abstract：INTRODUCTION:The morbidity and mortality, along with the functional changes that arise from radical surgery of rectal cancer, has led to an increasing interest in local treatment in the early stages of cancer of the rectum. Conventional transanal surgery has a high recurrence rate, for this reason transanal endoscopic ...

journal_title：Cirugia espanola

authors： Cid RC,Pérez JC,Elosua TG,Pinto FL,Alegre JM,Martín R,Jiménez JT

更新日期：2011-01-01 00:00:00

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

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

更新日期：2010-12-01 00:00:00

abstract：INTRODUCTION:Natural orifice endoscopic surgery is a new surgical procedure still in the development phase. The most natural entry for surgeons is to use an already existing scar, such as the navel. The recent introduction of trocars designed for this purpose has made it possible to put this into practice. MATERIAL AN...

journal_title：Cirugia espanola

authors： Martín Fernández J,Jara Sánchez A,Manzanares Campillo MC,Menéndez Sánchez P,Muñoz Atienza V,Padilla Valverde D,Villarejo Campos P,Angeles Gil-Olarte M,Arjona Medina I,Martínez De Paz F,Menchen Trujillo B

更新日期：2010-11-01 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

authors： Salvans S,Gil-Egea MJ,Martínez-Serrano MA,Bordoy E,Pérez S,Pascual M,Alonso S,Parés D,Courtier R,Pera M,Grande L

更新日期：2010-08-01 00:00:00

abstract：INTRODUCTION:Colon perforation is a fairly uncommon, but serious, complication during endoscopy of the lower gastrointestinal tract. Treatment is controversial, although surgery is used in the majority of cases. The aims of this study were to determine the incidence of perforations due to colonoscopy in our hospital an...

journal_title：Cirugia espanola

authors： Alonso S,Dorcaratto D,Pera M,Seoane A,Dedeu JM,Pascual M,José Gil M,Courtier R,Bory F,Grande L

更新日期：2010-07-01 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

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

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

authors： Lladó L,Fabregat J,Ramos E,Baliellas C,Torras J,Julià D,Berrozpe A,Jorba R,Rafecas A

更新日期：2010-06-01 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

authors： Puche JJ,García-Coret MJ,Villalba FL,Ali-Mahmoud I,Roig JV

更新日期：2010-04-01 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

authors： Pareja E,Martínez A,Cortés M,Bonora A,Moya A,Sanjuán F,Gómez-Lechón MJ,Mir J

更新日期：2010-03-01 00:00:00

abstract：:The selection of patients with hepatocellular carcinoma (HCC) for liver transplantation must be improved. One of the methods proposed to achieve this objective consists of including predictors of tumour aggressiveness to the decision making algorithm. The procedures that would enable this characteristic to be assessed...

journal_title：Cirugia espanola

authors： Ramos Rubio E,Llado Garriga L

更新日期：2010-03-01 00:00:00

abstract：UNLABELLED:Mucocele of the appendix is a very uncommon disease estimated to be seen in 0.2-0.3% of all appendectomies (0.28% in our series). The term "mucocele" means dilation of the appendix due to mucus, caused either by a benign process or a malignant one (cystadenoma or adenocarcinoma). MATERIAL AND METHODS:We pre...

journal_title：Cirugia espanola

authors： García Lozano A,Vázquez Tarrago A,Castro García C,Richart Aznar J,Gómez Abril S,Martínez Abad M

更新日期：2010-02-01 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

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

abstract：INTRODUCTION:Current studies have shown the validity of the atraumatic fixation with fibrin glue (Tissucol) compared to conventional sutures in polypropylene mesh fixation. We propose to study the behaviour of absorbable mesh. MATERIAL AND METHODS:We used 20 Wistar white rats. Two hernia defects were made in the abdom...

journal_title：Cirugia espanola

authors： Suárez-Grau JM,Morales-Conde S,Martín-Cartes JA,Chaves CR,Jiménez MB,Ramírez FP,Docobo-Durántez F,Méndez SM

更新日期：2009-10-01 00:00:00

abstract：OBJECTIVE:The aim of this study was the prospective evaluation of the functional results of a series endorectal advancement flaps in the treatment of complex anal fistulas. MATERIAL AND METHODS:A total of 90 patients were operated on for a complex anal fistula by means of fistulectomy and endorectal advancement flap. ...

