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    2208 results match your criteria Cirugia y cirujanos[Journal]

    1 OF 45

    [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 Apr 19. 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 Mar 6. 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 Mar 6. 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 Jan 23. 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(1). 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 Jan 19. 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 Jan 19. 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 Jan 16. 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 Jan 16. 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 Jan 16. 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 Jan 10. 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 Jan 10. 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 Jan 6. 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 Jan 4. 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 Jan 3. 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 Jan 2. Epub 2017 Jan 2.
    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 2016 Dec 30. 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 2016 Dec 30. Epub 2016 Dec 30.
    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 2016 Dec 29. 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 2016 Dec 28. Epub 2016 Dec 28.
    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 2016 Dec 28. 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 2016 Dec 27. 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 2016 Dec 26. 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 2016 Dec 26. Epub 2016 Dec 26.
    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 2016 Dec 24. 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 2016 Dec 24. 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 2016 Dec 24. 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 2016 Dec 24. 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

    [Crossed renal ectopia in a patient with a complicated sigma neoplasia].
    Cir Cir 2016 Dec 21. Epub 2016 Dec 21.
    Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Tenerife, España.
    Background: Crossed renal ectopia is a rare pathology that is often asymptomatic. Intraoperative detection with a sigma complicated neoplasia is more infrequent and requires correct management to avoid a renal ureteral injury.

    Aim: To present a case report of a patient with a sigma complicated neoplasia and a crossed renal ectopia detected incidentally. Read More

    [Complex regional pain syndrome: A review].
    Cir Cir 2017 Jul - Aug;85(4):366-374. Epub 2016 Dec 19.
    Clínica del Dolor, Instituto Nacional de Cancerología, Ciudad de México, México.
    Background: Complex regional pain syndrome is characterized by spontaneous or induced pain disproportionate in relation to the initial event and is accompanied by a variety of regional and motor disturbances, leading to a variety of clinical presentations. It is often associated with surgery and minor trauma.

    Pathophysiology: Three mechanisms are postulated: changes secondary to post traumatic inflammation, peripheral vasomotor dysfunction and structural and functional changes of the central nervous system as a result of maladaptation. Read More

    [Metabolic control in the critically ill patient an update: hyperglycemia, glucose variability hypoglycemia and relative hypoglycemia].
    Cir Cir 2017 Jan - Feb;85(1):93-100. Epub 2016 Dec 18.
    División de Áreas Críticas, Instituto Nacional de Rehabilitación, Ciudad de México, México.
    Background: Metabolic changes of glucose in critically ill patients increase morbidity and mortality. The appropriate level of blood glucose has not been established so far and should be adjusted for different populations. However concepts such as glucose variability and relative hypoglycemia of critically ill patients are concepts that are changing management methods and achieving closer monitoring. Read More

    [Incidence of hip and knee prosthetic infections in a specialized center of Mexico City].
    Cir Cir 2016 Dec 17. Epub 2016 Dec 17.
    Subdirección de Epidemiología Hospitalaria y Control de la Calidad de la Atención Médica, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, México.
    Background: Hip and knee prosthetic replacements have proven to be the most appropriate treatment in the joints that do not benefit from medical or arthroscopic interventions; however, infections are the most feared complication. It is recommended that the incidence of infection should not exceed 2%.

    Material And Methods: This was an observational, prospective, longitudinal and observational study conducted in patients fitted with a prosthetic joint from August 2011 to July 2012. Read More

    [Case report: Occlusion and intestinal necrosis by obturator hernia].
    Cir Cir 2016 Dec 16. Epub 2016 Dec 16.
    Servicio de Cirugía General, Hospital Universitario «Dr. José Eleuterio González», Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México. Electronic address:
    Background: Obturator hernia is a rare variety of abdominal hernia, it accounts for 0.07%-1.0% of all hernias, and occurs most often in women of advanced age and multiparous. Read More

    [Neurosurgical position causes peripheral nerve injuries?]
    Cir Cir 2016 Dec 16. Epub 2016 Dec 16.
    Departamento de Neuroanestesiología, Instituto Nacional de Neurología y Neurocirugía, Ciudad de México, México. Electronic address:
    Background: Positioning during neurosurgical procedures is a challenge for surgical teams even if precautions are taken, the mechanisms underlying peripheral nerve injury (elongation, compression or ischaemia) are latent and it is important to know the frequency of occurrence in our environment.

