Cirugia Paraguaya最新文献

{"title":"ACUTE MEDIASTINITIS. RETROSPECTIVE ANALYSIS OF 12 CASES","authors":"I. Zelada, C. Farina, Chong S. Lee, Á. Agüero","doi":"10.18004/SOPACI.2019.ABRIL.12-15","DOIUrl":"https://doi.org/10.18004/SOPACI.2019.ABRIL.12-15","url":null,"abstract":"Acute mediastinitis is the infection or inflammation of the connective tissue that surrounds the mediastinum. The most frequent causes are those caused by esophageal perforation, cervical abscess and cardiac surgery. Early treatment can reduce mortality. Objective: Present the experience of the Department of Thoracic Surgery of the Hospital of Clinics of San Lorenzo in the management of acute mediastinitis from 2016 to 2018. Material and Methodology: Observational, descriptive, retrospective, cross-sectional study, from 2016 to 2018. Results : 12 pa-tients with acute mediastinitis, predominantly male, with an average of 43 years of age. The causes were perforation by the foreign body and odontogen origin. The most frequent germ was Streptococcus sp. Tho-racotomy and / or cervicotomy were performed in 75% of the cases. The delay to consult was 4.58 days on average and the hospital stay of 19.2 days. Pleural effusion was the only complication found in 33% of patients. The mortality was 25%. Conclusion: In our series. Esophageal perforation was most men, with an average of 43 years of age.","PeriodicalId":32918,"journal":{"name":"Cirugia Paraguaya","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44537879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SURVIVAL AND QUALITY OF LIFE IN PATIENTS GASTRECTOMIZED BY GASTRIC CANCER","authors":"A. Montiel-Roa, Rodrigo Rubén Quevedo-Corrales, Celso Ariel Fernández-Pereira, Antonella Dragotto-Galván","doi":"10.18004/SOPACI.2019.ABRIL.20-26","DOIUrl":"https://doi.org/10.18004/SOPACI.2019.ABRIL.20-26","url":null,"abstract":"Introduction: Gastric cancer is the second most prevalent malignant pathology of the digestive tract worldwide and one of the five most frequent causes of death due to malignant pathologies. Patients with gastric cancer are subjected with curative intent to partial or total resections of the stomach with lymphadenectomy, this surgery being highly complex and with high morbidity and mortality in the immediate postoperative period, and a long-term survival variable depending on the clinical stage. Objective: To determine the survival and quality of life of patients operated on for gastric cancer with curative intent, in the Central HosSOBREVIDA Y CALIDAD DE VIDA EN PACIENTES GASTRECTOMIZADOS POR CANCER GÁSTRICO SURVIVAL AND QUALITY OF LIFE IN PATIENTS GASTRECTOMIZED BY GASTRIC CANCER Arnaldo José Montiel Roa1, Rodrigo Rubén Quevedo Corrales2, Celso Ariel Fernández Pereira3, Antonella Dragotto Galvan4 Hospital Central del Instituto de Previsión Social. Paraguay 1. Doctor. Jefe de Servicio Cirugía General. Hospital Central del IPS. amontiel@ips.gov.py 2. Doctor. Médico de Planta – Cirugía General. Hospital Central del IPS. rquevedo96@gmail.com 3. Doctor. Jefe de Residentes – Cirugía General. Hospital Central del IPS. celsoarielfp@hotmail.com 4. Doctora. Residente de Tercer Año – Cirugía General. Hospital Central del IPS. antodragotto@gmail.com Recibido: 27 marzo Aceptado: 01 abril Autor correspondiente: Celso Ariel Fernández Pereira. Email: celsoarielfp@hotmail.com pital of the Social Prevision Institute from January 2012 to December 2016. Methodology: Observational, descriptive, retrospective, crosssectional. Results: Total gastrectomy with lymphadenectomy DII was performed in 81.4% of the operated patients. A predominance of males was registered in 72% with an average age of 56.5 +/2 years. In 27% of the cases there were complications in the immediate postoperative period and mortality was 17.1%. The most frequent clinical stage of the disease was 3b in 35.1% of the cases. After the evaluation of the quality of life by ECOG, the 0 score was registered with greater frequency in 53.8% of the sample. Conclusion: Survival of patients with gastric cancer operated on by total gastrectomy increases in early stages of the disease as well as their quality of life.","PeriodicalId":32918,"journal":{"name":"Cirugia Paraguaya","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49304586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ENDOSCOPIC AMPULECTOMY. NATIONAL HOSPITAL