journal_title：Cirugia espanola

authors： Uribe Quintana N,Aguado Pérez M,Minguez Pérez M,Ortiz Tarín I,Millán Scheiding M,Martín Dieguez MC,Ruiz Del Castillo J

更新日期：2009-10-01 00:00:00

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

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

abstract：BACKGROUND:The incidence of neoplastic diseases is higher in patients undergoing solid organ transplant. However, the incidence of bronchogenic carcinoma (BC) is controversial. The objective of our study was to determine the incidence of BC in a large cohort of transplant patients and the role of surgery. MATERIAL AND...

journal_title：Cirugia espanola

authors： Padilla J,Cerón J,Peñalver JC,Jordá C,Pastor E,de Aguiar K

更新日期：2009-08-01 00:00:00

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

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

abstract：INTRODUCTION:Ischaemic colitis (IC) is the most common form of bowel ischaemia and is often under-diagnosed. OBJECTIVES:To report the results obtained in patients with IC who required surgical intervention in our Hospital, and to evaluate the predictive factors of mortality. METHODS:The data were obtained from the Gr...

journal_title：Cirugia espanola

authors： Serralta De Colsa D,Arjona Medina I,García-Marín A,Martín-Gil J,Pérez-Díaz MD,Turégano Fuentes F

更新日期：2009-06-01 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

authors： Lozano FS,Arcelus JI,Ramos JL,Alós R,Espín E,Rico P,Ros E,Grupo de Trabajo de Trombosis de la Asociación Española de Cirujanos (Grupo TAEC).

更新日期：2009-06-01 00:00:00

abstract：INTRODUCTION:Anal intraepithelial neoplasia is a precursor condition of squamous anal carcinoma. The groups at risk of this lesion are patients with anogenital condylomata, cervical dysplasia, human immunodeficiency virus infection and, in general, patients with HPV infection. The aim of this study was to analyse the r...

journal_title：Cirugia espanola

authors： Membrilla-Fernández E,Parés D,Alameda F,Pascual M,Courtier R,Gil MJ,Vallecillo G,Fusté P,Pera M,Grande L

更新日期：2009-06-01 00:00:00

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

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

更新日期：2009-06-01 00:00:00

abstract：AIM:The study was designed to determine the role of clinical examination and imaging techniques in the diagnosis of anorectal fistula. MATERIAL AND METHODS:We performed an observational study with prospective recruiting using the data of 120 patients, by means of clinical evaluation by an experienced coloproctologist ...

journal_title：Cirugia espanola

authors： Jordán J,Roig JV,García Armengol J,Esclapez P,Jordán Y,García Granero E,Alós R,Lledó S

更新日期：2009-04-01 00:00:00

abstract：INTRODUCTION:The new methods of teaching, based on new technologies, already available in other educational and professional fields are gradually being introduced in our Medical Schools. The aim of our study is to present our initial experience in the introduction of a subject on the principles of surgery in our univer...

journal_title：Cirugia espanola

authors： García Ureña MA,Marín Gómez LM,Vega Ruiz V,Díaz Godoy A

更新日期：2009-03-01 00:00:00

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

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

abstract：OBJECTIVE:The reported prevalence rate of bile duct cysts is very low. However, the clinical presentation of bile duct cysts is common to other hepatobiliary diseases. In this article, we report on a series of patients who have been surgically treated over the last 15 years. MATERIAL AND METHOD:All the patients who ha...

journal_title：Cirugia espanola

authors： Altet J,Rafecas A,Fabregat J,Ramos E,García-Borobia FJ,Frago R,Figueras J,Torras J,Jorba R,Valls C

更新日期：2008-11-01 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

authors： Martínez de Haro LF,Munitiz V,Ortiz A,Ruiz de Angulo D,Navarro MD,Parrilla P

更新日期：2008-10-01 00:00:00

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

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

更新日期：2008-09-01 00:00:00

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

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

abstract：INTRODUCTION:The population over 65 years old represents 40-50% of the all visits made to an emergency department (ED). Some situations of stress and dehumanization can occur due to user overflow. Our target is to identify factors influencing overall satisfaction of patients older than 65 attended in the ED, in order t...

