Cirugia Espanola最新文献

{"title":"Evaluación del efecto de la liposucción con o sin abdominoplastia sobre la resistencia a la insulina en pacientes normoglucémicas con sobrepeso: un estudio prospectivo de cohorte","authors":"Giovanni Cerón-Solano ,&nbsp;Ricardo Pacheco-López ,&nbsp;Rubén Hernández-Ordoñez ,&nbsp;Alejandro Covarrubias-Noriega ,&nbsp;Lya Vázquez-Morales ,&nbsp;Jean-Pascal Morin","doi":"10.1016/j.ciresp.2023.11.008","DOIUrl":"https://doi.org/10.1016/j.ciresp.2023.11.008","url":null,"abstract":"<div><h3>Introduction</h3><p>Several studies have evaluated the effect of liposuction or abdominoplasty on metabolic health, including insulin resistance, with mixed results. Many overweight patients, with no marked obesity, are recommended to undergo liposuction combined with abdominoplasty, but no study has evaluated the effectiveness of combining the two procedures on metabolic health.</p></div><div><h3>Methods</h3><p>The present prospective cohort study compares the metabolic parameters of two groups of normoglycemic Hispanic women without obesity. The first group underwent liposuction only (LIPO), while the second group had combined liposuction and abdominoplasty (LIPO<!--> <!-->+<!--> <!-->ABDO).</p></div><div><h3>Results</h3><p>A total of 31 patients were evaluated, including 13 in the LIPO group and 18 in the LIPO<!--> <!-->+<!--> <!-->ABDO group. The two groups had similar HOMA-IR before surgery (<em>P</em> <!-->&gt;<!--> <!-->.72). When tested 60<!--> <!-->days after surgery, women in the LIPO group had similar HOMA-IR compared to their preoperative levels (2.98<!--> <!-->±<!--> <!-->0.4 vs. 2.70<!--> <!-->±<!--> <!-->0.3; <em>P</em> <!-->&gt;<!--> <!-->.20). However, the LIPO<!--> <!-->+<!--> <!-->ABDO group showed significantly reduced HOMA-IR values compared to their preoperative levels (2.37<!--> <!-->±<!--> <!-->0.2 vs. 1.73<!--> <!-->±<!--> <!-->0.1; <em>P</em> <!-->&lt;<!--> <!-->.001). In this group, this decrease also positively correlated with their preoperative HOMA-IR (Spearman <em>r</em> <!-->=<!--> <!-->0.72; <em>P</em> <!-->&lt;<!--> <!-->.001) and, interestingly, we observed a negative correlation between the age of the subjects and the drop in HOMA-IR after surgery (Spearman <em>r</em> <!-->=<!--> <!-->−0.56; <em>P</em> <!-->&lt;<!--> <!-->.05). No changes were observed in the other biochemical parameters that were assessed.</p></div><div><h3>Conclusions</h3><p>These data suggest that, when combined with abdominoplasty, liposuction does improve insulin resistance in healthy Hispanic females. More studies are warranted to address this possibility.</p></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140350386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comentario a «Cornada envainada: una lesión por asta de toro infrecuente»","authors":"Andreu Martínez-Hernández","doi":"10.1016/j.ciresp.2024.02.006","DOIUrl":"https://doi.org/10.1016/j.ciresp.2024.02.006","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140349849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A rare form of enterovesical fistula: Appendicovesical fistula","authors":"Duygu Erkal Tonkaz,&nbsp;Mehmet Tonkaz","doi":"10.1016/j.ciresp.2023.08.006","DOIUrl":"https://doi.org/10.1016/j.ciresp.2023.08.006","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140350831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"¿Es YouTube una herramienta fiable para la enseñanza de cura de hernia inguinal asistida por robot? Una revisión crítica de los recursos disponibles","authors":"Alexis Sánchez ,&nbsp;Omaira Rodríguez ,&nbsp;Manuel Medina ,&nbsp;Liumariel Vegas ,&nbsp;Francisco Couto ,&nbsp;Ivan Mogollon ,&nbsp;Cristina Inchausti ,&nbsp;Luz Galvis","doi":"10.1016/j.ciresp.2023.08.007","DOIUrl":"10.1016/j.ciresp.2023.08.007","url":null,"abstract":"<div><h3>Introduction</h3><p>The robotic transabdominal preperitoneal approach (rTAPP) is a relatively recent technique for the treatment of inguinal hernia. To achieve optimal results, the 10 golden rules described must be followed. Surgeons in training often review vídeos to familiarize themselves with new techniques, YouTube being one of the most used platforms. The objective of this study is to carry out an evaluation of the 10 most viewed vídeos on YouTube of inguinal hernia repair by transabdominal preperitoneal approach (rTAPP) to determine if the 10 golden rules are met.</p></div><div><h3>Methods</h3><p>Identify and evaluate the 10 vídeos with the highest number of views related to rTAPP. Three experienced surgeons evaluated compliance with the 10 golden rules using a Likert scale. Data were analyzed in Excel (Microsoft) and plotted with Tableau (Tableau Inc.). The consistency between evaluators was determined using Cronbach's alpha, considering a value &gt;0.7 acceptable.