary referral hospital in the western region of Mexico.

Methods: A total of 5895 culture samples processed at the microbiology laboratory from August 1, 2014, to July 31, 2015, were analyzed.

Results: A total of 5895 samples for urine cultures (UC) were collected, of which 3363 were taken in women (57. Read More

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http://dx.doi.org/10.24875/CIRU.18000494DOI Listing
January 2019
1 Read

Atraumatic splenic rupture secondary to appendicular perforation by cecal volvulus.

Cir Cir 2019 ;87(2):211-214

Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Tenerife, España.

Atraumatic splenic rupture, an infrequent surgical emergency, constitutes a life-threatening situation. The lack of a traumatic background makes it difficult to suspect. We present a case of a 45-year-old woman, with history of bariatric surgery, referred to our emergency due to 3 weeks long abdominal and lumbar pain, in shock. Read More

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http://dx.doi.org/10.24875/CIRU.18000373DOI Listing
January 2019
1 Read

Comparison of anatomic and functional success of treatment for retinal detachment with macular involvement between two retinopexy techniques.

Cir Cir 2019 ;87(2):136-140

Servicio de Oftalmología, Hospital Juárez de México. Ciudad de México, México.

Objective: To compare the frequency of anatomic and functional success, between eyes with uncomplicated rhegmatogenous retinal detachment treated with exoplant or vitrectomy.

Method: Non-experimental, retrospective, comparative and longitudinal study in patients with rhegmatogenous retinal detachment, <20/200 visual acuity and macular involvement, treated with exoplant (group 1) or vitrectomy (group 2), and 9 months follow up, without proliferative vitreoretinopathy or other vitreoretinal disease that reduced vision. The frequencies of anatomic success (attached retina) and functional success (visual acuity > 20/200) were compared between groups at the end of follow up (chi squared and odds ratio). Read More

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http://dx.doi.org/10.24875/CIRU.18000405DOI Listing
January 2019

Prognostic factors for survival and surgical complications in Whipple's pancreatoduodenectomy during a 10-year experience.

Cir Cir 2019 ;87(2):205-210

Department of Surgery, University Hospital "Dr. José Eleuterio González", Autonomous University of Nuevo León, México.

Background: Periampullary neoplasms account for over 30,000 cancer-related deaths per year in the United States. Pancreaticoduodenectomy (PD) is considered the surgical standard and is the only curative treatment option for these pathologies.

Objective: The objective of this study was to report the prognostic factors in survival and surgical complications in PD. Read More

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http://dx.doi.org/10.24875/CIRU.18000526DOI Listing
January 2019

Use of intraoperative cholangiography in patients diagnosed with choledocholithiasis with preoperative imaging or endoscopic study.

Cir Cir 2019 ;87(2):146-150

Servicio de Medicina del Enfermo en Estado Crítico. Hospital San José TecSalud, Monterrey, Nuevo León, México.

Background: Cholecystectomy is one of the most performed procedures worldwide. Many surgeons defend the use of routine intraoperative cholangiography (IOC), but this action is getting less practiced because other preoperative tools that can omit IOC.

Objective: Evaluate the utility of performing intraoperative cholangiography in patients whom got a preoperative imaging or endoscopy study. Read More

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http://dx.doi.org/10.24875/CIRU.18000468DOI Listing
January 2019

Negative pressure therapy in combination with mesh-mediated fascial traction in the treatment of infected pancreatic necrosis. A new therapeutic option.

Cir Cir 2019 ;87(2):219-223

Departamento de Cirugía General y Endoscópica, Hospital Dr. Manuel Gea González.

Background: Acute pancreatitis represents one of the most frequent digestive pathologies worldwide, which can be complicated as an infected necrotizing acute pancreatitis, that may require treatment with necrosectomy and open abdomen with the risk that this leads to the appearance of intestinal fistula and giant incisional hernias difficult to manage.

Clinical Case: A 35-year-old woman underwent laparoscopic cholecystectomy for acute cholecystitis, which was re-admitted due to jaundice and abdominal pain 3 days after her hospital discharge. Diagnostic laparoscopy is performed, where a 3200 cc biliperitoneum secondary to a cystic duct stump leak is located and drained. Read More

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http://dx.doi.org/10.24875/CIRU.18000472DOI Listing
January 2019
1 Read

Transfixion technique for the treatment of silicone oil pupillary block glaucoma refractory to Nd-YAG iridotomy.

Cir Cir 2019 ;87(2):215-218

Facultad de Medicina, Universidad Michoacana de San Nicolás de Hidalgo, Morelia, Michoacán, México.

