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 p...

journal_title：Cirugia espanola

authors： Colsa Gutiérrez P,Viadero Cervera R,Morales-García D,Ingelmo Setién A

更新日期：2016-03-01 00:00:00

abstract：PURPOSE:The aim of this study was to assess the usefulness of clinical-administrative databases for the development of risk adjustment in the assessment of adverse events in surgical patients. METHODS:The study was conducted at the Hospital of Navarra, a tertiary teaching hospital in northern Spain. We studied 1602 ho...

journal_title：Cirugia espanola

authors： Rodrigo-Rincón I,Martin-Vizcaíno MP,Tirapu-León B,Zabalza-López P,Abad-Vicente FJ,Merino-Peralta A,Oteiza-Martínez F

更新日期：2016-03-01 00:00:00

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

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

更新日期：2016-01-01 00:00:00

abstract：INTRODUCTION:Although the Nuss technique revolutionized the surgical treatment of pectus excavatum, its use has not become widespread in our country. The aim of this study was to analyze the current use of this technique in a sample of Thoracic Surgery Departments in Spain. METHODS:Observational rectrospective multice...

journal_title：Cirugia espanola

authors： Fibla JJ,Molins L,Moradiellos J,Rodríguez P,Heras F,Canalis E,Bolufer S,Martínez P,Aragón J,Arroyo A,Pérez J,León P,Canela M

更新日期：2016-01-01 00:00:00

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

authors： Morales Soriano R,Esteve Pérez N,Tejada Gavela S,Cuadrado García Á,Rodríguez Pino JC,Morón Canis JM,Molina Romero X,Muñoz Pérez J,González Argente X

更新日期：2015-10-01 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

authors： Pérez Zapata AI,Gutiérrez Samaniego M,Rodríguez Cuéllar E,Andrés Esteban EM,Gómez de la Cámara A,Ruiz López P

更新日期：2015-02-01 00:00:00

abstract：INTRODUCTION:Chronic idiopathic anal pain (CIAP) remains a diagnosis of exclusion. Its study and management still lack a standardized protocol. The aim of this study is to evaluate the results obtained with the diagnostic-therapeutic protocol established in our service. MATERIAL AND METHODS:We performed a retrospectiv...

journal_title：Cirugia espanola

authors： Armañanzas L,Arroyo A,Ruiz-Tovar J,López A,Santos J,Moya P,Gómez MA,Candela F,Calpena R

更新日期：2015-01-01 00:00:00

abstract：:Autoimmune pancreatitis (AIP) is defined as a particular form of pancreatitis that often manifests as obstructive jaundice associated with a pancreatic mass or an obstructive bile duct lesion, and that has an excellent response to corticosteroid treatment. The prevalence of AIP worldwide is unknown, and it is consider...

journal_title：Cirugia espanola

authors： Saavedra-Perez D,Vaquero EC,Ayuso JR,Fernandez-Cruz L

更新日期：2014-12-01 00:00:00

abstract：BACKGROUND:The endogenous hyperinsulinemic hypoglicemia syndrome (EHHS) can be caused by an insulinoma, or less frequently, by nesidioblastosis in the pediatric population, also known as non insulinoma pancreatic hypoglycemic syndrome (NIPHS) in adults. The aim of this paper is to show the strategy for the surgical tre...

journal_title：Cirugia espanola

authors： de Santibañes M,Cristiano A,Mazza O,Grossenbacher L,de Santibañes E,Sánchez Clariá R,Sivori E,García Mónaco R,Pekolj J

更新日期：2014-10-01 00:00:00

abstract：AIM:Today, free margin surgery is the gold-standard management for soft-tissue sarcoma patients and one of the most important predictors of recurrence and survival. To obtain optimal results, a multidisciplinary approach is necessary. The aim of this study was to evaluate the evolution of patients with RPS treated by «...

journal_title：Cirugia espanola

authors： Gonzalez Lopez JA,Artigas Raventós V,Rodríguez Blanco M,Lopez-Pousa A,Bagué S,Abellán M,Trias Folch M

更新日期：2014-10-01 00:00:00

abstract：INTRODUCTION:The aim of this study is to evaluate the usefulness of Vicryl Plus(®) suture in reducing the rate of postoperative wound infection in elective colorectal surgery. METHODS:A prospective case-control multicenter study with 480 patients undergoing elective colorectal surgery was performed between 2006 and 20...

journal_title：Cirugia espanola

authors： Fraccalvieri D,Kreisler Moreno E,Flor Lorente B,Torres García A,Muñoz Calero A,Mateo Vallejo F,Biondo S

更新日期：2014-08-01 00:00:00

abstract：INTRODUCTION:The treatment of rectal cancer via laparoscopy is controversial due to its technical complexity. Several randomized prospective studies have demonstrated clear advantages for the patient with similar oncological results to those of open surgery, although during the learning of this surgical technique there...

journal_title：Cirugia espanola

authors： Luján J,Gonzalez A,Abrisqueta J,Hernandez Q,Valero G,Abellán I,Frutos MD,Parrilla P

