[Selective intestinal preparation in a multimodal rehabilitation program. Influence on preoperative comfort and the results after colorectal surgery].


INTRODUCTION:Despite there being no evidence of the advantages of its use, mechanical bowel preparation (MBP) continues to be routine in colorectal surgery. Our objective is to analyse the impact of its selective use, as regards patient comfort and results, comparing a perioperative multimodal rehabilitation program (MMRH) with conventional care (CC). MATERIAL AND METHODS:A prospective study of 108 patients proposed for elective surgery, assigned consecutively 2:1 to an MMRH protocol which only included MBP in rectal surgery with low anastomosis, or to CC in whom MBP was used except in right colon surgery. We also studied two Groups (A and B) with and without the use of MBP. Their tolerance, results and postoperative recovery variables were analysed. RESULTS:Thirty-nine patients were included in Group A, and 69 in Group B. A MMRH protocol was used in another 69 patients. The Group A patients had more abdominal pain, anal discomfort, nausea and thirst, but there were no differences as regards, death, overall or local complications, whilst there was less complications, suture failures and death in the MMRH when compared with CC Group (P<.05). There were no advantages observed in the use of MBP as regards the start of bowel movements, tolerance to diet or hospital stay, but these parameters were favourable to the MMRH when compared with CC Group. CONCLUSIONS:The restriction of MBP is safe, and associated with an MMRH program, contributes to a faster and more comfortable recovery, without increasing complications.


Cir Esp


Cirugia espanola


Roig JV,García-Fadrique A,Salvador A,Villalba FL,Tormos B,Lorenzo-Liñán MÁ,García-Armengol J




Has Abstract


2011-03-01 00:00:00














  • Proctologic emergency consultation during COVID-19: Comparative cross-sectional cohort study.

    abstract:INTRODUCTION:Proctologic issues entail a frequent reason for consultation in the emergency department (ED). We aim to analyze how the SARS-COV-2 pandemic has impacted in the demand for proctological consultations. MATERIAL AND METHOD:Descriptive comparative retrospective study of cross-sectional cohorts of patients at...

    journal_title:Cirugia espanola

    pub_type: 杂志文章


    authors: Maqueda Gonzalez R,Cerdán Santacruz C,García Septiem J,Blanco Terés L,Lopesino González JM,Fernández Jiménez G,Martín-Pérez E

    更新日期:2020-10-23 00:00:00

  • Variability of breast surgery in women participating in breast cancer screening programs.

    abstract:INTRODUCTION:Currently, variability in surgical practice is a problem to be solved. The aim of this study is to describe the variability in the surgical treatment of breast cancer and to analyze the factors associated with it. METHODS:The study population included 1057 women diagnosed with breast cancer and surgically...

    journal_title:Cirugia espanola

    pub_type: 杂志文章


    authors: Blay L,Louro J,Barata T,Baré M,Ferrer J,Abad JM,Castells X,Sala M

    更新日期:2019-02-01 00:00:00

  • [Surgical approach to the locoregional recurrence of cancer of the rectum].

    abstract::A literature review has been made on the pelvic recurrence of rectal cancer using the MedLine, Ovid, EMBASE, Cochrane and Cinahl data bases. Assessment of the locoregional recurrence must be made using imaging tests in order to rule out the presence of metastasis, as well as for locating its exact location within the ...

    journal_title:Cirugia espanola

    pub_type: 杂志文章,评审


    authors: Lizarazu A,Enríquez-Navascués JM,Placer C,Carrillo A,Sainz-Lete A,Elósegui JL

    更新日期:2011-05-01 00:00:00

  • [New trends in the treatment of post-operative pain in general and gastrointestinal surgery].

    abstract::The correct application of multimodal analgesia appropriate to the pain intensity, the characteristics of the surgery and the hospitalisation scheme provide the key to improving the management of postoperative pain, which is currently still under treated. In highly complex surgeries the best benefit is obtained by com...

    journal_title:Cirugia espanola

    pub_type: 杂志文章


    authors: Santeularia Vergés MT,Català Puigbò E,Genové Cortada M,Revuelta Rizo M,Moral García MV