Background: Pupillary block induced by silicon oil in vitrectomized patients is a common condition usually treated with Nd-YAG laser iridotomy or with surgical removal of silicon oil.

Case Report: A case of silicone oil pupillary block glaucoma successfully treated with a 30 G needle transfixion technique is described. We performed a non-complicated vitrectomy surgery for retinal detachment with proliferative vitreoretinopathy that included lensectomy, inferior peripheral iridectomy, and silicone oil injection. Read More

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http://www.cirugiaycirujanos.com/frame_esp.php?id=130
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http://dx.doi.org/10.24875/CIRU.18000386DOI Listing
January 2019
4 Reads

Long-term visual and anatomic outcomes after photodynamic therapy for symptomatic circumscribed choroidal hemangioma.

Cir Cir 2019 ;87(2):224-229

Departamento de Oftalmología. Facultad de Medicina y Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, México.

Circumscribed choroidal hemangiomas (CCHs) are relatively rare. We report the response of a symptomatic CCH to photodynamic therapy (PDT). A 70-year-old male presented with blurred vision of the left eye (OS). Read More

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http://dx.doi.org/10.24875/CIRU.18000362DOI Listing
January 2019

Ventriculitis associated with extraventricular drainage: etiology, diagnosis and treatment focused on neurocritic care units.

Cir Cir 2019 ;87(2):230-240

Cartagena Neurotrauma Research Group, Universidad de Cartagena, Cartagena de Indias, Colombia.

Ventriculitis after extraventricular drainage is a very important neurosurgical complication in neurocritical care units. It is necessary to make an early diagnosis, given that the morbidity and mortality secondary to it can be variable, and complicate the evolution of neurocritical patients. Despite this, ventriculostomy continues to be an important pillar in monitoring and treatment. Read More

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http://dx.doi.org/10.24875/CIRU.18000052DOI Listing
January 2019

Cervical metastasis of squamous cell carcinoma of the head and neck. Therapeutic options.

Cir Cir 2019 ;87(2):141-145

Departamento de Tumores de Cabeza y Cuello, Hospital de Oncología, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Ciudad de México, México.

Introduction: Patients with bulky metastases of squamous cell carcinoma of the head and neck represent a challenge for the therapeutic decision; balance between oncological control and complications should be achieved. The therapeutic sequence has no impact on survival but sequelae.

Objective: We analyze the oncological results in patients with bulky metastases on the neck treated with induction chemotherapy and with up-front neck dissection. Read More

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http://dx.doi.org/10.24875/CIRU.18000412DOI Listing
January 2019

Effect of insertion angle on the stability of orthodontic mini-implants in a rabbit tibia model: A finite element analysis.

Cir Cir 2019 ;87(2):190-195

Laboratorio de Biomecánica, Instituto Nacional de Rehabilitación Luis Guillermo Ibarra Ibarra, Mexico City, Mexico.

Introduction: Mini-implants are an alternative to traditional methods of anchorage in orthodontic treatment. However, there are still questions concerning their application, in particular, with the insertion angle.

Objective: To determine whether the angle of insertion of the mini-implant is a determining factor in their primary stability when they support orthodontic loads. Read More

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http://dx.doi.org/10.24875/CIRU.18000437DOI Listing
January 2019

Protocol for fast postoperative improvement (FPOI) in gastrointestinal surgery.

Cir Cir 2019 ;87(2):151-157

Cátedra de Fisiopatología, Facultad de Farmacia y Bioanálisis, Universidad de Los Andes. Mérida, Venezuela.

Introduction: Peroperative treatment has required multimodal protocols that stimulate patient evolution and shorten hospital stay.

Objective: Identify the type of pathology, intervention performed and evaluate the effectiveness of the Rapid Postoperative Improvement Protocol (RAMPO) in patients undergoing elective gastrointestinal surgery.

Method: A total of 122 patients were evaluated, a group of 61 patients received the RAMPO protocol and the other group of equal number of patients were treated with traditional protocols (Controls). Read More

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http://dx.doi.org/10.24875/CIRU.18000470DOI Listing
January 2019

Factors that impact kidney function during open and endovascular reconstruction of aortic aneurysms.

Cir Cir 2019 ;87(2):170-175

Dirección de Cirugía, Sección de Angiología, Cirugía Vascular y Terapia Endovascular, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, México.

Background: To analyze the factors that influence the deterioration of postoperative renal function in patients undergoing open or endovascular aortic reconstruction, and the impact on survival.