更新日期：2014-08-01 00:00:00

abstract：:The closure of a temporary stoma involves 2 different surgical procedures: the stoma reversal procedure and the abdominal wall reconstruction of the stoma site. The management of the abdominal wall has different areas that should be analyzed such us how to avoid surgical site infection (SSI), the technique to be used ...

journal_title：Cirugia espanola

authors： López-Cano M,Pereira JA,Villanueva B,Vallribera F,Espin E,Armengol Carrasco M,Arbós Vía MA,Feliu X,Morales-Conde S

更新日期：2014-06-01 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

authors： Bruna M,Gumbau V,Guaita M,Canelles E,Mulas C,Basés C,Celma I,Puche J,Marcaida G,Oviedo M,Vázquez A

更新日期：2014-03-01 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

authors： Marinello FG,Targarona EM,Balague C,Poca M,Mones J,Trias M

更新日期：2014-03-01 00:00:00

abstract：:Approximately 10% of all low rectal cancer needs surgical resection extended to other pelvic structures. Indication for extended resection should be given according to a precise systemic and local preoperative staging. Magnetic Resonance Imaging is the most important instrument utilized by the Multidisciplinary Team t...

journal_title：Cirugia espanola

authors： García-Granero E,Frasson M,Trallero M

更新日期：2014-03-01 00:00:00

abstract：:The imbalance between the number of potential beneficiaries and available organs, originates the search for new therapeutic alternatives, such as Hepatocyte transplantation (HT).Even though this is a treatment option for these patients, the lack of unanimity of criteria regarding indications and technique, different c...

journal_title：Cirugia espanola

authors： Pareja E,Cortés M,Gómez-Lechón MJ,Maupoey J,San Juan F,López R,Mir J

更新日期：2014-02-01 00:00:00

abstract：BACKGROUND:Preoperative blood ordering is frequently in elective colon surgery, even for procedures that rarely require blood transfusion. Most often this procedure is performed without proper analysis of the real needs. The aim of this study was to evaluate the patients who receive transfusion and determining their as...

journal_title：Cirugia espanola

authors： Feliu F,Rueda JC,Ramiro L,Olona M,Escuder J,Gris F,Jiménez A,Duque E,Vicente V

更新日期：2014-01-01 00:00:00

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

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

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

authors： Baltasar A,Domínguez-Adame E

更新日期：2013-08-01 00:00:00

abstract：INTRODUCTION:We prospectively evaluated health-related quality of life (HRQoL) through the gastrointestinal quality of life index (GIQLI) as a system to prioritize patients on the waiting list for laparoscopic cholecystectomy (LC) and its correlation with a linear prioritization system developed in the General and Gast...

journal_title：Cirugia espanola

authors： Planells Roig M,Cervera Delgado M,Garcia Espinosa R,Navarro Vicente F,Sanahuja Santafé Á

更新日期：2013-05-01 00:00:00

abstract：:Adenocarcinoma (ADC) of the anal canal is a rare disease comprising only 5% of all anorectal neoplasias and 1.5% of all gastrointestinal tumours. The World Health Organisation classifies anal ADC into 3 types: the first may arise from the mucosa of the transitional zone in the upper canal, the second from the anal gla...

journal_title：Cirugia espanola

authors： Ferrer Márquez M,Velasco Albendea FJ,Belda Lozano R,Berenguel Ibáñez Mdel M,Reina Duarte Á

更新日期：2013-05-01 00:00:00

abstract：OBJECTIVE:A descriptive analysis of day-case laparoscopic cholecystectomy (ALC) in a cohort of 1,600 consecutive patients performed in Instituto de Cirugía y Aparato Digestivo (ICAD), Clínica Quirón de Valencia in the period 1997-2010. PATIENTS AND METHODS:Prospective observational study of 1,601 consecutive patients ...

journal_title：Cirugia espanola

authors： Planells Roig M,Garcia Espinosa R,Cervera Delgado M,Navarro Vicente F,Carrau Giner M,Sanahuja Santafé A,Arnal Bertomeu C

更新日期：2013-03-01 00:00:00

abstract：:Serrated polyps of the colorectum are a heterogeneous group of lesions with potential malignant transformation through the «serrated pathway» of carcinogenesis. The discovery of these lesions has been a paradigm shift in the concept of the adenoma-carcinoma sequence, so that up to 30% of tumors develop through this pa...

journal_title：Cirugia espanola

authors： Carballal S,Moreira L,Balaguer F

更新日期：2013-03-01 00:00:00

abstract：INTRODUCTION:The pancreatic fistula is the most feared complication after a duodenopancreatectomy, and is the most common independent factor of post-surgical mortality. Peng et al. recently published a pancreaticojejunal anastomosis technique (binding anastomosis) which showed 0% pancreatic fistulas. The objective of t...