    更新日期:2009-08-01 00:00:00

  • [Analysis of postoperative morbidity in patients with gastric adenocarcinoma treated using a protocol of preoperative chemoradiotherapy and surgery].

    abstract:INTRODUCTION:The impact of neoadjuvant treatment on the postoperative complications in stomach cancer is a subject of controversy. The aim of this study is to analyse the post-surgical morbidity and mortality in a group of patients who were treated using a chemoradiotherapy protocol before surgery, as well as to identi...

    journal_title:Cirugia espanola

    pub_type: 杂志文章


    authors: Valentí V,Hernández-Lizoain JL,Martínez Regueira F,Gil A,Martí P,Zozaya G,Bueno A,Pedano N,Arredondo J,Beorlegui MC,Alvarez-Cienfuegos J

    更新日期:2009-12-01 00:00:00

  • Treatment algorithm for anal fissure. Consensus document of the Spanish Association of Coloproctology and the Coloproctology Division of the Spanish Association of Surgeons.

    abstract::The Spanish Association of Coloproctology and the Coloproctology Division of the Spanish Association of Surgeons propose this consensus document with a treatment algorithm for anal fissure that could be used for decision making. Non-surgical therapy and surgical treatment of anal fissure are explained, and the recomme...

    journal_title:Cirugia espanola

    pub_type: 共识发展会议,杂志文章


    authors: Arroyo A,Montes E,Calderón T,Blesa I,Elía M,Salgado G,García-Armengol J,de-la-Portilla F

    更新日期:2018-05-01 00:00:00

  • Cystic liver neoplams: A single centre experience and literature review.

    abstract:INTRODUCTION:The hepatic cystic tumour is a very rare neoplasm, representing about 5% of all cystic liver neoplasms. The preoperative diagnosis is difficult and can lead to confusion. The aim of this study is to analyze a number of cases operated at our centre with an histologic diagnosis of liver cystic neoplasms and ...

    journal_title:Cirugia espanola

    pub_type: 杂志文章


    authors: Marcacuzco Quinto AA,Nutu OA,Rodríguez Gil Y,Manrique A,Calvo Pulido J,García-Sesma Perez-Fuentes Á,Loinaz Segurola C,Jiménez Romero C,Justo Alonso I

    更新日期:2021-01-01 00:00:00

  • [New advances in the diagnosis and treatment of early onset dysplasia and adenocarcinoma in Barrett's oesophagus].

    abstract::Periodic endoscopic follow-up is recommended after the diagnosis of Barrett's oesophagus, particularly in patients with dysplasia. The new endoscopic techniques show promising results in identifying areas suspected of housing high grade dysplasia and adenocarcinoma. Endoscopic resection of the mucosa has become a fund...

    journal_title:Cirugia espanola

    pub_type: 杂志文章,评审


    authors: Pera M,Grande L,Iglesias M,Ramón JM,Conio M

    更新日期:2009-06-01 00:00:00

  • [Basic concepts in survival analysis].

    abstract::The present article aims to introduce and explain basic concepts in survival analysis. Most survival analyses use terms such as Kaplan-Meyer, logrank, and censored times, among others. We discuss the background to these terms and their interpretation. We discuss how to produce and interpret survival curves and how to ...

    journal_title:Cirugia espanola

    pub_type: 杂志文章


    authors: Rebasa P

    更新日期:2005-10-01 00:00:00

  • [Pharmacoeconomic results of introducing antimicrobial prophylaxis in surgery at a university hospital].

    abstract:OBJECTIVES:The introduction of antimicrobial prophylaxis in surgery was designed and pre-intervention (controls) and post-intervention (cases) evaluations were carried out at a university tertiary hospital. PATIENTS AND METHOD:Prospective recording of information on prophylaxis in all patients undergoing non-emergency...

    journal_title:Cirugia espanola

    pub_type: 杂志文章


    authors: García-Vázquez E,Fernández Lobato B,Pareja A,Gómez J,de la Rubia A

    更新日期:2008-12-01 00:00:00

  • [Jejunal diverticulitis. A rare cause of acute abdomen].

    abstract::Non-Meckelian jejunoileal diverticula are more frequently diagnosed in men aged more than 50 years old. They are a rare cause of acute abdomen. They are usually asymptomatic and are estimated to cause complications in 10-20% of cases. We present the recently diagnosed case of an 82-year-old man admitted to our hospita...