Method: Retrospective review of patients who underwent invasive treatment was conducted. Demographics, laboratory data, clinical, intraoperative and postoperative variables were recorded; renal function was determined, Fisher's exact test was used to find associations and Kaplan Meier analysis to estimate survival. Read More

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http://dx.doi.org/10.24875/CIRU.18000448DOI Listing
January 2019
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Abdominal trauma: experience of 4961 cases in Western Mexico.

Cir Cir 2019 ;87(2):183-189

Servicio de Cirugía Medicina Legal, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, Jalisco, México.

Introduction: Trauma is a leading cause of morbimortality in the world. Intraabdominal compartment is the third most affected anatomical region and bleeding from this origin is difficult to identify, therefore the importance to predict possible lesions to the abdominal cavity.

Objective: To describe and analyze the sociodemographic profile and injuries found in patients with abdominal trauma in a western hospital in Mexico. Read More

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http://dx.doi.org/10.24875/CIRU.18000509DOI Listing
January 2019
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Application of the Kiewiet-Van Ruler model to predict the need for relaparotomy in patients with secondary peritonitis.

Cir Cir 2019 ;87(2):158-163

Clínica de Sepsis Abdominal, Departamento de Cirugía General. Hospital General de México Dr. Eduardo Liceaga, Ciudad de México, México.

Introduction: It is crucial the timely detection of a new infection or the persistence of it to improve the survival rates, there is no index that can determine the need for relaparotomy.

Objective: To evaluate the diagnostic certainty of the model elaborated by Kiewiet-Van Ruler.

Method: A retrospective, descriptive, cross-sectional study, patients diagnosed with abdominal sepsis who underwent exploratory laparotomy between January 2013 to and May 2015. Read More

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http://dx.doi.org/10.24875/CIRU.18000284DOI Listing
January 2019
1 Read

[Morbimortalidad de la pancreatoduodenectomía en pacientes con cáncer de páncreas y tumores periampulares en el Hospital de Oncología del Centro Médico Nacional Siglo XXI de 2008 a 2013].

Cir Cir 2019 ;87(1):69-78

Departamento de Sarcomas y Tumores de Tubo Digestivo Alto, Hospital de Oncología, Centro Médico Nacional Siglo XXI, Ciudad de México, México.

Introduction: Pancreatic tumors and periampullary tumors have a similar clinical presentation; pancreatoduodenectomy represents the only possibility of cure or of increasing survival; with an average mortality of 5-10% and a morbidity of 20-40%.

Objective: To determine the morbidity and mortality secondary to the pancreatoduodenectomy intervention in patients with pancreatic cancer or periampullary tumors in the Oncology Hospital of Centro Médico Nacional Siglo XXI (Mexico City) from 2008 to 2013.

Method: Historical, observational and descriptive cohort carried out in the department of sarcomas and tumors of the upper digestive tube of the Oncology Hospital of Centro Médico Nacional Siglo XXI, postoperative pancreatoduodenectomy from 2008 to 2013. Read More

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http://dx.doi.org/10.24875/CIRU.18000580DOI Listing
January 2019
1 Read

[Experiencia en el diagnóstico y tratamiento de 38 casos de cáncer de tiroides en población pediátrica].

Cir Cir 2019 ;87(1):7-11

Departamento de Cirugía Pediátrica, Instituto Nacional de Cancerología. Bogotá, Colombia.

Objective: To present our experience treating 38 patients with pediatric thyroid carcinoma.

Method: We received 44 pediatric patients with thyroid cancer between 2008 and 2016 in a specialized cancer center. A team of two surgeons treated all patients. Read More

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http://dx.doi.org/10.24875/CIRU.18000044DOI Listing
January 2019
3 Reads

[Quiste de prepucio deformante en un recién nacido].

Cir Cir 2019 ;87(1):92-95

Servicio de Cirugía Pediátrica de NEOKIDS, Hospital Ángeles de Villahermosa, Tabasco.

Penile cysts are uncommon lesions. In general, they are asymptomatic and do not interfere with sexual function. Most of them are present since birth, but usually they are only detectable in adolescence or adulthood. Read More

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http://dx.doi.org/10.24875/CIRU.18000221DOI Listing
January 2019
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[Rotura inusual de cuerpo cavernoso: resultados del manejo quirúrgico oportuno].

Cir Cir 2019 ;87(1):79-84

Departamento de Urología, Hospital Juárez de México, Ciudad de México, México.