    Objective: To analyze the frequency of peripheral nerve injury secondary to surgical positioning.

    Materials And Methods: Prospective study including 163 patients scheduled for neurosurgical procedures. Read More

    [Assessment of amylase and lipase levels following puncture biopsy and fine needle aspiration guided by endoscopic ultrasound in pancreatic lesions].
    Cir Cir 2016 Dec 14. Epub 2016 Dec 14.
    Unidad de Anestesiología, Hospital de Especialidades del Centro Médico Nacional Siglo XXI, Ciudad de México, México.
    Background: Puncture biopsy and fine needle aspiration guided by endoscopic ultrasound has been used as an effective technique and is quickly becoming the procedure of choice for diagnosis and staging in patients suspected of having pancreatic cancer. This procedure has replaced retrograde cholangiopancreatography and brush cytology due to its higher sensitivity for diagnosis, and lower risk of complications.

    Objective: To assess the levels of pancreatic enzymes amylase and lipase, after the puncture biopsy and fine needle aspiration guided by endoscopic ultrasound in pancreatic lesions and the frequency of post-puncture acute pancreatitis. Read More

    [Aplasia cutis congenita associated with epidermolysis bullosa].
    Cir Cir 2016 Dec 12. Epub 2016 Dec 12.
    Departamento de Ciencias de la Salud - Unidad Cajeme, Universidad de Sonora, Ciudad Obregón, Sonora, México.
    Introduction: Aplasia cutis congenita (ACC) is a skin condition of rare presentation, this disease is characterized by absence of skin at birth and associated with facial, skin and bone skull deformities. The diagnosis is mainly clinical.

    Case Report: Male 5 days after birth, unique product of primigravida mother and no family history of relevance. Read More

    [Validation and clinical application of MammaPrint(®) in patients with breast cancer].
    Cir Cir 2017 Jul - Aug;85(4):320-324. Epub 2016 Dec 13.
    Servicio de Cirugía Oncológica, Mastológica Lomas, Centro de Estudios Mastológicos, S.A. de C.V., Ciudad de México, México.
    Background: In recent years, advances in molecular biology have resulted in innovations in breast cancer diagnostics and therapeutics. The development of genomics has revolutionized our understanding of this disease. MammaPrint(®) was developed as a diagnostic tool to predict risk of breast cancer recurrence using the expression of 70 genes altering the clinicopathologic paradigm of selection of patients for adjuvant cytotoxic chemotherapy. Read More

    [Warming up with endotrainer prior to laparoscopic cholecystectomy].
    Cir Cir 2017 Jul - Aug;85(4):299-305. Epub 2016 Dec 13.
    Jefatura de enseñanza e investigación, Hospital General Dr. Fernando Quiroz Gutiérrez, ISSSTE, Ciudad de México, México.
    Background: Laparoscopic cholecystectomy is a safe and effective treatment and remains the gold standard in patients with benign disease. However it presents difficulties such as: the limited movement range of the instruments, the loss of depth perception, haptic feedback and the fulcrum effect. Previous training can optimize surgical performance in patients to master basic skills. Read More

    [Prognostic value of the presence of pericolic air bubbles detected by computed tomography in acute diverticulitis].
    Cir Cir 2016 Dec 9. Epub 2016 Dec 9.
    Servicio de Cirugía, Centro Médico ABC, Ciudad de México, México.
    Background: Diverticular disease is common in industrialized countries. Computed tomography has been used as the preferred diagnostic method; although different scales haves been described to classify the disease, none of them encompass total disease aspects and behaviour.