    journal_title:Cirugia espanola

    pub_type: 杂志文章


    authors: García LJ,Otero J,Santamaría L,Pérez A

    更新日期:2005-06-01 00:00:00

  • Teleconsultation in a coloproctology unit during the COVID-19 pandemic. Preliminary results.

    abstract:INTRODUCTION:During the state of alarm established in Spain due to the COVID-19 pandemic, most of the face-to-face outpatient consultations were cancelled and a telephone consultation was established to follow up coloproctological patients. The objective of this study was to analyse the efficacy of telemedicine (by tel...

    journal_title:Cirugia espanola

    pub_type: 杂志文章


    authors: Muñoz-Duyos A,Abarca-Alvarado N,Lagares-Tena L,Sobrerroca L,Costa D,Boada M,Ureña D,Delgado-Rivilla S

    更新日期:2020-07-08 00:00:00

  • Development and Validation of a Tool for the Evaluation of Laparoscopic Intestinal Anastomosis in Simulation.

    abstract:INTRODUCTION:Laparoscopic side-to-side intestinal anastomosis is a common in clinic practice and training simulation. The aim of this study is to design and validate a reliable and reproducible tool for its evaluation. METHODS:A modified Delphi method was used to design a tool with elements that determine quality, inc...

    journal_title:Cirugia espanola

    pub_type: 杂志文章


    authors: Fernández MJ,Toledo E,Cañón M,Manuel-Palazuelos JC,M Maestre J

    更新日期:2020-05-01 00:00:00

  • [Influence of superspecialization in endocrine surgery on outcomes of thyroidectomy in a general surgery department].

    abstract:INTRODUCTION:The aim of this study was to analyze the influence of superspecialization in endocrine surgery on the standard of thyroidectomy, both before and after the creation of an endocrine surgery unit. PATIENTS AND METHODS:We performed a retrospective, comparative study of two 7-year periods. Three hundred forty ...

    journal_title:Cirugia espanola

    pub_type: 杂志文章


    authors: Sánchez-Blanco JM,Recio-Moyano G,Gómez-Rubio D,Lozano-Gómez M,Jurado-Jiménez R,Torres-Arcos C

    更新日期:2005-11-01 00:00:00

  • [Surgery of the primary tumour in metastatic breast cancer. Can we contribute to improve survival?].

    abstract::The primary treatment of metastatic breast cancer is chemotherapy and radiotherapy, while surgery is reserved for treating local complications associated with the tumour. The survival in this group of patients has increased with the use of new chemotherapy and biological agents. A series of retrospective studies have ...

    journal_title:Cirugia espanola

    pub_type: 杂志文章,评审


    authors: Rubio IT

    更新日期:2008-02-01 00:00:00

  • [Management of postoperative nausea and vomiting].

    abstract::There still appears to be insufficient interest in the management of postoperative nausea and vomiting. They are considered as inherent and inevitable discomforts after surgical operation. However, this disagreeable complication can be effectively managed. To do this, the risk must be suitably assessed and acted on ac...

    journal_title:Cirugia espanola

    pub_type: 杂志文章


    authors: Acosta-Villegas F,García-López JA,Aguayo-Albasini JL

    更新日期:2010-12-01 00:00:00

  • [High-grade gastric epithelial dysplasia. Diagnostic and therapeutic controversies].

    abstract::Gastric epithelial dysplasia is a premalignant lesion. Diagnostic and therapeutic criteria are controversial. We report the case of a 52-year-old woman admitted to our hospital. ...

    journal_title:Cirugia espanola

    pub_type: 杂志文章


    authors: García-Flórez LJ

    更新日期:2007-04-01 00:00:00

  • [Variation in the prognostic value of p53 protein in relation to tumoral stage in patients with colorectal adenocarcinoma].

    abstract:OBJECTIVE:To analyze the prognostic value of p53 protein as a marker of recurrence risk in each tumoral stage. PATIENTS AND METHOD:A prospective study of a cohort of 288 patients who underwent surgery for colorectal adenocarcinoma was performed. Stage 1 of the tumor-node-metastasis (TNM) classification was found in 42...