Background: The rupture of the cavernous body (faux pas du coit) refers to the solution of continuity in its surrounding tunica albuginea. It occurs in one of 175,000 hospital admissions, accounting for 58% of penile lesions. When the erect penis flexes abnormally, the abrupt increase in intracavernous pressure exceeds the tensile strength of the tunica albuginea and often determines transverse laceration of the proximal body of the penis. Read More

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http://dx.doi.org/10.24875/CIRU.18000002DOI Listing
January 2019
2 Reads

[Tumores neuroendocrinos pancreáticos. Nuestra experiencia].

Cir Cir 2019 ;87(1):88-91

Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario Reina Sofía, Murcia, España.

Pancreatic neuroendocrine tumors are rare. It is a heterogeneous group of neoplasms with very different behavior and prognosis. They can appear sporadically or associated with genetic syndromes. Read More

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http://dx.doi.org/10.24875/CIRU.18000169DOI Listing
January 2019
1 Read

[Síndrome de compresión del ligamento arcuato medio en el adulto: a propósito de dos casos].

Cir Cir 2019 ;87(1):85-87

Servicio de Cirugía General y Digestiva, Hospital Universitario Fundación Jiménez-Díaz, Madrid, España.

The medium arcuate ligament syndrome is a rare disorder that results from luminal narrowing of the celiac artery by the insertion of diaphragmatic muscle or the celiac nerve plexus. The syndrome is characterized by weight loss, postprandial abdominal pain, nausea, vomiting and an epigastric murmur. Surgical management involves the complete division of the medial arcuate ligament. Read More

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http://dx.doi.org/10.24875/CIRU.18000139DOI Listing
January 2019
1 Read
0.322 Impact Factor

[Histiocitosis de Langerhans en el cráneo. Informe de un caso].

Cir Cir 2019 ;87(1):96-100

Delegación Baja California. Instituto Mexicano del Seguro Social, Baja California, México.

Background: Langerhans cell histiocytosis is a rare disease in the adult, predominates in the pediatric age and is more common in men than in women. The sites of greater affection are the long bones, followed by the bones of the skull. Patients usually have symptoms related to the site of affection, usually polyostotic lesions, monostotic lesions occur less frequently. Read More

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http://dx.doi.org/10.24875/CIRU.18000330DOI Listing
January 2019
2 Reads

[Esplenectomía laparoscópica, una opción eficaz en un hospital de segundo nivel].

Cir Cir 2019 ;87(1):23-27

Servicio de Cirugía General, Hospital General de Zona #32 Dr. Mario Madrazo Navarro, Instituto Mexicano del Seguro Social, Ciudad de México, México.

Introduction: Laparoscopic splenectomy was reserved for selected cases, however and because of the improvement in surgical technique and laparoscopic instruments, nowadays, there are few contraindications.

Method: Retrospective and observational study of patients surgically treated of laparoscopic splenectomy secondary to hematologic diseases in a period span of 6 years. We analyzed demographic, preoperative, transoperative and postoperative variables. Read More

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http://dx.doi.org/10.24875/CIRU.18000383DOI Listing
January 2019
2 Reads

[Valor predictivo de la procalcitonina para la necesidad de cirugía y la presencia de isquemia y necrosis en pacientes con obstrucción del intestino delgado].

Cir Cir 2019 ;87(1):45-52

Departamento de Cirugía General, Hospital Regional Dr. Valentín Gómez Farías, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado, Zapopan, Jalisco, México.

Introduction: The purpose of this prospective cohort study was to evaluate whether serum procalcitonin (PCT) levels predict the need for surgery and the presence of ischemia and/or necrosis (I/N) in small bowel obstruction.

Method: Of 54 patients included, conservative management was performed in 31 (non-surgical group) and an exploratory laparotomy in 23 (surgical group). The reference value of the PCT was between 0. Read More

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http://dx.doi.org/10.24875/CIRU.18000420DOI Listing
January 2019
1 Read

[Epirubicina neoadyuvante con o sin docetaxel secuencial en el tratamiento del cáncer de mama avanzado: evaluación de la respuesta patológica completa y tolerabilidad de la quimioterapia].

Cir Cir 2019 ;87(1):59-68

Servicio de Oncología Médica. Unidad Médica de Alta Especialidad del Hospital de Ginecología y Obstetricia No. 3, Centro Médico Nacional La Raza, Instituto Mexicano del Seguro Social, Ciudad de México, México.

