Revista Chilena De Cirugia最新文献_第4页

Tratamiento de la enfermedad hemorroidaria con desarterialización y pexia guiada por doppler (THD®). Experiencia inicial 多普勒引导去动脉化和痔疮(THD®)治疗痔疮。初始经验

Revista Chilena De Cirugia Pub Date : 2018-09-20 DOI: 10.4067/S0718-40262018000500444

A. Escobar, Juan Riquelme Contreras, G. Cumsille, Manuel Lizana Corvera

引用次数: 0

Hernia diafragmática secundaria a trauma: presentación tardía 外伤继发膈疝:晚期表现

Revista Chilena De Cirugia Pub Date : 2018-09-20 DOI: 10.4067/S0718-40262018000500409

A. Beltrán, S. Oyarzún, G. Castro, L. Andrade, R. Fernández

{"title":"Hernia diafragmática secundaria a trauma: presentación tardía","authors":"A. Beltrán, S. Oyarzún, G. Castro, L. Andrade, R. Fernández","doi":"10.4067/S0718-40262018000500409","DOIUrl":"https://doi.org/10.4067/S0718-40262018000500409","url":null,"abstract":"Introduction: Late presentation of traumatic diaphragmatic hernia constitutes a true surgical emergency. The purposes of this study were to describe the diagnostic characteristics, treatment and outcomes of late presentation diaphragmatic hernias and to identify a cutoff point from the onset of symptoms to necrosis development. Patients and Methods: A retrospective series of cases constituted by all patients subjected to emergency diaphragmatic hernia repair form 2006 to 2016 was studied. Categorical and continuous variables were measured and analyzed with descriptive statistics. Receiver Operating Characteristics (ROC) curves at 6 and 12 hours from the onset of symptoms were used to determine the cutoff point for organ resection. Once stablished the cutoff point, sensitivity, specificity, positive and negative predictive values and prevalence were calculated. Results: Clinical presentation, diagnostic study and surgical treatment were similar to what has been already described. The cutoff point was defined at 12 hours from the onset of symptoms with 80% sensitivity and 83% sensibility. Conclusions: The diagnosis and treatment of these cases should be carried on before the first 6 hours after the onset of symptoms. Even though the universe of this study was small, we may suggest that after 12 hours form the onset of symptoms, the implicated organs would be found necrotic requiring surgical resection.","PeriodicalId":49615,"journal":{"name":"Revista Chilena De Cirugia","volume":"13 1","pages":"409-417"},"PeriodicalIF":0.0,"publicationDate":"2018-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73624863","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}

引用次数: 0

Aplicabilidad del Colon Leakage Score como predictor de filtración anastomótica en cirugía de cáncer colorrectal 结肠渗漏评分作为吻合过滤预测因子在大肠癌手术中的适用性

Revista Chilena De Cirugia Pub Date : 2018-09-20 DOI: 10.4067/S0718-40262018000500438

N. Pérez, M. González, Alberto Pérez-Castilla, Nicolás Campaña Weitz, Gonzalo Alfredo Campaña Villegas

{"title":"Aplicabilidad del Colon Leakage Score como predictor de filtración anastomótica en cirugía de cáncer colorrectal","authors":"N. Pérez, M. González, Alberto Pérez-Castilla, Nicolás Campaña Weitz, Gonzalo Alfredo Campaña Villegas","doi":"10.4067/S0718-40262018000500438","DOIUrl":"https://doi.org/10.4067/S0718-40262018000500438","url":null,"abstract":"Introduccion: La filtracion anastomotica (FA) en cirugia colorrectal aumenta la morbimortalidad. La identificacion de factores de riesgo y la creacion de un modelo predictivo ayudaria en la decision de crear un ostoma desfuncionalizante, hecho que actualmente recae en el criterio del cirujano. Dekker creo el Colon Leakage Score (CLS) estableciendo criterios objetivos. Objetivo: Establecer el CLS en pacientes intervenidos por cancer de colon izquierdo y recto en Clinica INDISA, estableciendo valores de corte locales, su sensibilidad y especificidad. Pacientes y Metodo: Corresponde a un estudio de pruebas diagnosticas, cuya intervencion es la aplicacion del CLS comparandolo con la presencia de filtracion anastomotica (gold standard), definida por criterios clinicos y radiologicos. Se utilizo analisis de curvas ROC, indice de Youden y regresion logistica. Resultados: De 180 pacientes, hubo FA en 12 (6.6%). La media de CLS en quienes hubo FA fue de 11.5 y en quienes no hubo FA de 6.9 (p=0.0001). El area bajo la curva para prediccion de FA con el CLS fue de 0.829 (IC 95% 0.69-0.96), con un valor de corte de 11, sensibilidad de 67% y especificidad de 89%. En el analisis de regresion logistica, el OR para la prediccion de FA utilizando el CLS fue de 1.48 (IC 95% 1.22-1.79 p<0.001). Conclusion: El CLS es una herramienta que permite predecir el riesgo de FA en pacientes intervenidos por cancer colon izquierdo y recto. Ante un valor mayor o igual a 11 se deberia crear un ostoma protector, generando un cambio en la practica clinica.","PeriodicalId":49615,"journal":{"name":"Revista Chilena De Cirugia","volume":"39 1","pages":"439-444"},"PeriodicalIF":0.0,"publicationDate":"2018-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80601644","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}