    journal_title:Cirugia espanola

    pub_type: 杂志文章


    authors: Díez M,Pollán M,Ramos P,Villeta R,Ratia T,Hernández P,Lozano O,Noguerales F,Granell J

    更新日期:2005-04-01 00:00:00

  • [Rectal cancer: which patients benefit from radiotherapy?].

    abstract::The prognosis of patients with rectal cancer has improved in recent years, particularly as regards the lower probability of local recurrence. These positive results are obtained through correct preoperative staging and an adequate surgical resection of the affected lesion, as well as a multidisciplinary therapeutic ap...

    journal_title:Cirugia espanola

    pub_type: 杂志文章


    authors: Ais Conde G,Fadrique Fernández B,Vázquez Santos P,López Pérez J,Picatoste Merino M,Manzanares Sacristán J

    更新日期:2010-06-01 00:00:00

  • [Treatment of colorectal cancer with unresectable metastasis with chemotherapy without primary tumor resection: analysis of tumor-related complications].

    abstract:INTRODUCTION:Although the conventional treatment of patients with stage iv colorectal cancer involves resection of the primary tumor followed by chemotherapy, several studies suggest that in patients with few symptoms the first and only treatment should be chemotherapy. The objective of this study is to analyze the com...

    journal_title:Cirugia espanola

    pub_type: 杂志文章


    authors: Cáceres M,Pascual M,Alonso S,Montagut C,Gallén M,Courtier R,Gil MJ,Grande L,Andreu M,Pera M

    更新日期:2014-01-01 00:00:00

  • [Diagnosis and treatment of functional oropharyngeal dysphagia. Features of interest to the digestive surgeon].

    abstract::Digestive surgeons should form part of the multidisciplinary team managing patients with oropharyngeal dysphagia. These patients can be diagnosed through clinical methods and complementary investigations such as videofluoroscopy and pharyngoesophageal manometry. These techniques also allow specific treatment to be sel...

    journal_title:Cirugia espanola

    pub_type: 杂志文章,评审


    authors: Clavé P,Arreola V,Velasco M,Quer M,Castellví JM,Almirall J,García Peris P,Carrau R

    更新日期:2007-08-01 00:00:00

  • [Training of residents in abdominal wall surgery in Spain].

    abstract::The training of residents in abdominal wall surgery is a fundamental aspect of surgical training, representing globally 20% of its activity. In this paper, we analyze the current state of resident training in this kind of surgery in Spain, taking into account the broad spectrum it covers: general services, specific fu...

    journal_title:Cirugia espanola

    pub_type: 杂志文章


    authors: Miguelena Bobadilla JM,Morales García D,Serra Aracil X,Sanz Sánchez M,Iturburu I,Docobo Durántez F,Jover Navalón JM,López De Cenarruzabeitia I,Lobo Martínez E

    更新日期:2013-02-01 00:00:00

  • Sleep deprivation among surgical residents: does it affect performance while practising a laparoscopic intestinal anastomosis?

    abstract:INTRODUCTION:To assess the impact of fatigue due to incorrect night rest in the performance of a laparoscopic manual anastomosis. METHODS:A prospective study evaluating the results from the realization of a manual endotrainer entero-enteral anastomosis performed by residents in terms of fatigue caused by inadequate ni...

    journal_title:Cirugia espanola

    pub_type: 杂志文章


    authors: Real Noval H,Martín Parra JI,Fernández Fernández J,Del Castillo Criado Á,Ruiz Gómez JL,López Useros A,Fernández Santiago R,Manuel Palazuelos JC

    更新日期:2021-01-16 00:00:00

  • [Advances in bariatric surgery: from the open approach to the biliopancreatic bypass with laparoscopic gastric preservation. Twelve years of experience].

    abstract:INTRODUCTION:An analysis is presented of the results in the treatment of morbid obesity after 12 years experience. MATERIAL AND METHODS:A retrospective study of patients subjected to surgery for morbid obesity from July 1998 to April 2010. Open techniques were initially used, and from January 2005 using biliopancreati...

    journal_title:Cirugia espanola

    pub_type: 杂志文章


    authors: Sánchez Manuel FJ,Rodríguez Serrano S,de la Plaza Galindo M,Palomo Luquero A,Seco Gil JL