    Objetive: To analyze the patients with acute diverticulitis confirmed by computed tomography at the ABC Medical Center Campus Observatorio from January 1, 2010 to December 31, 2012, in whom pericolic free air in the form of bubbles was identified by computed tomography and if this finding can be considered as a prognostic factor for the disease. Read More

    [Mohs micrographic surgery: 27 year experience in the Northeast of Mexico].
    Cir Cir 2017 Jul - Aug;85(4):279-283. Epub 2016 Dec 10.
    Servicio de Dermatología, Hospital Universitario Dr. José E. González, Monterrey, Nuevo León, México. Electronic address:
    Introduction: Skin cancer treatment includes surgical and non-surgical techniques. Among surgical techniques, Mohs micrographic surgery permits a complete evaluation of surgical margins with maximal tissue sparing.

    Material And Methods: Retrospective review of dermatology database of skin cancer cases treated with Mohs surgery at University Hospital Dr. Read More

    [Analysis of population characteristics of infants affected by necrotizing enterocolitis in a tertiary centre in the last 12 years].
    Cir Cir 2016 Dec 9. Epub 2016 Dec 9.
    Servicio de Cirugía Pediátrica, Complejo Hospitalario Universitario de A Coruña, A Coruña, España.
    Background: Necrotizing enterocolitis is the most lethal gastrointestinal emergency in the neonatal period. Incidence and mortality have remained stable in recent years despite advances in neonatal intensive care. The aim of this study is to show the general characteristics of patients diagnosed with necrotizing enterocolitis at Teresa Herrera's Hospital (La Coruna, Spain) in the last 12years. Read More

    [Transcatheter aortic valve implantation for aortic stenosis. Initial experience].
    Cir Cir 2016 Dec 9. Epub 2016 Dec 9.
    Unidad Médica de Alta Especialidad, Departamento de Cirugía Cardiotorácica, Hospital General Dr. Gaudencio González Garza, Centro Médico Nacional La Raza, Instituto Mexicano del Seguro Social, Ciudad de México, México.
    Background: Aortic stenosis is a frequent disease in the elderly, and is associated with other systemic pathologies that may contraindicate the surgical procedure. Another option for these patients is percutaneous aortic valve implantation, which is less invasive. We present our initial experience with this procedure. Read More

    [Palliativer medicine in surgery].
    Cir Cir 2017 Mar - Apr;85(2):186-191. Epub 2016 Dec 10.
    NAB, Facultad de Filosofía, Universidad Autónoma de Querétaro, Santiago de Querétaro, México.
    The concepts and background of palliative medicine, the patient-health team relationship and the right of the patients to receive palliative care, its application in surgery, the criterion defining the terminally ill, proportionate and disproportionate measures, where it is applied and what this consists of, drugs and procedures used, who should administrate them and for how long, the requirements for advanc directives and avoidance of therapeutic obstinacy, were reviewed. It describes and reflects their ethical and legal bases. It describes the main changes to the law in México in 2009 and 2012. Read More

    [Chronic appendicitis due to multiple fecaliths. A case report].
    Cir Cir 2016 Dec 9. Epub 2016 Dec 9.
    Jefatura de División de Investigación, Unidad Médica de Alta Especialidad, Hospital de Traumatología y Ortopedia, Instituto Mexicano del Seguro Social, Puebla, México.
    Background: The appendix inflammatory process is the most common cause of chronic abdominal pain in the right lower quadrant. The frequency of appendiceal lumen obstruction by fecalith ranges from 10 to 20%; few cases of obstruction by multiple fecaliths had been reported.

    Clinical Case: Sixty-nine years old male, diabetic and hypertensive in control, he underwent bowel resection 30 years previously. Read More

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