Objective: To assess the pathological complete response (pCR) rate after neoadjuvant chemotherapy (NC) with anthracyclines with or without taxanes in management of locally advanced breast cancer (LABC).

Method: Patients with LABC were included. A cohort received four cycles of 5-fluorouracil [FEC] (FEC 500 mg/m, epirubicin 75 mg/m, cyclophosphamide 500 mg/m) every 3 weeks followed by four cycles of docetaxel (D) 75 mg/m as 1 h infusion intravenous every 3 weeks. Read More

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http://dx.doi.org/10.24875/CIRU.18000425DOI Listing
January 2019
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[Colgajo DIEP como primera opción de reconstrucción mamaria en pacientes mexicanas con cicatrices abdominales previas].

Cir Cir 2019 ;87(1):53-58

Departamento de Cirugía Plástica y Reconstructiva, Hospital de Traumatología y Ortopedia no. 21, Instituto Mexicano del Seguro Social (IMSS), Monterrey, Nuevo León, México.

Introduction: For many years the abdominal region has been a reliable donor of abundant well-perfused tissue. The subdermal plexus constitutes an intricate network of microvessels that comprise the entire abdominal skin and allow for innumerable and redundant connections.

Method: Using a retrospective cohort study, we considered the first 100 deep inferior epigastric perforator (DIEP) flaps performed for breast reconstruction in the High Specialty Medical Department #21 of the Mexican Institute of Social Security in Monterrey, Nuevo Leon, Mexico, from January 2010 until December 2015. Read More

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http://dx.doi.org/10.24875/CIRU.18000422DOI Listing
January 2019
1 Read

[Breve reseña histórica de la primera publicación del síndrome de insuficiencia respiratoria aguda].

Cir Cir 2019 ;87(1):113-122

Instituto Nacional de Ciencias Médicas y Nutrición Dr. Salvador Zubirán, Ciudad de México, México.

Acute respiratory distress syndrome was first described by Ashbaugh, Petty, Levine y Bigellow in 1967 writing in The Lancet. Their study was based on a case series of 12 patients with acute respiratory distress, cyanosis refractory to oxygen therapy, decreased lung compliance and diffuse infiltrates evident on the chest radiograph. Mortality was 58% with greater survival in five patients managed with mechanical ventilation and positive end expiratory pressure. Read More

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http://dx.doi.org/10.24875/CIRU.18000592DOI Listing
January 2019
2 Reads

[Combination of noise plus weight-bearing accelerates consolidation time in tibial shaft fractures: A preliminary report].

Cir Cir 2019 ;87(1):18-22

Departamento de Clínicas, División de Ciencias Biomédicas, Centro Universitario de los Altos, Universidad de Guadalajara. México.

Introduction: Long bones fractures are responsible for prolonged periods of incapacity and economic losses. New therapies for shortening the time of consolidation are needed. Thus, the purpose of this clinical study was to evaluate the efficacy of noise plus weight-bearing over the bone consolidation of tibial shaft fractures. Read More

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http://www.cirugiaycirujanos.com/files/circir_2019_87_1_18-2
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http://dx.doi.org/10.24875/CIRU.18000315DOI Listing
January 2019
3 Reads

[Tratamiento ambulatorio de la diverticulitis aguda no complicada. Análisis de nuestra experiencia].

Cir Cir 2019 ;87(1):40-44

Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario San Juan de Alicante, Alicante, España.

Objective: Analyze the safety and efficacy of the outpatient treatment of uncomplicated acute diverticulitis and a costs analysis.

Method: We conducted a prospective, non-randomized study between June 2014 and June 2017. We included all patients diagnosed of uncomplicated acute diverticulitis based on clinical and abdominal computed tomography scan in the Emergency Department of the University Hospital San Juan de Alicante (Spain). Read More

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http://dx.doi.org/10.24875/CIRU.18000408DOI Listing
January 2019
1 Read

[Abordaje laparoscópico de una hernia de Spiegel en edad pediátrica. Revisión de la literatura].

Cir Cir 2019 ;87(1):101-105

Servicio de Radiología, Hospital de Jove, Gijón. España.

Background: Spigelian hernia is a ventral hernia in the anterior abdominal wall extremely rare in children.

Clinic Case: A 13 years old patient is presented with a Spigelian hernia. A surgical repair was successfully performed through a laparoscopic transperitoneal approach without prosthetic reinforcement. Read More

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http://dx.doi.org/10.24875/CIRU.18000338DOI Listing
January 2019
1 Read

[¿Quién es quién?]