OF ITAUGUA","authors":"C. Adorno, R. Rodríguez, R. Pérez, R. Cabrera","doi":"10.18004/SOPACI.2019.ABRIL.32-34","DOIUrl":"https://doi.org/10.18004/SOPACI.2019.ABRIL.32-34","url":null,"abstract":"The ampullary tumors correspond to those located at the junction of the terminal segments of the pancreatic and common bile duct. They constitute between 1 and 2% of the tumors of the digestive tract, are characterized by their slow growth and correspond to the periampullary tumors with the best prognosis. There are several therapeutic options, one of them is endoscopic resection. We present the clinical case of a 70-year-old man who consulted due to progressive jaundice, choluria, acolia and abdominal pain. Abdominal CT is suggestive of periampullary neoplasia. Endoscopic retrograde cholangiography showed an irregular and friable proliferative lesion located in the ampulla of Vater, suggestive of ampuloma. Papillotomy, biliary stenting, and papilla biopsy are performed. Biopsy reports adenocarcinoma of the ampulla of Vater. The proposed treatment was endoscopic ampullectomy. The pathologi-cal anatomy of the resected specimen concludes villous adenoma with foci of high grade dysplasia and intramucosal carcinoma without evi-dence of invasion of the submucosa.","PeriodicalId":32918,"journal":{"name":"Cirugia Paraguaya","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49110998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“DEFINITIVE RHINOPLASTY IN PATIENTS WITH UNILATERAL LABIOPALATIN FISURA”","authors":"Miguel García-Wenninger, Celso Aldana-Ubilus, José Hernando Sandoval-Pérez","doi":"10.18004/SOPACI.2019.ABRIL.16-19","DOIUrl":"https://doi.org/10.18004/SOPACI.2019.ABRIL.16-19","url":null,"abstract":"Presentación del caso: Serie de casos de 4 pacientes operados de rinoseptoplastia con secuelas de fisura nasolabiopalatina unilateral en el Centro Nacional de Q u e m a d u r a s y C i r u g í a s R e c o n s t r u c t i v a s (CENQUER) entre los años 2016 y 2017. El abordaje abierto fue realizado es todos los pacientes, las osteotomías fueron asimétricas en su mayoría, la septumplastia fue realizado en un 100%, así como la colocación de un poste columelar e injerto de Sheen (tipo escudo) en la punta en todos los casos.","PeriodicalId":32918,"journal":{"name":"Cirugia Paraguaya","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43070112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"LAPAROSCOPIC RESOLUTION INCIDENTAL HYDATID CYST","authors":"R. Hernández, M. Pontillo, E. Olivera, G. Rodríguez","doi":"10.18004/SOPACI.2019.ABRIL.44-45","DOIUrl":"https://doi.org/10.18004/SOPACI.2019.ABRIL.44-45","url":null,"abstract":"","PeriodicalId":32918,"journal":{"name":"Cirugia Paraguaya","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46544750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"USE OF THE SURAL FLAP FOR THE REPARATION OF DEFECTS IN THE LOWER MEMBER: RESCUE OF A LIMB","authors":"Javier Barrios, José Sandoval, Elvio Méndez, C. Aldana, Jesús Amarilla","doi":"10.18004/SOPACI.2019.ABRIL.38-40","DOIUrl":"https://doi.org/10.18004/SOPACI.2019.ABRIL.38-40","url":null,"abstract":"The repair of soft tissue injuries of the distal third of the lower limb is a challenge for reconstructive plastic surgery. The objective of this study is to illustrate one of the indications of the sural flap for the adequate coverage of a complex wound in the calcaneal region. We describe the case of a 6-year-old boy with a motorcycle accident history, which caused a wound with loss of substance in the right calcaneal region, with small bone exposure. Treated initially with healing and then installation of aspiration system. Surgical Technique: Flap design, dissection of the skin island including the fascia, identification of the proximal vascularnervous package, ligature and section, fasciocutaneous dissection from proximal to distal. Mobilization of the flap and coverage of the defect. Partial skin graft in the donor site. Favorable evolution. The sural flap allows reliable skin coverage of the distal third of the leg and foot when UTILIZACIÓN DEL COLGAJO SURAL PARA LA REPARACIÓN DE DEFECTOS EN EL MIEMBRO INFERIOR: RESCATE DE UNA EXTREMIDAD USE OF THE SURAL FLAP FOR THE REPARATION OF DEFECTS IN THE LOWER MEMBER: RESCUE OF A LIMB Javier Barrios1, José Sandoval1, Elvio Méndez1, Celso Aldana2, Jesús Amarilla3. Universidad