引用次数: 1

Perforación esofágica cervical tardía por rotura y desplazamiento de placa de artrodesis cervical anterior 颈前关节融合术板破裂移位引起的晚期颈食管穿孔

Revista Chilena De Cirugia Pub Date : 2018-09-20 DOI: 10.4067/S0718-40262018000500459

Jaime Ruíz-Tovar, M. Jiménez-Fuertes, G. Díaz, J. M. Gonzalez, César Lévano-Linares, M. Durán

引用次数: 0

Comité de Educación Médica de la Sociedad de Cirujanos de Chile. Siguiendo el rumbo 智利外科医生协会医学教育委员会。遵循路线

Revista Chilena De Cirugia Pub Date : 2018-09-20 DOI: 10.4067/S0718-40262018000500397

G. A. Campos

引用次数: 0

Reactividad vascular in vitro y estudio morfométrico de venas safenas utilizadas como bypass coronario: técnica “no-touch” versus convencional. 冠状动脉旁路隐静脉的体外血管反应性和形态计量学研究:非接触技术与传统技术。

Revista Chilena De Cirugia Pub Date : 2018-09-20 DOI: 10.4067/S0718-40262018000500425

F. Quiroz, S. F. N. Drolett, P. Aguirre, J. Cifuentes, S. Mancilla, M. A. Pumarino, Z. J. Labbé

{"title":"Reactividad vascular in vitro y estudio morfométrico de venas safenas utilizadas como bypass coronario: técnica “no-touch” versus convencional.","authors":"F. Quiroz, S. F. N. Drolett, P. Aguirre, J. Cifuentes, S. Mancilla, M. A. Pumarino, Z. J. Labbé","doi":"10.4067/S0718-40262018000500425","DOIUrl":"https://doi.org/10.4067/S0718-40262018000500425","url":null,"abstract":"Introduction: Prolonging of the grafts permeability used in coronary bypass is a constant challenge. Objective: To compare anatomical and functional human saphenous veins (VSH) extracted “No touch” (NT) technique vs conventional technique (TC). Materials and Methods: Experimental study. VSH dissected with CT and NT in the Regional Hospital of Antofagasta cardiac surgery ward. VSH samples were sectioned into 3 mm rings and preserved in isolated organs chambers with Krebs-Ringer solution. To evaluate the vasomotor activity, norepinephrine (10-6M), papaverine (10-4M), acetylcholine (10-6M) and sodium nitroprusside (10-5M) was administered. A segment of samples was fixed in 10% formalin, processed and histological analyzed under light microscopy technique with hematoxylin-eosin, Verhoeff and orceina. Statistical analysis was performed using the Prism software Graphad. Results: Vascular Reactivity: norepinephrine-induced vasoconstriction was significantly higher in the group rings NT vs TC (p < 0.0001). Vasodilation was higher with papaverine and acetylcholine in the NT group (p < 0.004) and (p < 0.0003), respectively. Morphometric study: The NT group presented muscularis (0.755 vs 0.680 mm), adventitious (0.5600 vs 0.4663 mm), and total wall (1.344 vs 0.962 mm) thicker than the TC group. No significant differences in vasa vasorum number identified. Conclusion: The NT group vasoconstrictor and vasodilator responds significantly better. Results correlate with morphometric differences. Key words: saphenous vein; coronary artery bypass; pedicled ‘no-touch’; vascular damage.","PeriodicalId":49615,"journal":{"name":"Revista Chilena De Cirugia","volume":"26 1","pages":"425-431"},"PeriodicalIF":0.0,"publicationDate":"2018-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87303882","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}

引用次数: 1

Cirugía ambulatoria: ¿Qué hacer en el período posoperatorio? Desde el término de la cirugía hasta el control domiciliario 门诊手术:术后要做什么?从手术结束到家庭控制

Revista Chilena De Cirugia Pub Date : 2018-09-20 DOI: 10.4067/S0718-40262018000500473

Alejandro González, H. Zamora, C. Contreras, F. M. Ibacache

引用次数: 1

Consecuencias fisiopatológicas y anatómicas posgastrectomía vertical tubular como posibles causas de enfermedad por reflujo gastroesofágico 垂直管状胃后切除术作为胃食管反流疾病的可能原因的病理和解剖生理后果

Revista Chilena De Cirugia Pub Date : 2018-09-20 DOI: 10.4067/S0718-40262018000500479

M. Í. Braghetto

引用次数: 0

Divertículo esofágico secundario a peristalsis hipertensiva severa 食管憩室继发于严重高血压蠕动

Revista Chilena De Cirugia Pub Date : 2018-09-20 DOI: 10.4067/S0718-40262018000500399

Marta González-Andaluz, M. Fernández-Díaz, María Soledad Trugeda-Carrera

引用次数: 0

Mujer joven con hepatocarcinoma fibrolamelar metastásico; citorreducción y HIPEC. A propósito de un caso 年轻女性纤维层状肝癌转移性;细胞还原和HIPEC。关于一个案例

Revista Chilena De Cirugia Pub Date : 2018-09-20 DOI: 10.4067/s0718-40262018000500456

Jesús Morales Maza, Ó. Santes, U. Clemente-Gutiérrez, R. Cortés

引用次数: 0