Cirugia Y Cirujanos最新文献_第4页

Índice de inmunidad-inflamación sistémica (IIS) como marcador pronóstico de mortalidad en pacientes con COVID-19. 全身免疫炎症指数(IIS)作为COVID-19患者死亡的预后指标。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.21000023

Karen L Sandoval-Bedolla, César I Elizalde-Barrera, Víctor H García-López, Saúl Huerta-Ramírez, Daniel Martínez-Cardozo

{"title":"Índice de inmunidad-inflamación sistémica (IIS) como marcador pronóstico de mortalidad en pacientes con COVID-19.","authors":"Karen L Sandoval-Bedolla, César I Elizalde-Barrera, Víctor H García-López, Saúl Huerta-Ramírez, Daniel Martínez-Cardozo","doi":"10.24875/CIRU.21000023","DOIUrl":"https://doi.org/10.24875/CIRU.21000023","url":null,"abstract":"Objective: To determine if the systemic immune-inflammation index (SII) is a prognostic marker of mortality in COVID-19 patients.Method: Retrospective study that included patients admitted to a general hospital in Mexico City with diagnostic of COVID-19, confirmed by quantitative polymerase chain reaction from nasopharyngeal swab specimens in addition to characteristic symptomatology and computerized thoracic tomography imaging. Upon admission an hematic biometry was taken to calculate the SII (neutrophils × platelets/lymphocytes). The optimal cut-off point was determined from a ROC curve; the chi-square test was used to evaluate the association of SII with mortality, the strength of the association was estimated through the odds ratio (OR) and, finally, a multivariate binary logistic regression analysis was performed.Results: 140 individuals were included, 86 (61.4%) men and 54 women (38.6%), the mean age of patients was 52 (± 13.81) years old. The best prognostic cut-off point found was 2332.30 × 109 (area under the curve: 0.68; 95% confidence interval [95% CI]: 0.59-0.77; p < 0.05). The OR was 3.78 (95% CI: 1.83-7.82; p < 0.05).Conclusions: We demonstrated that the SII is an easily available tool, effective and a prognostic marker of mortality in hospitalized COVID-19 patients.","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":"91 3","pages":"361-367"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9803992","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

Spontaneous hemoperitoneum during pregnancy: three case reports and literature review. 妊娠期自发性腹膜出血3例报告并文献复习。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.21000757

Li Li, Mian Pan, Lichun Chen

引用次数: 0

Manejo y presentación de las fracturas transtrocantéricas de cadera durante la pandemia de COVID-19 en un hospital de tercer nivel de atención. 三级护理医院COVID-19大流行期间髋关节经轴骨折的管理和表现。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000399

Gustavo Rivera-Saldívar, Chantal Alejandra Martínez-González

{"title":"Manejo y presentación de las fracturas transtrocantéricas de cadera durante la pandemia de COVID-19 en un hospital de tercer nivel de atención.","authors":"Gustavo Rivera-Saldívar, Chantal Alejandra Martínez-González","doi":"10.24875/CIRU.22000399","DOIUrl":"https://doi.org/10.24875/CIRU.22000399","url":null,"abstract":"Background: The prevalence of intertrochanteric hip fractures is approximately 30%. The usual management of hip fractures is performed by dynamic hip screw (DHS) or central medullary nailing (CMN). The COVID-19 pandemic has changed medical treatment guidelines in all specialties around the world.Objective: To recognize the prevalence and management of unstable trochanteric hip fractures during the COVID-19 pandemic.Method: An observational study was conducted in a third-level care hospital in patients with fractures of type AOOTA 31A2.1 and A2.2 managed with CMN or DHS. The management trends by orthopedic surgeons were analyzed.Results: The prevalence during 2019 was 38%, in 2020 it was 21.3% and in 2021 it was 32.6%. The male-to-female ratio found was 1:1.7. The age was 66.48 ± 21.6 years (range: 17-92). Of orthopedic surgeons surveyed, 80.4% preferred CMN.Conclusions: The prevalence decreased during 2020. The treatment trend during the pandemic was higher for the DHS system; the use of CMN decreased by 86%. The treatment of intertrochanteric hip fractures was influenced due to the COVID-19 pandemic towards a cheaper method.","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":"91 3","pages":"368-374"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9817996","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: 1

Prevalence, causes, and clinical course of patients with surgical reintervention due to complications during cesarean section. 剖宫产术中并发症再手术的发生率、原因及临床病程。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000261

