Cirugia Paraguaya最新文献

{"title":"\"RECONSTRUCTION OF THE SCALP\"","authors":"C. Aldana, W. Insfrán, José Sandoval, B. Balmelli","doi":"10.18004/SOPACI.2018.AGOSTO.25-27","DOIUrl":"https://doi.org/10.18004/SOPACI.2018.AGOSTO.25-27","url":null,"abstract":"","PeriodicalId":32918,"journal":{"name":"Cirugia Paraguaya","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47806857","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":"“LIP LOWERRECONSTRUCTION WITH KARAPANDZIC’S TECHNIQUE”","authors":"C. Aldana, M. Meza, Elvio Méndez, José Sandoval","doi":"10.18004/sopaci.2018.agosto.28-30","DOIUrl":"https://doi.org/10.18004/sopaci.2018.agosto.28-30","url":null,"abstract":"","PeriodicalId":32918,"journal":{"name":"Cirugia Paraguaya","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48797419","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":"AMBULATORY SURGERY VS. PROTOCOLARY REGIMEN IN PATIENTS WITH INGUINAL HERNIA","authors":"María Teresa Almirón-Coronel, Sharlyn Ahmed-Coronel, Mauro Porto-Varela, A. Montiel-Roa","doi":"10.18004/SOPACI.2018.AGOSTO.8-12","DOIUrl":"https://doi.org/10.18004/SOPACI.2018.AGOSTO.8-12","url":null,"abstract":"Introduction: We went looking for strategies that not only increase the comfort and evolution of patients, but the hospital stay is short; the ambulatory surgery regimen was created, which has achieved really satisfactory results, not only increases the comfort of the patient, but also decreases the hospital cost. Objective: To characterize the results of ambulatory surgeries and the protocol regime in patients with inguinal hernia in the General Surgery Service of the IPS during the month of Cirugías ambulatorias vs. régimen protoColar en paCientes Con hernia inguinal AmbulAtory Surgery vS. ProtocolAry regimen in PAtientS with inguinAl herniA María Teresa Almirón Coronel1, Sharlyn Ahmed Coronel2, Mauro Porto Varela3, Arnaldo Montiel Roa4 Instituto de Previsión Social (IPS)Hospital Central. Asunción, Paraguay 1. Residente de Primer Año Mastología 2. Residente Primer Año Coloproctología 3. Médico de Planta Cirugía General 4. Jefe de Servicio Cirugía General Autor correspondiente: Mauro Porto Varela, (0984)632980, Melo de Portugal 146. E-mail: portovama@gmail.com Artículo recibido: 19.07.18 Artículo aceptado: 23.08.18 August to December 2017. Methodology: observational and prospective study. Results: There were 61 cases of patients diagnosed with inguinal hernia. 51.59% were ambulatory surgeries; Male sex predominated and the highest incidence was registered in the range of 31 to 45 years. 70.9% were patients from urban areas; the surgical time was 45-50 min; 6.45% were immediate postoperative complications. The hospital stay in these patients was 12 hours. In the survey on patient satisfaction in ambulatory surgeries, 90.34% were satisfied with the surgery. In the protocolar regime, the highest percentage was older than 60 years, mostly from urban areas. The surgical time was from 30 to 45 min, only 3% of immediate postoperative complications and the hospital stay was 48 h. By relating the cost of ambulatory surgery with the protocol form, for each outpatient, 210,854 guaranies (40 dolars) were saved. Conclusion: The evidence indicates that ambulatory surgery is very safe, and because of the advantages it offers, it was accepted by the population. It was effective and made it possible for the family member and the patient to incorporate into the comfort of their home, as well as finding economic advantages, it makes possible a reduction in hospital stay.","PeriodicalId":32918,"journal":{"name":"Cirugia Paraguaya","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44691027","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":"FREQUENCY, CLASSIFICATION AND PATHOLOGY OF MEDIASTINE TUMORS","authors":"Carlos Arce-Aranda, José Domingo Ayala-Guzmán, José Francisco Cuevas-Zapata, Andrea Leticia Duarte-González, Christian David Garay-Gómez, Gabriel María Gutiérrez-Codas, Chong Lee, Miguel Adé-Torrent, A. Leiva, Ana Soskin-Reidman","doi":"10.18004/sopaci.2018.agosto.17-22","DOIUrl":"https://doi.org/10.18004/sopaci.2018.agosto.17-22","url":null,"abstract":"Cir. Parag. Vol. 42; No 2. 