Cir Cir 2019 ;87(1):5-6

Servicio de Ginecología y Obstetricia, Hospital General de México Dr. Eduardo Liceaga; Especialidad de Medicina Crítica en Obstetricia, Facultad de Medicina, Universidad Nacional Autónoma de México. Ciudad de México, México.

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http://dx.doi.org/10.24875/CIRU.M18000062DOI Listing
January 2019
1 Read

[Comparación del índice de neutrófilos/linfocitos, la escala de SOFA y la concentración sérica de procalcitonina como indicadores de la gravedad de la apendicitis aguda].

Cir Cir 2019 ;87(1):12-17

Departamento de Cirugía General, Hospital General de México Dr. Eduardo Liceaga, Ciudad de México, México.

Introducción: La apendicitis aguda (AA) es una de las principales causas de abdomen agudo. Un retraso en su diagnóstico y tratamiento elevan la morbimortalidad.

Objetivo: Evaluar el índice de neutrófilos/linfocitos (INL), la escala SOFA (Sequential Organ Failure Assessment), la procalcitonina (PCT) y la bilirrubina total (BT), y ver si existe relación como determinantes de la gravedad de la AA. Read More

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http://dx.doi.org/10.24875/CIRU.18000216DOI Listing
January 2019
1 Read

[Educación quirúrgica: el proceso multicanal de enseñanza-aprendizaje y la adquisición de competencias].

Cir Cir 2019 ;87(1):106-112

Hospital Central Militar. Secretaría de la Defensa Nacional, Ciudad de México, México.

Background: Nowadays, there are few differences between civilian and military trauma, requiring to surgeons serving at urban hospitals, the acquisition of competences leading to implementation of management strategies for these cases. For their training, instructional designs related to surgical education, incorporating multimedia resources and favoring the multichannel teaching-learning process, have demonstrated remarkable benefits on competences acquisition by participants.

Method: Using an instructional design sustained on problems based learning and problems resolution, a digital video and its associated flat text were reviewed by the General Surgery residents, with the further application of a wide-answer problem-resolution questionnaire. Read More

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http://dx.doi.org/10.24875/CIRU.18000414DOI Listing
January 2019
1 Read

[Utilidad de la resonancia magnética dinámica para la evaluación de la inestabilidad disco-vertebral vs. la resonancia magnética estática].

Cir Cir 2019 ;87(1):28-33

Clínica de columna, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara. Jalisco, México.

Introduction: Dynamic magnetic resonance imaging (dMR) is useful to evaluate the unstable cervical spine; it evaluates soft components of the cervical spine and dynamic cervical movements.

Objective: To describe and analyze the frequency of presentation of herniated discs with static MRI and compare with dMR.

Method: During December 2014 to February 2016, patients with cervicalgia and suspected cervical instability were evaluated. Read More

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http://dx.doi.org/10.24875/CIRU.18000388DOI Listing
January 2019
1 Read

[Sensibilidad foveal en ojos con edema macular diabético con y sin engrosamiento temporal perifoveal].

Cir Cir 2019 ;87(1):34-39

División de Investigación. Hospital Juárez de México, Ciudad de México, México.

Background: Visual improvement after photocoagulation in focal diabetic macular edema is more frequent when temporal perifoveal area is not affected; functional status before treatment could be worse in eyes with perifoveal temporal thickening. The correlation between visual acuity and foveal sensitivity (usually significant), would allow to compare macular function.

Objective: To compare the correlation between retinal sensitivity and visual acuity in eyes with diabetic macular edema, with and without temporal perifoveal thickening. Read More

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http://dx.doi.org/10.24875/CIRU.18000404DOI Listing
January 2019
1 Read

Orthogonal cameras system for tracking of laparoscopic instruments in training environments.

Cir Cir 2018 ;86(6):548-555

Department of Electrical Engineering, Bioelectronics Section, Centro de Investigación y de Estudios Avanzados del Instituto Politécnico Nacional (CINVESTAV-IPN), Ciudad de México, Mexico.

Introduction: Motion analysis is a valuable tool for assessment of psychomotor skills in laparoscopy. Nonetheless, it requires technologies for tracking the activity of the laparoscopic instruments during training. This paper presents a sensor-free system to track the movements of laparoscopic instruments based on an orthogonal camera system and video image processing. Read More

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http://dx.doi.org/10.24875/CIRU.18000348DOI Listing
January 2018
9 Reads

[Evaluación del desempeño de estudiantes de medicina de pregrado en cirugía abierta con proyección a realizar una especialidad quirúrgica].

