Revista argentina de cirugia最新文献_第2页

Tracheobronchoplasty for malacia 气管支气管成形术治疗疟疾

Revista argentina de cirugia Pub Date : 2021-12-01 DOI: 10.25132/raac.v113.n4.1536

Guadalupe Cima, José M. Moreno Negri, Pablo César Bassan

引用次数: 0

Tapp technique performed by young hands. Reproducing the results of the Lichtenstein procedure for symptomatic primary unilateral inguinal hernia 由年轻人表演的踢踏技术。Lichtenstein手术治疗症状性原发性单侧腹股沟疝的疗效再现

Revista argentina de cirugia Pub Date : 2021-12-01 DOI: 10.25132/raac.v113.n4.1498

S. Cubas, Martín Varela, María N. Brito, A. Pouy, Nicolás D. Muniz, C. Haro, Marysol Martínez, César E. Canessa

引用次数: 0

Quality of life after thoracoscopic sympathectomy for primary focal hyperhidrosis 原发性局灶性多汗症胸腔镜交感神经切除术后的生活质量

Revista argentina de cirugia Pub Date : 2021-12-01 DOI: 10.25132/raac.v113.n4.1611

L. Affronti, Martín Galvarini Recabarren, Javier Kerman, Rubén Balmaceda, Andrés Kerman

{"title":"Quality of life after thoracoscopic sympathectomy for primary focal hyperhidrosis","authors":"L. Affronti, Martín Galvarini Recabarren, Javier Kerman, Rubén Balmaceda, Andrés Kerman","doi":"10.25132/raac.v113.n4.1611","DOIUrl":"https://doi.org/10.25132/raac.v113.n4.1611","url":null,"abstract":"Background: Thoracoscopic sympathectomy demonstrated to be a safe surgical procedure for the management of primary focal hyperhidrosis (PFH); however, some patients are not completely satisfied with their quality of life as compensatory sweating is the main adverse event. Objective: The aim of this study was to evaluate the quality of life of patients with PFH undergoing thoracoscopic sympathectomy using an anonymous postoperative survey. Material and methods: Consecutive patients undergoing thoracoscopic sympathectomy between August 2016 and August 2019 were included. Patients who did not respond the telephone survey about their quality of life or who had been followed up for < 6 months. Clinical, intraoperative and postoperative variables were analyzed. Results: During this period 61 patients were operated on and 12 of them were excluded. Mean age was 28.9 years. All the patients presented moderate or severe primary palmar and/or axillary hyperhidrosis with or without facial flushing or plantar hyperhidrosis. Forty-nine patients responded the survey. Surgery completely solved PFH in 32 patients (65.3%) while 17 patients (34.6%) achieved a partial relief; 61% (30 patients) developed compensatory sweating affecting the quality of life in 4 (8%) causing transient discomfort and dissatisfaction in most cases. After a mean follow-up of 36 months (6-72), 97.9% (48 patients) recommended the procedure. Conclusion: Bilateral thoracoscopic sympathectomy is still the most efficient treatment for PFH with high level of satisfaction among the patients operated on. Compensatory sweating was the most common adverse effect and is mild and transient in most cases.","PeriodicalId":78597,"journal":{"name":"Revista argentina de cirugia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47104842","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

Analysis or predictive factors associated with pharingocutaneous fistulas after total laryngectomy 全喉切除术后咽皮瘘的相关预测因素分析

Revista argentina de cirugia Pub Date : 2021-12-01 DOI: 10.25132/raac.v113.n4.1604

Marta S. Patrucco, Marina V. Aramendi, Ana C. Ragoni

{"title":"Analysis or predictive factors associated with pharingocutaneous fistulas after total laryngectomy","authors":"Marta S. Patrucco, Marina V. Aramendi, Ana C. Ragoni","doi":"10.25132/raac.v113.n4.1604","DOIUrl":"https://doi.org/10.25132/raac.v113.n4.1604","url":null,"abstract":"Background: Pharyngocutaneous fistula is the most common complication after total laryngectomy. The factors associated with its development have been studied by several authors without conclusive results. Objective: To evaluate the causes for the development of PCF and to describe the risk factors associated with PCF in the population studied. Material and methods: We conducted a retrospective and observational study with statistical analysis of the variables. A total of 55 patients undergoing initial or salvage total laryngectomy from January 2000 to December 2019 were included. Male-to-female ratio was 48/7. Mean age was 61.3 years. The pathological diagnosis was epidermoid carcinoma in 96.36% of the cases. Statistical analysis: (chi square test and Mann-Whitney test) of the variables related with the development of pharyngocutaneous fistula. Results: The incidence of fistula in patients with laryngectomy was 20%. Spontaneous closure occurred in 72.73% and 3 patients (27.27%) required the use of flaps. In patients with fistula, 63.64% had previous radiotherapy. In these patients, the use of nasogastric tube feeding lasted > 15 days. Mean length of hospital stay in patients with fistula with 23 days. Conclusion: In our environment, previous radiotherapy was the most significant factor associated with the development of fistula. In these patients, fistula took longer to close and required more complex reconstructions in some cases.","PeriodicalId":78597,"journal":{"name":"Revista argentina de cirugia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42749857","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