2018 RESUMEN Introducción: Los tumores primarios de mediastino son una entidad poco frecuente, que representa sólo el 3% de la patología torácica. Pueden manifestarse por una variedad de síntomas, según sea su efecto sobre los órganos y estructuras adyacentes de acuerdo a su localización. El objetivo de este trabajo es establecer la frecuencia y características de este tipo de tumores en el Hospital San Jorge. Materiales y Métodos: Estudio observacional, descriptivo, retrospectivo de corte transversal. Fueron incluidos todos los pacientes intervenidos quirúrgicamente en el Servicio de Cirugía Torácica en el periodo comprendido entre julio de 2013 a junio de 2018. Resultados: De los 476 pacientes intervenidos en el Servicio, 45 pacientes padecían patologías tumorales de mediastino (frecuencia de 9,4%); siendo 30 pacientes mujeres (67%), entre 51 y 60 años. La localización topográfica más frecuente corresponde al mediastino anterior (83%). Los tipos histológicos más frecuentes fueron los linfomas de Hodgkin con un 31 %. Conclusiones: La frecuencia de tumores de mediastino en nuestra serie corresponde al 9,4%. La localización más frecuente fue en el mediastino anterior, se halló un mayor número de casos en el sexo femenino. El tipo histológico más frecuente es el linfoma de Hodgkin, la vía de abordaje más utilizada fue la toracotomía. Palabras clave: Tumores mediastinales, Topografía de tumores mediastinales, Histología de tumores mediastinales, Linfoma, Tumor de células germinales.","PeriodicalId":32918,"journal":{"name":"Cirugia Paraguaya","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43312969","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":"TRAUMATIC INJURY OF FEMORAL ARTERY TREATED WITH GRAFTED AUTHENTIC OF VENA SAFENA CONTRALATERAL","authors":"Eduardo Franco-Fassino, N. Collar, Carlos D Chaparro-Santacruz, Aldo Duarte-Quevedo, Ricardo Escobar","doi":"10.18004/sopaci.2018.agosto.40-41","DOIUrl":"https://doi.org/10.18004/sopaci.2018.agosto.40-41","url":null,"abstract":"Both in the civil and military fields, vascular injuries of the lower extremities are frequent and potentially fatal. The initial support measures to combat shock, a technically correct surgical attitude aimed at early repair of the vascularization of the limb and a strict and continuous postoperative control are the basic pillars of the treatment. The autologous graft of the saphenous vein remains the reference.","PeriodicalId":32918,"journal":{"name":"Cirugia Paraguaya","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46363201","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":"Renewal of knowledge","authors":"Rubén Aguilar-Zapag","doi":"10.18004/sopaci.2018.agosto.7-7","DOIUrl":"https://doi.org/10.18004/sopaci.2018.agosto.7-7","url":null,"abstract":"","PeriodicalId":32918,"journal":{"name":"Cirugia Paraguaya","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47374869","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":"MORBIDITY AND MORTALITY AFTER CEPHALIC DUODENO PANCREATECTOMY: PERIOD OF JANUARY 2015 TO JUNE 2018 AT THE PREVISON SOCIAL INSTITUTE","authors":"Giselle Semidei-Dalles, J. López, L. Mereles, M. Giménez, R. Mura, A. Montiel","doi":"10.18004/SOPACI.2018.AGOSTO.23-24","DOIUrl":"https://doi.org/10.18004/SOPACI.2018.AGOSTO.23-24","url":null,"abstract":"Pancreatic malignant tumors suffers from an unfortunate prognosis. It is accepted that surgical resection is the only treatment that achieves longterm survival; however, at the moment of their diagnosis, only among 10%-20% the patients are candidates for surgery. Without treatment the survival average is from 3 to 6 months. Just 15-20% will benefit from a resection with curative intent at the time of the diagnosis, less than 20% will survive one year, the 5-year overall survival is not more than 3% .","PeriodicalId":32918,"journal":{"name":"Cirugia Paraguaya","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41615544","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":"ADRENOCORTICAL ONCOCYTIC CARCINOMA. AN EXTRAORDINARY CASE REPORT","authors":"Beatriz Di Martino-Ortiz, A. Rodríguez-González, M. Río, F. Medina, Carolina Gómez-Rienzi","doi":"10.18004/SOPACI.2018.AGOSTO.34-37","DOIUrl":"https://doi.org/10.18004/SOPACI.2018.AGOSTO.34-37","url":null,"abstract":"","PeriodicalId":32918,"journal":{"name":"Cirugia Paraguaya","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48987748","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}