</p></div><div><h3>Results</h3><p>The average overall evaluation was 3.63 with a range of 2.6–4.9. The scores related to compliance with the rules 1, 2, 9 and 10 were satisfactory; on the other hand, rules 3, 4, 5, 7 and 8 were weak, particularly rule number 7. Internal consistency was observed between raters with a Cronbach's alpha of 0.98.</p></div><div><h3>Conclusions</h3><p>The lack of compliance with the 10 golden rules in most of the vídeos demonstrates that the use of vídeos (YouTube) is not an adequate resource for learning robot-assisted inguinal hernia cure.</p></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140276819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic segmentectomy for pulmonary sequestration complicated with aspergilloma","authors":"Clara Forcada ,&nbsp;Mehlika Iscan ,&nbsp;María Teresa Gómez-Hernández ,&nbsp;Cristina E. Rivas ,&nbsp;Marcelo F. Jiménez","doi":"10.1016/j.ciresp.2023.12.008","DOIUrl":"https://doi.org/10.1016/j.ciresp.2023.12.008","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140350086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pancreatectomía corporocaudal con preservación esplénica laparoscópica por traumatismo abdominal cerrado","authors":"María Galofré-Recasens ,&nbsp;Francisco Espin Álvarez ,&nbsp;Jordi Navinés López ,&nbsp;Esteban Cugat Andorrà","doi":"10.1016/j.ciresp.2023.12.005","DOIUrl":"10.1016/j.ciresp.2023.12.005","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139966950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"El registro continuado de los efectos adversos mejora los resultados quirúrgicos","authors":"Luis Grande ,&nbsp;Marta Gimeno ,&nbsp;Jaime Jimeno ,&nbsp;Manuel Pera ,&nbsp;Joan Sancho-Insenser ,&nbsp;Miguel Pera","doi":"10.1016/j.ciresp.2023.11.011","DOIUrl":"10.1016/j.ciresp.2023.11.011","url":null,"abstract":"<div><h3>Background</h3><p>There has been significant debate about the advantages and disadvantages of using administrative databases or clinical registries in healthcare improvement programs. The aim of this study was to review the implementation and outcomes of an accountability policy through a registry maintained by professionals of the surgical department.</p></div><div><h3>Materials and methods</h3><p>All patients admitted to the department between 2003 and 2022 were prospectively included. All adverse events (AEs) occurring during the admission, convalescent care in facilities, or at home for a minimum period of 30 days after discharge were recorded.</p></div><div><h3>Results</h3><p>Out of 60,125 records, 24,846 AEs were documented in 16,802 cases (27.9%). There was a progressive increase in the number of AEs recorded per admission (1.17 in 2003 vs. 1.93 in 2022) with a 26% decrease in entries with AEs (from 35% in 2003 to 25.8% in 2022), a 57.5% decrease in reoperations (from 8.0% to 3.4%, respectively), and an 80% decrease in mortality (from 1.8% to 1%, respectively). It is noteworthy that a significant reduction in severe AEs was observed between 2011 and 2022 (56% vs. 15.6%).</p></div><div><h3>Conclusion</h3><p>A prospective registry of AEs created and maintained by health professionals, along with transparent presentation and discussion of the results, leads to sustained improvement in outcomes in a surgical department of a university hospital.</p></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139814420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enfermedad por reflujo gastroesofágico y tratamiento quirúrgico: ¿qué, cuándo, dónde, quién, cómo y por qué?","authors":"Italo Braghetto,&nbsp;Owen Korn","doi":"10.1016/j.ciresp.2023.11.010","DOIUrl":"10.1016/j.ciresp.2023.11.010","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140270883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reducing axillary surgery in breast cancer","authors":"L. Tejedor,&nbsp;S. Gómez-Modet","doi":"10.1016/j.ciresp.2023.05.014","DOIUrl":"https://doi.org/10.1016/j.ciresp.2023.05.014","url":null,"abstract":"<div><p>This article provides a brief account of the recent evolution of the highly controversial surgical management of the positive axilla in patients with breast cancer, an issue still open to disparate surgical procedures. This short review highlights the reports that supply the rationale for current trends in reducing the aggressiveness of this surgery and discusses the course of the trials still in progress pointing in the same direction, thus supporting the principle of not performing axillary lymph node dissection for staging purposes alone.</p></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140350387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Brecha de género en la residencia de cirugía general","authors":"Celia García-Vega,&nbsp;Silvia Carbonell Morote,&nbsp;Celia Villodre Tudela,&nbsp;Tamara Viñas Martinez,&nbsp;José Manuel Ramia","doi":"10.1016/j.ciresp.2023.12.007","DOIUrl":"https://doi.org/10.1016/j.ciresp.2023.12.007","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140350085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}