    更新日期:2012-11-01 00:00:00

  • [Virtual simulation of the human inguinal region].

    abstract::At the present time the development of computers allows access to some three-dimensional models (3D) of physiological or pathological human situations obtained from patients with different medical or surgical problems. These models have a wide variety of applications: knowledge of the pathogenic mechanisms, help in di...

    journal_title:Cirugia espanola

    pub_type: 杂志文章


    authors: López Cano M,Rodríguez Navarro J,Armengol Carrasco M,Susín Sánchez A

    更新日期:2008-09-01 00:00:00

  • [Morbidity and mortality associated with diverting ileostomy closures in rectal cancer surgery].

    abstract:INTRODUCTION:Derivative ileostomies are frequently performed to protect low anastomosis. The closure of the ileostomy has shown, under some circumstances, high associated mortality/morbidity rates. This study attempts to quantify the morbidity and mortality associated with ileostomy closure in rectal neoplasm patients ...

    journal_title:Cirugia espanola

    pub_type: 杂志文章


    authors: Flikier-Zelkowicz B,Codina-Cazador A,Farrés-Coll R,Olivet-Pujol F,Martín-Grillo A,Pujadas-de Palol M

    更新日期:2008-07-01 00:00:00

  • Pirfenidone vs. sodium hyaluronate/carboxymethylcellulose as prevention of the formation of intra-abdominal adhesions after colonic surgery. A randomized study in an experimental model.

    abstract:INTRODUCTION:Up to 93% of patients undergoing abdominal surgery will develop intra-abdominal adhesions with the subsequent morbidity that they represent. Various substances have been tested for the prevention of adhesions with controversial results; the aim of our study is to compare the capability of pirfenidone in ad...

    journal_title:Cirugia espanola

    pub_type: 杂志文章


    authors: Bello-Guerrero JA,Cruz-Santiago CA,Luna-Martínez J

    更新日期:2016-01-01 00:00:00

  • [Prospective study of procalcitonin as a diagnostic marker of the severity of secondary peritonitis].

    abstract:INTRODUCTION:It has been shown that procalcitonin (PCT) is a good marker for sepsis as the more severe the infection the higher the plasma levels. The Mannheim peritonitis index (MPI) is very effective in assessing the prognosis of secondary peritonitis. The aim of this study is to find out whether there is any correla...

    journal_title:Cirugia espanola

    pub_type: 杂志文章


    authors: Viñas Trullen X,Rodríguez López R,Porta Pi S,Salazar Terceros D,Macarulla Sanz E,Besora Canal P,Alvarez Tellez F,Iglesias Castro C,Feliu Palá X

    更新日期:2009-07-01 00:00:00

  • Use of barbed suture for the closure of enterocolotomy after laparoscopic right hemicolectomy with intracorporeal anastomosis. A prospective descriptive study.

    abstract:INTRODUCTION:Performing intracorporeal anastomoses and sutures is possibly the technique that requires the greatest skill in laparoscopic surgery. The appearance of the new barbed sutures in recent years has seemed to facilitate this surgical step. The aim of our study is to evaluate short-term results in patients with...

    journal_title:Cirugia espanola

    pub_type: 杂志文章,多中心研究


    authors: Ferrer-Márquez M,Torres-Fernández R,Rubio-Gil F,Belda-Lozano R,Moya-Forcén P,Benavides Buleje JA,Reina-Duarte Á

    更新日期:2020-03-01 00:00:00

  • National survey on the treatment of cholelitiasis in Spain during the initial period of the COVID-19 pandemic.

    abstract:INTRODUCTION:The extraordinary impact of COVID-19 pandemic on Spanish hospitals has led to a redistribution of resources for the treatment of these patients, with a decreased capacity of care for other common diseases. The aim of the present study is to analyse how this situation has affected the treatment of cholecyst...

    journal_title:Cirugia espanola

    pub_type: 杂志文章


    authors: Ielpo B,Prieto M,Ortega I,Balibrea JM,Rubio-Pérez I,Juvany M,Gómez-Bravo MÁ,Ramia JM

    更新日期:2020-07-19 00:00:00