journal_title：Cirugia espanola

authors： Vidal O,Romero JM,Ginestà C,Badiella L,Valentini M,Espert JJ,Benarroch G,García-Valdecasas JC

更新日期：2008-05-01 00:00:00

abstract：INTRODUCTION:Knowledge of the risk factors that may lead to complications after emergency hernia repair is of great importance, as much for the prioritisation of the elective surgery, as selecting those cases that require clinical follow up. OBJECTIVES:To analyse the factors conditioning the morbidity and mortality of...

journal_title：Cirugia espanola

authors： Martínez-Serrano MA,Pereira JA,Sancho JJ,Salvans S,Juncá V,Segura M,Solsona J,Grande-Posa L

更新日期：2008-04-01 00:00:00

abstract：INTRODUCTION:Arterial injuries due to total hip arthroplasty can be a serious complication. The risk of vascular injury is related to proximity of the structures, tractions, and the aggressive use of instruments. OBJECTIVES:To analyze the frequency, injury mechanism, clinical presentation and therapeutic options in th...

journal_title：Cirugia espanola

authors： Leiva L,Arroyo A,Gil J,Rodríguez AI,Abarrategui C,Lobato M,Gesto R

更新日期：2008-03-01 00:00:00

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

authors： Rubio IT

更新日期：2008-02-01 00:00:00

abstract：:Conflict between two ethical and legal conditions such as life and freedom is frequent in medical practice. Jurisdiction has handed down contradictory decisions and edicts when placing life (and therefore the lex artis of physicians) above Jehovah's witnesses' right to refuse blood transfusions. However, in principle,...

journal_title：Cirugia espanola

authors： Villarejo P,Padilla D,Cubo T,Marcote MA,Molina M,Menéndez P,López A,Pérez-Sauquillo M,Martín J

更新日期：2007-12-01 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

authors： López Pardo R,Mira Vázquez A,Cuevas del Pino D,Toral Guinea P,Krasniqui G

更新日期：2007-11-01 00:00:00

abstract：:In some patients with colorectal cancer and synchronous liver metastases, chemotherapy and current combinations of chemotherapy allow the size of these metastases to be reduced so that they can be surgically resected. However, in many patients, the initial systematic treatment of the primary tumor is associated with g...

journal_title：Cirugia espanola

authors： Marín-Hargreaves G,Artigas V,González JA,Martínez C,Marcuello E,Trías-Folch M

更新日期：2007-10-01 00:00:00

abstract：:Extrahepatic complications from hepatic cystic echinococcosis are rare and may be life threatening. Although the prevalence of echinococcosis in Spain had decreased, the number of cases of this disease and its severity has risen again due to immigration. We report the case of a patient with a giant hepatic echinococcu...

journal_title：Cirugia espanola

authors： García Ruiz de Gordejuela A,Lladó L,Torras J,Ramos E,Rafecas A

更新日期：2007-09-01 00:00:00

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

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

abstract：INTRODUCTION:Laparoscopic sleeve gastrectomy (LSG) was developed after the laparoscopic duodenal switch (LDS) procedure and is increasingly indicated in the treatment of morbid obesity. The main indication for LSG is LDS in patients with superobesity. MATERIAL AND METHOD:We describe the need to perform laparoscopic re...

journal_title：Cirugia espanola

authors： Serra C,Baltasar A,Pérez N,Bou R,Bengochea M

更新日期：2007-07-01 00:00:00

abstract：:Localization of digestive hemorrhage is essential for the management of this entity. However, management is difficult in the small bowel, where emergency situations are rare but may require surgery without precise location of the lesion. We present a case of hemorrhage caused by jejunal diverticulum diagnosed by angio...

journal_title：Cirugia espanola

authors： Hernández Piñero Y,Martín Malagón AI,Díaz Romero F,López-Tomassetti Fernández EM,Arteaga González IJ

更新日期：2007-06-01 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

authors： Ruiz-Tovar J,de Oteyza JP,Blanco RR,Guirao MV,García-Villanueva A

更新日期：2007-05-01 00:00:00