Editorial on “Transperitoneal laparoscopic approach for retroperitoneal tumors in adults” 《经腹膜腹腔镜入路治疗成人腹膜后肿瘤》社论

Revista argentina de cirugia Pub Date : 2021-12-01 DOI: 10.25132/raac.v113.n4.edsq

S. Quildrian

引用次数: 0

Brachial artery pseudoaneurysm secondary to inadvertent arterial puncture 臂动脉假性动脉瘤继发于无意的动脉穿刺

Revista argentina de cirugia Pub Date : 2021-12-01 DOI: 10.25132/raac.v113.n4.1571

Mariano Norese, Hern-hsin Chen, Thiago Vasconcelos Paulo Neto, Sergio Ferreyra Fernández

引用次数: 0

Ingested air rifle pellet associated with acute perforated appendicitis 吸入气枪弹丸并发急性穿孔性阑尾炎

Revista argentina de cirugia Pub Date : 2021-08-27 DOI: 10.25132/raac.v113.n3.1519

J. A. Ávila, Néstor A. Cecconi, Luis A. Ramírez, Matías D. Seidel, María P. Goitea, Luis S. Avellaneda

引用次数: 0

Difficult common bile duct stones 难治性胆总管结石

Revista argentina de cirugia Pub Date : 2021-08-27 DOI: 10.25132/raac.v113.n3.1553.ei

C. Canullán, Enrique J. Petracchi, Nicolás F. Baglietto, H. Zandalazini, B. M. Quesada, Pablo Merchán del Hierro, C. Ocampo

引用次数: 0

Villar’s nodule: a rare cause of umbilical nodule 维拉尔结节:一种罕见的脐结节病因

Revista argentina de cirugia Pub Date : 2021-08-27 DOI: 10.25132/raac.v113.n3.1488

Gerardo M. Rodríguez, Camilo S. Canesín, Analía M. Prieto

引用次数: 0

Pancreatectomy after neoadjuvant therapy in borderline resectable pancreatic cancer 边缘性可切除胰腺癌新辅助治疗后的胰腺切除术

Revista argentina de cirugia Pub Date : 2021-08-27 DOI: 10.25132/raac.v113.n3.1590

C. Ocampo, H. Zandalazini, F. Alonso, C. Canullán, I. Rico, Luciano Coiz

{"title":"Pancreatectomy after neoadjuvant therapy in borderline resectable pancreatic cancer","authors":"C. Ocampo, H. Zandalazini, F. Alonso, C. Canullán, I. Rico, Luciano Coiz","doi":"10.25132/raac.v113.n3.1590","DOIUrl":"https://doi.org/10.25132/raac.v113.n3.1590","url":null,"abstract":"Background: Pancreatectomy after neoadjuvant therapy in patients without disease progression is the standard treatment for borderline pancreatic cancer; however, no national series have been published to date. Objective: The aim of this study is to evaluate morbidity and mortality of patients with borderline resectable pancreatic cancer undergoing pancreatectomy after neoadjuvant therapy. Material and methods: A total of 15 patients treated between 2011 and 2018 were analyzed. The epidemiologic data, type of neodajuvant therapy, radiological evaluation of the response to neoadjuvant therapy, morbidity, mortality and survival were evaluated. These 15 patients who underwent pancreatectomy after neoadjuvant therapy were compared with 15 pancreatectomized patients without previous neoadjuvant therapy. Results: Mean age was 66.5 years and 8 patients were men. The most common neoadjuvant therapy regimens were FOLFIRINOX (n = 6) and gemcitabine/paclitaxel (n = 5); 8 patients required additional radiation therapy. The radiological evaluation of the response to neoadjuvant therapy showed stable disease in 10 patients and partial response in 4. Eleven patients underwent pancreaticoduodenectomy and 4 underwent splenectomy and pancreatectomy. Ten patients required some type of vascular resection. Morbidity was 60% (9/15), there were no deaths and mean survival was 23.4 months. There were no significant differences in morbidity, mortality and survival with the 15 pancreatectomized patients without previous neoadjuvant therapy. Conclusion: Neoadjuvant therapy has extended resectability of advanced pancreatic cancer. In high volume centers, pancreatectomy after neoadjuvant therapy has similar morbidity, and survival to those of pancreatic resections without previous neoadjuvant therapy.","PeriodicalId":78597,"journal":{"name":"Revista argentina de cirugia","volume":"25 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41273780","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