Juan G Vázquez-Rodríguez, Juan Serrano-Rodríguez, Silvia A Arredondo-Andrade, Fabián G Chable-Chan, Juan A García-Bello, Carlos M Nájera-Coutiño

{"title":"Prevalence, causes, and clinical course of patients with surgical reintervention due to complications during cesarean section.","authors":"Juan G Vázquez-Rodríguez, Juan Serrano-Rodríguez, Silvia A Arredondo-Andrade, Fabián G Chable-Chan, Juan A García-Bello, Carlos M Nájera-Coutiño","doi":"10.24875/CIRU.22000261","DOIUrl":"https://doi.org/10.24875/CIRU.22000261","url":null,"abstract":"Objective: The objective of the study is to identify the prevalence, causes, and clinical evolution of patients with surgical reintervention due to complications during cesarean section.Materials and methods: The file of the Toco-Surgical Unit of the Gynecological Obstetrics Hospital No. 3 of the National Medical Center \"La Raza\" Mexican Institute of Social Security was reviewed to know the total number of patients undergoing cesarean section from January to December 2019 and cases with reintervention due to complications during cesarean section were selected. Their general data, the cause of reintervention, stay in the intensive care unit (ICU), hospital stay, and mortality were studied. The data were analyzed with descriptive statistics using the statistical program SPSS version 20.Results: It was found that 3371 patients underwent cesarean section, of which 1.60% (54 cases) underwent reoperation for the following reasons: Unpacking 27.79%, obstetric hemorrhage 20.37%, bleeding due to uterine atony 20.37%, hysterotomy commissure hematoma 18.52%, uterine infiltration 3.70%, vascular injury 3.70%, bladder injury 3.70%, and colonic injury 1.85%. The ICU stay was 3.79 ± 2.03 days, hospital stay was 13.67 ± 11.16 days, and mortality was 1.85%.Conclusion: The prevalence of reintervention was reduced, bleeding was the main cause, and the clinical evolution was satisfactory with low mortality.","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":"91 4","pages":"446-450"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10198260","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

Prognostic analysis and outcome of hilar cholangiocarcinoma after radical resection: a retrospective study. 肝门胆管癌根治性切除后的预后分析及预后:一项回顾性研究。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000589

Ziyang Xu, Zunqiang Zhou, Jiao Guan, Dawei Liu, Xiaodong Li, Zhengyun Zhang

{"title":"Prognostic analysis and outcome of hilar cholangiocarcinoma after radical resection: a retrospective study.","authors":"Ziyang Xu, Zunqiang Zhou, Jiao Guan, Dawei Liu, Xiaodong Li, Zhengyun Zhang","doi":"10.24875/CIRU.22000589","DOIUrl":"https://doi.org/10.24875/CIRU.22000589","url":null,"abstract":"Objectives: The predictive factors affecting the survival of hilar cholangiocarcinoma (HC) are ambiguous. This study aimed to identify the predictors and recurrence patterns of HC.Methods: A retrospective analysis of the clinicopathological findings of 126 patients with HC from 2009 to 2019 was performed.Results: The proportion of Bismuth I and II HC in the recurrence group was higher than that in the non-recurrence group (p < 0.01). The recurrence group had poorer tumor differentiation, a more advanced N stage, and a higher incidence of perineural invasion compared with the non-recurrence group. N stage and tumor differentiation were independently associated with disease-free and overall survival of patients (p < 0.01). Bile duct resection (BDR) combined with hepatectomy was more favorable to disease-free and overall survivals than BDR alone in Bismuth I and II HC, although p values were marginal (p = 0.072 and p = 0.045). A higher proportion of patients in the non-recurrence group underwent BDR combined with hepatectomy than that in the recurrence group (p < 0.01).Conclusions: N stage and tumor differentiation are the two independent predictors of patient survival. BDR combined with hepatectomy is recommended for patients with Bismuth I and II hilar cholangiocarcinoma.","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":"91 4","pages":"486-493"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10199834","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

The effects of health belief model-based intervention on nurses' sterilizing practices when moistening surgical instruments. 基于健康信念模型的干预对护士润湿手术器械消毒行为的影响。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.22000386

Ruixue Hu, Yanhua Chen, Ting Hu, Liangying Yi

引用次数: 0

Seno cavernoso: anatomía, histología y terminología. 海绵状窦:解剖学、组织学和术语。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.21000182

Luis Delgado-Reyes, Armando Pérez-Torres, Oscar O Gasca-González, Julio C Pérez-Cruz

