Cirugia Espanola最新文献_第9页

Pectus excavatum. Tratamiento quirúrgico: ¿estructural o estético? 胸大肌。手术治疗：结构性还是美观性？

IF 1.9 4区医学

Cirugia Espanola Pub Date : 2024-05-01 DOI: 10.1016/j.ciresp.2024.02.003

José Marcelo Galbis Caravajal , Miriam Estors Guerrero , Nestor Martinez Hernández

{"title":"Pectus excavatum. Tratamiento quirúrgico: ¿estructural o estético?","authors":"José Marcelo Galbis Caravajal , Miriam Estors Guerrero , Nestor Martinez Hernández","doi":"10.1016/j.ciresp.2024.02.003","DOIUrl":"10.1016/j.ciresp.2024.02.003","url":null,"abstract":"<div><h3>Introduction</h3><p><em>Pectus excavatum</em> is a wall deformity that often warrants medical evaluation. In most cases, it's a purely visual aesthetic alteration, while in others, it comes with symptoms. Several surgical techniques have been described, but their outcomes are difficult to assess due to the heterogeneity of presentations and the lack of long-term follow-up. We present our experience as thoracic surgeons, assessing correction as either structural (remodeling of the thoracic cage through open surgery) or aesthetic (design and implantation of a customized 3D prosthesis).</p></div><div><h3>Material and methods</h3><p>Retrospective observational study of the indication for surgical treatment of <em>pectus excavatum</em> carried out by a team of thoracic surgeons and the short- to mid-term results.</p></div><div><h3>Results</h3><p>Between 2021 and 2023, we treated 36 cases surgically, either through thoracic cage remodeling techniques or with 3D prostheses. There were few minor complications, and the short- to mid-term results were positive: alleviation of symptoms or compression of structures when present, or aesthetic correction of the defect in other cases.</p></div><div><h3>Conclusions</h3><p>Surgery for <em>pectus excavatum</em> should be evaluated for structural correction of the wall or aesthetics. In the former, thoracic cage remodeling requiring cartilage excision and possibly osteotomies is necessary. In the latter, the defect is corrected with a customized 3D prosthesis.</p></div>","PeriodicalId":50690,"journal":{"name":"Cirugia Espanola","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140784944","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}

引用次数: 0

Pósteres 豌豆

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2024-05-01 DOI: 10.1016/S0009-739X(24)00184-2

引用次数: 0

Comunicaciones Orales 口语交流

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2024-05-01 DOI: 10.1016/S0009-739X(24)00183-0

引用次数: 0

Pósteres enfermería 护理海报

IF 1.3 4区医学

Cirugia Espanola Pub Date : 2024-05-01 DOI: 10.1016/S0009-739X(24)00187-8

引用次数: 0

Laparoscopic and robotic distal pancreatectomy: Outcomes and the need for patient-centred evaluation 腹腔镜和机器人胰腺远端切除术：疗效和以患者为中心的评估需求

IF 1.9 4区医学

Cirugia Espanola Pub Date : 2024-04-01 DOI: 10.1016/j.ciresp.2024.01.011

Adwaith Krishna Surendran , Srisanjith Girish , Chellappa Vijayakumar

引用次数: 0

Juvenile polyp 幼年息肉

IF 1.9 4区医学

Cirugia Espanola Pub Date : 2024-04-01 DOI: 10.1016/j.ciresp.2023.08.005

Sara Sofia S. Rodrigues , Daniela Ester Ribeiro , Miguel Costa , Marta Tavares

引用次数: 0

Resultados de una encuesta nacional sobre el manejo de los pacientes diagnosticados de diverticulitis aguda no complicada 关于急性无并发症憩室炎患者管理的全国调查结果

IF 1.9 4区医学

Cirugia Espanola Pub Date : 2024-04-01 DOI: 10.1016/j.ciresp.2023.11.009

Alba Correa Bonito , Carlos Cerdán Santacruz , Gianluca Pellino , Tamara Fernández Miguel , Elena Bermejo Marcos , Ana Rodríguez Sánchez , Javier García Septiem , Elena Martín-Pérez

{"title":"Resultados de una encuesta nacional sobre el manejo de los pacientes diagnosticados de diverticulitis aguda no complicada","authors":"Alba Correa Bonito , Carlos Cerdán Santacruz , Gianluca Pellino , Tamara Fernández Miguel , Elena Bermejo Marcos , Ana Rodríguez Sánchez , Javier García Septiem , Elena Martín-Pérez","doi":"10.1016/j.ciresp.2023.11.009","DOIUrl":"10.1016/j.ciresp.2023.11.009","url":null,"abstract":"<div><h3>Introduction</h3><p>Management of patients diagnosed of acute uncomplicated diverticulitis has evolved lately and according to the latest guidelines, outpatient treatment and management without antibiotherapy may be used in selected patients. The aim of this study is to evaluate the adhesion among national centres to these and others recommendations related to this pathology.</p></div><div><h3>Methods</h3><p>An online national survey, that has been broadcast by several applications, was performed. The results obtained were statistically analysed.</p></div><div><h3>Results</h3><p>A total of 104 surgeons participated, representing 69 national hospitals. Of those, in 82.6% of the centers, outpatient management is performed for acute uncomplicated diverticulitis. 23.2% of the hospitals have a protocol stablished for treatment without antibiotherapy in selected patients. Centers that do not follow these protocols allege that the mean reasons are the logistic difficulties to set them up (49.3%) and the lack of current evidence for it (44.8%). Significative statistical differences have been found when comparing the establishment of such protocols between centers with advanced accredited units and those who are not, with higher rates of outpatient management and treatment without antibiotics in accredited units (<em>P</em>≤.05).</p></div><div><h3>Conclusions</h3><p>In spite that this a very common disease, there is a huge national heterogeneity in its treatment. This is why it would adviseable to unify diagnostic and treatment criteria by the collaboration of scientific societies and the simplification of the development of hospitalary protocols.</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":"139887320","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}

引用次数: 0

Laparoscopic and robotic distal pancreatectomy: the choice and the future 腹腔镜和机器人胰腺远端切除术：选择与未来

IF 1.9 4区医学

Cirugia Espanola Pub Date : 2024-04-01 DOI: 10.1016/j.ciresp.2024.02.001

Espin Alvarez Francisco , García-Domingo María Isabel , Cremades Pérez Manel , Cugat Andorra Esteban

引用次数: 0

Anastomotic leak in colorectal cancer surgery: Short term outcomes have long term consequences 结直肠癌手术中的吻合口漏：短期结果带来长期后果

IF 1.9 4区医学

Cirugia Espanola Pub Date : 2024-04-01 DOI: 10.1016/j.ciresp.2024.02.002

Miguel Pera

引用次数: 0

Incarceración gástrica. Una complicación infrecuente de la hernia paraestomal 胃嵌顿。胸骨旁疝气的罕见并发症。

IF 1.9 4区医学

Cirugia Espanola Pub Date : 2024-04-01 DOI: 10.1016/j.ciresp.2023.06.003

Fernando Fernández López, Manuel Bustamante Montalvo

引用次数: 0