Cir Cir 2018 ;86(6):485-490

Departamento de Cirugía, Facultad de Medicina, Universidad Autónoma Nacional de México. Ciudad de México, México.

Objetivo: Determinar el desarrollo de habilidades, los conocimientos y los niveles de confianza en el campo de la cirugía abierta en un grupo de estudiantes de pregrado de medicina que pretendan realizar una especialidad quirúrgica.

Método: Se llevó a cabo un estudio en un grupo de estudiantes de sexto año de medicina con el enfoque de realizar una especialidad quirúrgica. Todos los participantes recibieron un entrenamiento teórico-práctico de habilidades en cirugía abierta. Read More

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http://www.cirugiaycirujanos.com/files/p4214bx176-circir-6--
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http://dx.doi.org/10.24875/CIRU.18000170DOI Listing
January 2018
11 Reads

[Uso de los valores de hormona paratiroidea intranodular obtenidos por punción con aguja fina como factor predictivo de hipoparatiroidismo posoperatorio].

Cir Cir 2018 ;86(6):475-480

Servicio de Cirugía General y del Aparato Digestivo. Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, España.

Objetivo: Análisis de los valores de hormona paratiroidea (PTH) intranodular obtenidos por punción con aguja fina como factor predictivo de hipoparatiroidismo posoperatorio.

Método: De los 157 pacientes a los que se realizó la medición de la PTH intranodular, se estudiaron 37 que fueron intervenidos quirúrgicamente, estableciendo 15 variables para analizar: edad, sexo, tiempo de evolución, tamaño, cirugía de tiroides asociada, tratamiento preoperatorio con calcimiméticos, litiasis renal, densitometría ósea, aclaramiento de creatinina, calcio y PTH preoperatorios, PTH determinada tras punción con aguja fina, descenso de la PTH intraoperatoria, calcio posoperatorio y malignidad de la tumoración. Estas se compararon con la prueba de ji al cuadrado o el test exacto de Fisher, siendo significativa una p < 0. Read More

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http://www.cirugiaycirujanos.com/files/p4214bx176-circir-6--
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http://dx.doi.org/10.24875/CIRU.18000026DOI Listing
January 2018
10 Reads

[Morbilidad y mortalidad de la linfadenectomía cervical. Análisis de 311 casos].

Cir Cir 2018 ;86(6):522-527

Unidad de Investigación Biomédica. Unidad Médica de Alta Especialidad, Hospital de Especialidades del Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Guadalajara, Jalisco, México.

Objetivo: Determinar la morbimortalidad y los factores de riesgo asociados a la linfadenectomía cervical.

Métodos: Estudio transversal analítico en el que se incluyeron pacientes sometidos a linfadenectomía cervical en cualquiera de sus variantes, secundarios a la recurrencia de alguna enfermedad neoplásica, desde enero de 2011 hasta noviembre de 2016.

Resultados: Se incluyeron 311 pacientes, de los cuales 203 (65. Read More

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http://dx.doi.org/10.24875/CIRU.18000311DOI Listing
January 2018
4 Reads

[Tratamiento nutricional hiperproteico precirugía bariátrica en obesidad mórbida].

Cir Cir 2018 ;86(6):508-514

Unidad de Investigación en Inmunidad e Inflamación, Hospital Juárez de México. Ciudad de México, México.

Objetivo: Comparar la efectividad de un plan de alimentación hipocalórico hiperproteico con otro normoproteico sobre la composición corporal, los parámetros bioquímicos y las citocinas inflamatorias en pacientes obesos precirugía bariátrica sometidos a un tratamiento integral.

Método: Se estudiaron 76 pacientes con un índice de masa corporal (IMC) ≥ 40 kg/m² previamente a la cirugía bariátrica. Un grupo fue tratado con una dieta hipocalórica hiperproteica y se comparó con una dieta hipocalórica normoproteica. Read More

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http://dx.doi.org/10.24875/CIRU.18000299DOI Listing
January 2018
1 Read

[Programa de entrenamiento en reparacion vascular en modelo experimental para residentes de cirugía general].

Cir Cir 2018 ;86(6):481-484

Servicio de Patología. Hospital General de México Dr. Eduardo Liceaga, Ciudad de México, México.

Introducción: Los programas de entrenamiento simulado permiten optimizar recursos, aumentar la práctica técnica y acortar curvas de aprendizaje, y constituyen un método seguro, estandarizado y validado de aprendizaje para todos los entrenados.