journal_title：Cirugia espanola

authors： Targarona J,Barreda L,Pando E,Barreda C

更新日期：2013-03-01 00:00:00

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

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

abstract：INTRODUCTION AND OBJECTIVE:To evaluate the results of our program of clipping the thoracic sympathetic nervous system (TSNS) for the treatment of facial flush and/or hyperhidrosis (HH), and to compare the methodology-results of the program development phase (A: January 2007-April 2009) and its consolidation phase (B: M...

journal_title：Cirugia espanola

authors： Martinez-Barenys C,Pérez J,López De Castro P,Melero A,Mesa M,García S,Fernández E,Astudillo J

更新日期：2013-02-01 00:00:00

abstract：INTRODUCTION:Gastrointestinal stromal tumours (GIST) make up 2% of gastrointestinal tumours. Surgery is the only treatment method in localised cases. The laparoscopic approach has increased over the last few years. We present our experience in the treatment of GIST. MATERIAL AND METHODS:A total of 40 patients with 45 ...

journal_title：Cirugia espanola

authors： Martí Obiol R,Garcés Albir M,López Mozos F,Ortega Serrano J

更新日期：2013-01-01 00:00:00

abstract：:Despite recent advances in the medical treatment of ulcerative colitis (UC), approximately 25-40% of patients will need surgery during their disease. The aim of elective surgical treatment of UC is to remove the colon/and rectum with minimal postoperative morbidity, and to offer a good long-term quality of life. There...

journal_title：Cirugia espanola

authors： Millán Scheiding M,Rodriguez Moranta F,Kreisler Moreno E,Golda T,Fraccalvieri D,Biondo S

更新日期：2012-11-01 00:00:00

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

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

abstract：INTRODUCTION:Drug trafficking by means of introducing packets of illegal substances in body cavities carries a risk of suffering from a gastrointestinal obstruction and/or severe poisoning in the person who transports them. Spain is considered as the port of entry to Europe for drugs, and some Spanish hospitals have ex...

journal_title：Cirugia espanola

authors： Álvarez Llano L,Rey Valcárcel C,Mohamed Al-Lal Y,Sánchez Rodríguez T,García Marín A,Pérez Díaz MD,Turégano Fuentes F

更新日期：2012-11-01 00:00:00

abstract：OBJECTIVE:To experimentally study the behaviour of 4 types of monofilament with 3 knotting techniques, very often used in surgery, employing mechanical tests. MATERIAL AND METHODS:Four 4/0 monofilaments were chosen, two of nylon, and the other two of polypropylene. Three types of knot designs were made with each threa...

journal_title：Cirugia espanola

authors： Gil Santos L,Más-Estellés J,Salmerón Sánchez M,Barrios C

更新日期：2012-06-01 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

authors： Cañete-Gómez J,Ramírez-Plaza CP,López Rueda B,Ibáñez-Delgado F,Vázquez-Medina A,Bondía-Navarro JA,Padillo-Ruiz FJ

更新日期：2012-04-01 00:00:00

abstract：INTRODUCTION:Although the unique comparison standard of primary inguinal hernia repair is the Lichtenstein technique (LICH), totally extra-peritoneal (TEP) laparoscopic inguinal hernioplasty shows, although not systematically demonstrated, clear advantages as regards, perceived pain, analgesic use, and recovery of dail...

journal_title：Cirugia espanola

authors： Roig MP,Bertomeu CA,Delgado MC,Espinosa RG,Santafé AS,Giner MC

更新日期：2011-10-01 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

authors： Manterola C,Moraga J,Urrutia S

更新日期：2011-06-01 00:00:00

abstract：BACKGROUND:We present our initial experience with the laparoscopic BPD technique for super-obese patients. Recommended tips on the technique are summarized. METHODS:A total of 35 super-obese patients were submitted to BPD by laparoscopy in November 2009 and June 2010 for the treatment of morbid obesity. RESULTS:All o...

journal_title：Cirugia espanola

authors： López-Tomassetti Fernández EM,Hernández Hernández JR,Nuñez Jorge V

更新日期：2011-06-01 00:00:00

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

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

abstract：:Porcelain bladder is defined as calcification of the gallbladder wall. It is a rare condition and is seen in 0.06% to 0.8% of cholecystectomies. It origin is still unknown. We report two cases of patients with a porcelain gallbladder. One case is a 60 year-old male patient who was seen due to having biliary symptoms. ...

journal_title：Cirugia espanola

authors： Palermo M,Núñez M,Duza GE,Giménez Dixon M,Bruno MO,Tarsitano FJ

更新日期：2011-04-01 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

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

更新日期：2011-03-01 00:00:00

abstract：:Trocar site incisional hernias (TSIH) are the most common complications in laparoscopic surgery. We have carried out a review of the literature with the aim of establishing their incidence, the reasons for them happening, and their prevention. After a search in the MEDLINE PubMed and PubMed CENTRAL data bases from 199...

journal_title：Cirugia espanola

authors： Comajuncosas J,Vallverdú H,Orbeal R,Parés D

更新日期：2011-02-01 00:00:00