Cirugia EspanolaPub Date : 2025-02-01DOI: 10.1016/j.ciresp.2024.07.005
Raul Muñoz Garcia , Guillem Cebrián Grifol
{"title":"Transparencia de mis resultados. ¿Cómo depositar los datos de mi estudio en un repositorio de acceso abierto?","authors":"Raul Muñoz Garcia , Guillem Cebrián Grifol","doi":"10.1016/j.ciresp.2024.07.005","DOIUrl":"10.1016/j.ciresp.2024.07.005","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 2","pages":"Pages 97-99"},"PeriodicalIF":1.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143178177","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}
Cirugia EspanolaPub Date : 2025-01-01DOI: 10.1016/j.ciresp.2024.09.004
Rita Galama , Cátia Ribeiro , João Silva , Joaquim Abreu de Sousa
{"title":"Perfil epidemiológico de mujeres con mutaciones de riesgo moderado de cáncer de mama","authors":"Rita Galama , Cátia Ribeiro , João Silva , Joaquim Abreu de Sousa","doi":"10.1016/j.ciresp.2024.09.004","DOIUrl":"10.1016/j.ciresp.2024.09.004","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 1","pages":"Pages 55-56"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143132676","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}
Cirugia EspanolaPub Date : 2025-01-01DOI: 10.1016/j.ciresp.2024.09.009
Álvaro Fuentes-Martín , Miriam Suena Doncel , José Soro García , Mauricio Alfredo Loucel Bellino , Itziar Gómez-Salvador , Manuel Carrasco-Moraleja , Ángel Cilleruelo Ramos
{"title":"Concordancia en la toma de decisiones en el manejo del drenaje torácico: ¿es necesaria la experiencia previa?","authors":"Álvaro Fuentes-Martín , Miriam Suena Doncel , José Soro García , Mauricio Alfredo Loucel Bellino , Itziar Gómez-Salvador , Manuel Carrasco-Moraleja , Ángel Cilleruelo Ramos","doi":"10.1016/j.ciresp.2024.09.009","DOIUrl":"10.1016/j.ciresp.2024.09.009","url":null,"abstract":"<div><h3>Introduction</h3><div>Proper management of thoracic drainages is essential in the recovery of patients after lung resection. This study evaluates the concordance in decision-making for drain removal depending on the type of drainage system used and the previous experience of the personnel.</div></div><div><h3>Material and methods</h3><div>Prospective, comparative, and stratified randomization study on interobserver variability between senior specialist doctors and inexperienced healthcare personnel in the removal of thoracic drains in patients undergoing lung resection connected to conventional systems (CS) or digital systems (DS) with continuous recording. The withdrawal criteria were established before the study, and decisions were recorded during three postoperative days.</div></div><div><h3>Results</h3><div>Seventy five patients were included, 38 CS and 37 DS, with no statistically significant differences in sex distribution, age, intervention performed, presence of pleuropulmonary adhesions, drain time, or post-extraction complications between the groups. The overall concordance in drain removal decisions was moderate (kappa<!--> <!-->=<!--> <!-->0.452), with notable variations in concordance depending on the drainage system used: CS (kappa<!--> <!-->=<!--> <!-->0.188) with an overall agreement rate of 61.7% compared to DS (kappa<!--> <!-->=<!--> <!-->0.716) with an overall agreement rate of 86.4%. Digital systems showed substantial concordance regardless of the operator's experience, with kappa values indicating high concordance on all postoperative days.</div></div><div><h3>Conclusions</h3><div>The use of digital systems for managing thoracic drains significantly improves concordance in clinical decision-making regardless of the experience level. These findings suggest that adopting digital systems not only optimizes patient safety but also reduces the dependence on highly specialized healthcare professionals.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 1","pages":"Pages 18-24"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143132274","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}
Cirugia EspanolaPub Date : 2025-01-01DOI: 10.1016/j.ciresp.2024.01.005
Sergi Sanchez-Cordero , Julio Mayol
{"title":"Evaluación del uso de ChatGPT en la investigación quirúrgica","authors":"Sergi Sanchez-Cordero , Julio Mayol","doi":"10.1016/j.ciresp.2024.01.005","DOIUrl":"10.1016/j.ciresp.2024.01.005","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 1","pages":"Pages 1-2"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140468636","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}
Cirugia EspanolaPub Date : 2025-01-01DOI: 10.1016/j.ciresp.2024.09.012
Pedro Antonio Parra Baños , Nuria Martínez Sanz , Francisco Miguel González Valverde , Jorge Alejandro Benavides Buleje , Miguel Ruiz Marín , Emilio Peña Ros , Carmen Martínez Sanz , Mari Fe Candel Arenas
{"title":"Resultados a corto plazo de la puesta a plano, curetaje y marsupialización frente a la técnica de Karydakis en el tratamiento del seno pilonidal. Estudio prospectivo aleatorizado","authors":"Pedro Antonio Parra Baños , Nuria Martínez Sanz , Francisco Miguel González Valverde , Jorge Alejandro Benavides Buleje , Miguel Ruiz Marín , Emilio Peña Ros , Carmen Martínez Sanz , Mari Fe Candel Arenas","doi":"10.1016/j.ciresp.2024.09.012","DOIUrl":"10.1016/j.ciresp.2024.09.012","url":null,"abstract":"<div><h3>Introduction</h3><div>The treatment of pilonidal sinus (PS) is usually surgical, but no procedure is considered the <em>gold standard</em>. The Karydakis (K) technique is widely used, and unroofing and marsupialization (UM) is a simple surgery with good results.</div></div><div><h3>Primary objective</h3><div>To evaluate early postoperative complications (EPC) 30 days after UM surgery compared to the K technique.</div></div><div><h3>Secondary objectives</h3><div>To evaluate surgical time, postoperative pain, patient satisfaction, return to daily activity and early recurrence within 3 months.</div></div><div><h3>Method</h3><div>Prospective, single-center, randomized study in patients who underwent surgery for primary PS with no abscess between June 2016 and November 2017. They were randomized using a computer-generated block method. To analyze the main objective, a non-inferiority analysis was performed.</div></div><div><h3>Results</h3><div>One hundred twenty-two patients with symptomatic primary PS were randomized: 60 in the K group and 62 in the UM group. Both groups were homogeneous.</div><div>There were statistically significant differences between surgery and postoperative complications at 15 and 30 days in favor of UM. There were also differences in favor of UM in surgical time and return to daily activity. During the 90-day follow-up, there were three recurrences in the UM group and 0 in the K group.</div></div><div><h3>Conclusions</h3><div>UM is a simple, minimally invasive, easily reproducible technique that has a lower rate of early complications, with a shorter operative time and an earlier return to daily activity.</div></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 1","pages":"Pages 25-33"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143132693","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}
Cirugia EspanolaPub Date : 2025-01-01DOI: 10.1016/j.ciresp.2024.05.020
María Abellán López , Luis Carrasco González , Benito Manuel Flores Pastor , Victoriano Soria Aledo
{"title":"Abdomen agudo secundario a torsión de bazo pélvico","authors":"María Abellán López , Luis Carrasco González , Benito Manuel Flores Pastor , Victoriano Soria Aledo","doi":"10.1016/j.ciresp.2024.05.020","DOIUrl":"10.1016/j.ciresp.2024.05.020","url":null,"abstract":"","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":"103 1","pages":"Page 54"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143132677","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}