Abstract:
:Intraoperative peripheral nerve injury during colorectal surgery procedures is a potentially serious complication that is often underestimated. The Trendelenburg position, use of inappropriately padded armboards and excessive shoulder abduction may encourage the development of brachial plexopathy during laparoscopic procedures. In open colorectal surgery, nerve injuries are less common. It usually involves the femoral plexus associated with lithotomy position and self-retaining retractor systems. Although in most cases the recovery is mostly complete, treatment consists of physical therapy to prevent muscular atrophy, protection of hypoesthesic skin areas and analgesics for neuropathic pain. The aim of the present study is to review the incidence, prevention and management of intraoperative peripheral nerve injury.
journal_name
Cir Espjournal_title
Cirugia espanolaauthors
Colsa Gutiérrez P,Viadero Cervera R,Morales-García D,Ingelmo Setién Adoi
10.1016/j.ciresp.2015.03.008subject
Has Abstractpub_date
2016-03-01 00:00:00pages
125-36issue
3eissn
0009-739Xissn
1578-147Xpii
S0009-739X(15)00105-0journal_volume
94pub_type
杂志文章相关文献
CIRUGIA ESPANOLA文献大全abstract:BACKGROUND:Enhanced recovery after surgery (ERAS) has demonstrated in colorectal surgery a reduction in morbidity and length of stay without compromising security. Experience with ERAS programs in pancreatoduodenectomy (PD) is still limited. The aims of this study were first to evaluate the applicability of an ERAS pro...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2015.04.009
更新日期:2015-10-01 00:00:00
abstract::Inflammatory pseudotumor is a non-neoplastic process characterized by irregular growth of inflammatory cells. This type of tumor can arise in any part of the body; most are confined to a single site and are benign. We present the case of a 51-year-old man in whom a solitary pulmonary nodule was detected as an incident...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(07)71287-3
更新日期:2007-03-01 00:00:00
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
doi:10.1016/s0009-739x(05)70840-x
更新日期:2005-04-01 00:00:00
abstract::Gastrointestinal bleeding is considered to be obscure when routine endoscopic techniques (esophagogastroscopy and colonoscopy) fail to identify the origin of the hemorrhage. These hemorrhages represent 5% of all gastrointestinal bleeding. Twenty-seven percent of these hemorrhages are due to small bowel disease and gas...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(07)71729-3
更新日期:2007-11-01 00:00:00
abstract::Despite preventive efforts, venous thromboembolic disease (VTED) is still a major problem for surgeons due to its frequency and the morbidity, mortality and enormous resource consumption caused by this entity. However, the most important feature of VTED is that it is one of the most easily preventable complications an...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/S0009-739X(09)71628-8
更新日期:2009-06-01 00:00:00
abstract:OBJECTIVE:To evaluate satisfaction among patients who underwent thoracic sympathectomy for primary hyperhidrosis and the possible complications after a minimum of 14 months after surgery. MATERIAL AND METHODS:We performed a retrospective study in 108 patients who underwent thoracic sympathectomy and who responded to a...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(06)70876-4
更新日期:2006-05-01 00:00:00
abstract:INTRODUCTION:The aim of this study was to evaluate the applicability, safety and efficacy of an ambulatory treatment protocol in patients with uncomplicated acute diverticulitis. PATIENTS AND METHODS:All patients diagnosed with uncomplicated acute diverticulitis based on abdominal computed tomography findings during a...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(06)70989-7
更新日期:2006-12-01 00:00:00
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
doi:10.1016/j.ciresp.2018.11.001
更新日期:2019-02-01 00:00:00
abstract:INTRODUCTION:The classic treatment of Zenker's diverticulum (ZD) has been cricopharyngeal myotomy (CPM), with the need or not to resect it being argued (diverticulectomy versus diverticulopexy). However, the advance of endoscopic techniques requires new treatment strategies to be established. We analyse the complicatio...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2011.09.001
更新日期:2012-04-01 00:00:00
abstract:INTRODUCTION:Surgery is one of the high-risk areas for the occurrence of adverse events (AE). The purpose of this study is to know the percentage of hospitalisation-related AE that are detected by the «Global Trigger Tool» methodology in surgical patients, their characteristics and the tool validity. MATERIAL AND METH...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2014.08.007
更新日期:2015-02-01 00:00:00
abstract:INTRODUCTION:Different hormones and peptides involved in lipid and carbohydrate metabolism have been studied in relation to morbid obesity and its variation after bariatric surgery. The aim of this study is toevaluate variations in different molecules related to glico-lipidic metabolism during the first year after slee...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2013.07.019
更新日期:2014-03-01 00:00:00
abstract:INTRODUCTION:Intrahepatic cholangiocarcinoma is a primary liver neoplasm whose only curative treatment is surgery. The objective of this study was to determine the prognostic factors for survival of intrahepatic cholangiocarcinoma treated surgically with curative intent. METHODS:Sixty-seven patients who had been treat...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2020.07.003
更新日期:2020-09-10 00:00:00
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
doi:10.1016/j.ciresp.2010.03.004
更新日期:2010-06-01 00:00:00
abstract: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 (M...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2010.12.003
更新日期:2011-03-01 00:00:00
abstract:AIM:To assess the value of using smooth muscle relaxants drugs and assess the results of the topical use of 2% diltiazem as an alternative to 0.2% nitroglycerin in the treatment of chronic anal fissure (CAF). METHODS:Review of the CAF contained in a prospectively collected database of anal fissures including one hundr...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2009.12.013
更新日期:2010-04-01 00:00:00
abstract::When bariatric and metabolic surgery initially began in Spain, it was a subject of debate, due to not knowing exactly who were the first surgeons to perform it. A study has revealed the authors of the first interventions. ...