Objetivo: Desarrollar un programa de entrenamiento vascular mediante la elaboración de una anastomosis término-terminal de un vaso en un modelo experimental para residentes de cirugía general.

Método: Para el desarrollo de este modelo de entrenamiento se utilizó una extremidad amputada a nivel supracondíleo libre de proceso médico-legal. Read More

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http://dx.doi.org/10.24875/CIRU.18000163DOI Listing
January 2018
7 Reads

Soft tissue angiosarcoma of the breast in a patient with Klippel-Trenaunay-Weber syndrome.

Cir Cir 2018 ;86(6):566-569

Department of Surgery Division of Surgical Oncology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.

Angiosarcomas are neoplasms of blood or lymphatic vessels with aggressive behavior. We report the coexistence of this malignancy within soft tissue of the breast in a 49-year-old woman who was diagnosed with Klippel-Trenaunay-Weber syndrome (KTW-S) during childhood. The patient has no previous history of radiation therapy on the chest and does not have any known risk factor for developing angiosarcoma, except for her congenital disease. Read More

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http://dx.doi.org/10.24875/CIRU.18000306DOI Listing
January 2018
9 Reads

[Hidrocefalia congénita-neonatal: alternativas terapéuticas a la derivación. Una mirada a la terapia celular].

Cir Cir 2018 ;86(6):575-582

Departamento de Neurocirugía, Universidad de Cartagena, Cartagena de Indias, Colombia.

Introducción: La hidrocefalia de inicio fetal, perinatal y neonatal representa un gran reto terapéutico y a menudo cursa con un pronóstico neurológico pobre, debido a su etiología heterogénea, que incluye alteraciones del neurodesarrollo.

Objetivo: Realizar una recopilación de los avances en terapia celular como propuesta que permite ampliar el espectro de tratamiento en la hidrocefalia congénita-neonatal.

Desarrollo: Las intervenciones terapéuticas disponibles actualmente, como la derivación ventrículo-peritoneal y la tercera ventriculostomía, son insuficientes para resolver por completo la hidrocefalia y para prevenir o revertir los daños neurológicos asociados. Read More

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http://dx.doi.org/10.24875/CIRU.18000054DOI Listing
January 2018
5 Reads

[Prevalencia y genotipos del virus del papiloma humano en muestras de tejido laríngeo de pacientes con cáncer de laringe del noreste de México].

Cir Cir 2018 ;86(6):499-507

Laboratorio de Inmunología y Virología, Facultad de Ciencias Biológicas, Universidad Autónoma de Nuevo León, San Nicolás de los Garza.

Antecedentes: El cáncer de laringe representa el 21.7% de las neoplasias malignas de vías aerodigestivas superiores. La prevalencia del virus del papiloma humano (VPH) en el cáncer de laringe oscila entre el 0 y el 80%. Read More

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http://dx.doi.org/10.24875/CIRU.18000297DOI Listing
January 2018
8 Reads

[Metástasis hepáticas sincrónicas de cáncer colorrectal. ¿Resección simultánea o diferida?]

Cir Cir 2018 ;86(6):528-533

Sección de Oncología Digestiva, Servicio de Cirugía General, Hospital Tránsito Cáceres de Allende, Córdoba, Argentina.

Introducción: El 20-40% de las metástasis hepáticas de origen colorrectal son de tipo sincrónico. Actualmente existen tres estrategias quirúrgicas; dos de ellas proponen resecciones diferidas, y la otra, la resección simultánea.

Objetivo: evaluar los resultados a corto y largo plazo de las resecciones simultáneas. Read More

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http://dx.doi.org/10.24875/CIRU.18000312DOI Listing
January 2018
3 Reads

[Factores de riesgo asociados a las complicaciones y a la falla terapéutica en las reconstrucciones de lesiones de vía biliar secundarias a colecistectomía].

Cir Cir 2018 ;86(6):491-498

Departamento de Investigación. Unidad Médica de Alta Especialidad Hospital de Especialidades 14 Adolfo Ruiz Cortines, Instituto Mexicano del Seguro Social, Veracruz, México.

Antecedentes: Las lesiones de vías biliares por colecistectomía son una complicación seria. Numerosos factores alteran el resultado de su reconstrucción.

Método: Evaluación de la reconstrucción de lesiones de vía biliar y sus factores de riesgo (de enero de 2008 a enero de 2017). Read More

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http://www.cirugiaycirujanos.com/files/p4214bx176-circir-6--
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http://dx.doi.org/10.24875/CIRU.18000276DOI Listing
January 2018
8 Reads