引用次数: 0

Transgastric laparoscopic polypectomy in giant gastric polyps not susceptible of endoscopic management: novel surgical technique and case series. 经胃腹腔镜下巨胃息肉切除术不敏感的内镜管理:新的手术技术和病例系列。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.21000689

Felipe Cabrera, Felipe Bernal, Ricardo Villarreal, Jean Pulido, Mauricio Pedraza, Sebastian Sánchez, Laura T Padilla-Pinzon, María A Pineda

{"title":"Transgastric laparoscopic polypectomy in giant gastric polyps not susceptible of endoscopic management: novel surgical technique and case series.","authors":"Felipe Cabrera, Felipe Bernal, Ricardo Villarreal, Jean Pulido, Mauricio Pedraza, Sebastian Sánchez, Laura T Padilla-Pinzon, María A Pineda","doi":"10.24875/CIRU.21000689","DOIUrl":"https://doi.org/10.24875/CIRU.21000689","url":null,"abstract":"Background: The identification of gastric polyps incidentally in endoscopies of the upper digestive tract has increased its incidence, varying between 0.5% and 23%. 10% of these polyps have symptoms, 40% are hyperplastic. We allow ourselves to propose a laparoscopic technique for the management of giant hyperplastic polyps associated with a pyloric syndrome, not susceptible to endoscopic resection.Method: A series of patients approached by laparoscopic transgastric polypectomy due to the giant gastric polyps associated with pyloric syndrome, in Bogotá, Colombia, from January 2015 to December 2018.Results: Seven patients, 85% female, with an average age of 51 years, who were admitted for pyloric syndrome and were taken to laparoscopic management, with an average surgical time of 42 min, intraoperative bleeding 7-8 cc, tolerance to the oral route 24 hours, no conversion, without mortality.Conclusions: Transgastric polypectomy for the management of benign giant gastric polyps that cannot be resected endoscopically turns out to be a feasible method, with a low rate of complications and without mortality.","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":"91 2","pages":"218-224"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9477333","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

A commentary on "Surgical results of Hartmann procedure in emergency cases with the left-sided colorectal cancer". “哈特曼法治疗急诊左侧结直肠癌的手术效果”评论。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.21000479

Mª Manuela Rodríguez-Gutiérrez, Valentina Santa-Gil, Ivan David Lozada-Martínez, María Carolina Díaz-Rivera

引用次数: 0

Seguridad y calidad de vida de los donadores renales. Comparación entre dos técnicas. 肾供体的安全性和生活质量。两种技术的比较。

IF 0.5 4区医学

Cirugia Y Cirujanos Pub Date : 2023-01-01 DOI: 10.24875/CIRU.21000699

Estephanía Navarro-Del Río, Alejandro Lugo-Baruqui, Rodrigo Prieto-Aldape, Concepción Oseguera-Vizcaíno, Marco A Covarrubias-Velasco

{"title":"Seguridad y calidad de vida de los donadores renales. Comparación entre dos técnicas.","authors":"Estephanía Navarro-Del Río, Alejandro Lugo-Baruqui, Rodrigo Prieto-Aldape, Concepción Oseguera-Vizcaíno, Marco A Covarrubias-Velasco","doi":"10.24875/CIRU.21000699","DOIUrl":"https://doi.org/10.24875/CIRU.21000699","url":null,"abstract":"Background: Currently there are no studies that determine the safety and quality of life of kidney donors in Mexico.Objective: To determine the safety of being a kidney donor and the quality of life, comparing the open approach with hand-assisted laparoscopic technique.Method: Observational, cross-sectional, analytical study of the kidney donors in our hospital from January 2015 to December 2018, in two groups: open technique and hand-assisted laparoscopic. To determine safety, the Clavien-Dindo scale and transoperative bleeding were used, and the SF-36 health-related quality of life questionnaire was applied.Results: There are no reports of peri-operative complications in any type of approach. All the patients obtained a grade I in the Clavien-Dindo scale. When the difference in the score of the SF-36 health-related quality of life questionnaire in kidney donor patients with hand-assisted laparoscopic surgical approach versus open approach was compared, a difference between both means of 14.05 was obtained, with p < 0.0001 in favor of the hand-assisted approach.Conclusions: Being a kidney donor is safe and the approach that we recommend is hand-assisted laparoscopic nephrectomy.","PeriodicalId":50990,"journal":{"name":"Cirugia Y Cirujanos","volume":"91 1","pages":"58-63"},"PeriodicalIF":0.5,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9297159","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