journal_title:Cirugia espanola
pub_type: 历史文章,杂志文章
doi:10.1016/j.ciresp.2012.11.003
更新日期:2013-08-01 00:00:00
abstract:INTRODUCTION:The only curative treatment of pelvic recurrence of rectal cancer is radical resection. The aim of this paper is to analyze our experience in surgery for local recurrence of rectal cancer. METHODS:We performed a descriptive retrospective analysis of patients treated with curative intent for local recurren...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2016.08.003
更新日期:2016-11-01 00:00:00
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
doi:10.1016/j.ciresp.2019.10.005
更新日期:2020-05-01 00:00:00
abstract:OBJECTIVES:Some perianal pathologies require aggressive surgery that will need techniques to allow to re-establish the integrity of the perianal region. The purpose is to analyze short and long term results after perineal reconstruction with V-Y flaps. METHODS:A retrospective review of prospectively collected database...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2016.06.006
更新日期:2016-11-01 00:00:00
abstract::Pancreatic cancer carries a poor prognosis. The only potentially curative treatment is surgical resection. However, this procedure can only be performed in a few cases due to presentation of the tumor in advanced stages. We present 2 exceptional cases of pancreatic cancer presentation. Case 1: A 59-year-old man presen...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(07)71321-0
更新日期:2007-05-01 00:00:00
abstract:INTRODUCTION:Mucin-producing pancreatic tumors account for 1% of all malignant tumors of the pancreas. Notable among these are intraductal papillary mucinous neoplasms of the pancreas, due to their variable clinical behavior, increased frequency, and the controversy surrounding the most suitable treatment and diagnosti...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(05)70850-2
更新日期:2005-05-01 00:00:00
abstract:INTRODUCTION:The aim of this paper is to assess the learning curve on compliance to the application of a multimodal rehabilitation program (MMRP) protocol and patient recovery after elective colorectal surgery. MATERIAL AND METHODS:A comparative prospective study of 3 consecutive cohorts of 100 patients (P1, P2 and P3...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2010.04.006
更新日期:2010-08-01 00:00:00
abstract::Hepatic cell transplantation consists of grafting already differentiated cells such as hepatocytes. Human hepatocytes are viable and functionally active. Liver cell transplantation is carried out by means of a 3-step method: isolation of hepatocytes from donor liver rejected for orthotopic transplantation, preparing a...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2009.10.002
更新日期:2010-03-01 00:00:00
abstract:UNLABELLED:Management of biliary tract complications (BTC) after liver transplantation (LT) has progressed in recent years. The aims of this study were, to analyse the incidence and management in our institution of BTC after 1000 LT; and to study the management of patients with anastomotic strictures (AS). RESULTS:The...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2010.03.010
更新日期:2010-06-01 00:00:00
abstract:BACKGROUND AND OBJECTIVE:A new catheter-free outpatient oesophageal pH-meter system (Bravo) has recently been developed. The objective of this study is to test the tolerance, safety and efficacy of the system in the measurement of gastric-oesophageal reflux by comparing it with a conventional pH system. PATIENTS AND M...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/s0009-739x(08)72620-4
更新日期:2008-10-01 00:00:00
abstract:INTRODUCTION:The «Bogota bag» (BB) is one of the options for contained laparostomy (CL). The aim of this study was to report the procedure associated hospital morbidity (PAHM) in patients undergoing relaparotomy followed by a laparostomy using the BB. MATERIAL AND METHOD:Between 2002 and 2008, a prospective series of ...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2011.01.010
更新日期:2011-06-01 00:00:00
abstract:BACKGROUND:The current imbalance between donor supply and patients on the waiting list for liver transplantation (LT) is significant. To resolve this situation, marginal organs, such as those from type 2 donation after cardiac death (DCD2), are being considered. METHODS:In the present article, we present the first LT ...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2018.06.016
更新日期:2018-10-01 00:00:00
abstract:INTRODUCTION:The aim of this study was to analyze prognostic factors for survival and recurrence in patients with resected pancreatic neuroendocrine tumors (PNT). METHODS:Medical records of 95 patients with resected PNT were retrospectively reviewed. The variables studied were: age, sex, form of presentation (sporadic...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2016.05.010
更新日期:2016-10-01 00:00:00
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
doi:10.1016/j.ciresp.2009.08.005
更新日期:2009-12-01 00:00:00
abstract:INTRODUCTION:Laparoscopic Heller myotomy has become the gold standard procedure for patients with achalasia. This study evaluates the clinical status, quality of life, and functional outcomes after laparoscopic Heller myotomy. MATERIAL AND METHODS:We analyzed patients who underwent laparoscopic Heller myotomy with an ...
journal_title:Cirugia espanola
pub_type: 杂志文章
doi:10.1016/j.ciresp.2013.06.007
更新日期:2014-03-01 00:00:00