Nacional de Asunción, Facultad de Ciencias Médicas, Hospital de Clínicas, Unidad de Cirugía Plástica. Paraguay 1. Residente de Cirugía Plástica, Reconstructiva y Estética 2. Cirujano Plástico y Jefe de la Unidad de Cirugía Plástica, Reconstructiva y Estética 3. Cirujano Plástico y Staff de la Unidad de Cirugía Plástica, Reconstructiva y Estética Recibido: 05 abril Aceptado: 06 abril Autor correspondiente: Dr. Javier Tadeo Barrios Villalba. Domicilio: Silvio Garay esq. Mbujapey Fernando de la Mora, Paraguay. Celular:+595 991 608 299. Email: barrios_javi@hotmail.com the use of grafts is not feasible. Advantages: it does not depend on microsurgery, only one operative time, without significant functional deficit, wide range of rotation and acceptable morbidity of the donor site. Disadvantage: Sacrifice of the sural nerve. It is concluded that the sural flap allows the reconstruction of defects in the distal third of the leg.","PeriodicalId":32918,"journal":{"name":"Cirugia Paraguaya","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43872640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"VIDEOTHORACOSCOPIC THYMECTOMY FOR THE TREATMENT OF MYASTHENIA GRAVIS","authors":"Carlos Arce-Aranda, Chong Lee, M. Torrent, A. Leiva, R. Flor, Ana Soskin Reidman, Luis Aquino-Brizuela, R. Ávila","doi":"10.18004/SOPACI.2019.ABRIL.27-31","DOIUrl":"https://doi.org/10.18004/SOPACI.2019.ABRIL.27-31","url":null,"abstract":"","PeriodicalId":32918,"journal":{"name":"Cirugia Paraguaya","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45529404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"MANAGEMENT AND TREATMENT OF PATIENTS DIAGNOSED WITH HEPATIC HYDATIDOSIS AT THE NATIONAL HOSPITAL OF ITAUGUÁ","authors":"Christian Flecha, Carlos Pfingst, M. Ferreira","doi":"10.18004/SOPACI.2019.ABRIL.7-11","DOIUrl":"https://doi.org/10.18004/SOPACI.2019.ABRIL.7-11","url":null,"abstract":"Hydatid disease is an infection, usually of the liver, cause by larval forms of tapeworms of the genus Echinococcus, and characterized by the de-velopment of expanding cysts. It frequently affects young adults, from agricultural and livestock regions. Considered endemic in South Amer-ica, with incidence points in Argentina and Uruguay. Low incidence in our country. Presenting most commonly in the liver and lung in its cystic form. Objective: The purpose of this work is to establish the management and treatment of hepatic hydatidosis in patients attending the Hospital Nacional de Itauguá in the period from 2014 to 2018. Material and methods: Observational, descriptive, retrospective cross-sectional study. The data were obtained from the Clinical Histories of patients with Hepatic Hydatidosis from the archives of the Hospital Nacional de Itauguá. Results: We studied 17 patients, of which 64.7% belonged to the female gender, with an average age of 44.8±13.8, were observed 14.06 days of hospitalization on average, 29.4% patients of the study were from the city of Paraguarí, 82.4% would have consulted for abdominal pain, 70.6% used ultrasound as a diagnostic method, 70.6% underwent a lap-arotomy and 23.5% presented a complication postsurgical. Conclusion: The majority of patients with this pathology correspond to women, from urban areas, presenting abdominal pain, diagnosed by ultrasound in whom both were practiced open surgery and a minimally invasive approach.","PeriodicalId":32918,"journal":{"name":"Cirugia Paraguaya","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44781504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“RADIAL FLAP TO DISTAL PEDICLE”","authors":"José Hernando Sandoval-Pérez, B. Balmelli, D. Mussi, J. Canese","doi":"10.18004/SOPACI.2019.ABRIL.35-37","DOIUrl":"https://doi.org/10.18004/SOPACI.2019.ABRIL.35-37","url":null,"abstract":"","PeriodicalId":32918,"journal":{"name":"Cirugia Paraguaya","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49469830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CHILDHOOD FAMILIAR JUVENILE POLIPOSIS","authors":"P. Fernandez, J. Paredes, A. Rizzi, Alcito Vera, A. Soskin","doi":"10.18004/SOPACI.2019.ABRIL.41-43","DOIUrl":"https://doi.org/10.18004/SOPACI.2019.ABRIL.41-43","url":null,"abstract":"","PeriodicalId":32918,"journal":{"name":"Cirugia Paraguaya","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47192815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}