Cirugia espanola最新文献

{"title":"Massive cervical dilatation: Risks and challenges in managing complications of retrosternal coloplasty.","authors":"Lucía Lavín Montoro, Elías Rodríguez Cuéllar, Inés Marcos Cortés, Eduardo Ferrero Herrero","doi":"10.1016/j.cireng.2025.800192","DOIUrl":"10.1016/j.cireng.2025.800192","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":"800192"},"PeriodicalIF":0.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144710306","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}

{"title":"Bowel obstruction due to adhesions of the appendix.","authors":"Héctor Aguado López, Francisco Javier Ruescas García, Andrés García Marín, Beatriz Aguado Rodríguez","doi":"10.1016/j.cireng.2025.800194","DOIUrl":"10.1016/j.cireng.2025.800194","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":"800194"},"PeriodicalIF":0.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144710304","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}

{"title":"Pudendal neuropathy due to apocrine cystadenoma: A literature review.","authors":"Belén Hernández Roca, María Jesús Segura Jiménez, Vidina Rodrigo Amador, Enrique Fernández Rodríguez, José Manuel Ramia Angel","doi":"10.1016/j.cireng.2025.800193","DOIUrl":"10.1016/j.cireng.2025.800193","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":"800193"},"PeriodicalIF":0.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144710308","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}

{"title":"Gastrointestinal bleeding secondary to multiple duodenojejunal GISTs in a patient with neurofibromatosis type 1.","authors":"Franciso Castillejos Ibañez, M-Carmen Fernández-Moreno, Carolina Martinez Ciarpaglini, Ricardo Gadea Mateo, M Eugenia Barrios Carvajal","doi":"10.1016/j.cireng.2025.800191","DOIUrl":"https://doi.org/10.1016/j.cireng.2025.800191","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":"800191"},"PeriodicalIF":0.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144710305","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}

{"title":"Patient with hereditary syndrome, pheochromocytoma and paraganglioma type I.","authors":"Luisa Paola Garzón Hernández, Rosa Martí Fernández, Maria Lapeña Rodríguez, Norberto Cassinello Fernández","doi":"10.1016/j.cireng.2025.800190","DOIUrl":"https://doi.org/10.1016/j.cireng.2025.800190","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":"800190"},"PeriodicalIF":0.0,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144710307","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}

{"title":"severe bacterial soft tissue infection in the chest due to S. pyogenes: a case series.","authors":"Leonidas Alejandro Landero Ascencio, Raúl Guerrero Lopez, Marc Perez Xaus, Sara Fernandez Planas, Hellena Vallverdú Cartié","doi":"10.1016/j.cireng.2025.800187","DOIUrl":"https://doi.org/10.1016/j.cireng.2025.800187","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":"800187"},"PeriodicalIF":0.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700653","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}

{"title":"Results audit: Accreditation and certification systems. How do they contribute to continuous improvement?","authors":"Luis Sabater","doi":"10.1016/j.cireng.2025.800189","DOIUrl":"10.1016/j.cireng.2025.800189","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":"800189"},"PeriodicalIF":0.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700652","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}

{"title":"Prevalence of burnout dimensions among general surgeons. A systematic review and meta-analysis.","authors":"Miguel Gili-Miner, Lucas Giner, Enrique Gili-Ortiz, Dolores Franco-Fernández, Juan Luís Cabanillas-Moruno, Gonzalo Germán-Castellani, Luís Béjar-Prado","doi":"10.1016/j.cireng.2025.800186","DOIUrl":"10.1016/j.cireng.2025.800186","url":null,"abstract":"<p><p>Our aim was to summarize global prevalence rates of the burnout subscales emotional exhaustion (EE) and depersonalization (DP) among general surgeons, as well as potential contributing factors. A systematic literature search was performed to identify studies reporting EE and DP prevalence and associated potential stressors. Heterogeneity was assessed by I² statistic and tau² statistic. We also performed subgroup analysis, meta-regression analysis and funnel plot asymmetry tests. A total of 21 cross-sectional studies were included in this meta-analysis, totaling 3325 subjects. Analysis of EE and DP indicated burnout in 43% and 41% of general surgeons, respectively. The moderators used in the meta-regression analysis did not account for significant heterogeneity. The Egger and Peters tests did not detect publication bias due to small studies. The prevalences of EE and DP in general surgeons are very high, and further studies are needed to clarify the discrepancies observed in certain results.</p>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":"800186"},"PeriodicalIF":0.0,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700651","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}

{"title":"Coexistence of Morgagni and Bochdalek hernias in an asymptomatic adult.","authors":"Yener Aydin, Ali Bilal Ulas, Atilla Eroglu","doi":"10.1016/j.cireng.2025.800188","DOIUrl":"10.1016/j.cireng.2025.800188","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":"800188"},"PeriodicalIF":0.0,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683814","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}

{"title":"Impact of anesthetic technique on time to discharge of patients undergoing proctological surgery in major outpatient surgery.","authors":"Armando Cuesta Amigo, Nazrin Bakhshaliyeva, Javier García Septiem, Enrique Alday Muñoz","doi":"10.1016/j.cireng.2025.800157","DOIUrl":"10.1016/j.cireng.2025.800157","url":null,"abstract":"<p><strong>Introduction: </strong>The present study aims to compare the length of postoperative stay in outpatient surgery (OS) setting of patients undergoing anorectal surgery in four different anaesthetic techniques: local anaesthesia with deep sedation (LA + DS), low-dose spinal anaesthesia (LDSA) (less than 5 mg of hyperbaric bupivacaine or less than 20 mg of hyperbaric prilocaine), high-dose spinal anaesthesia (HDSA), and general anaesthesia (GA). Secondary outcomes include analysing postoperative complications and their relationship with the chosen anaesthetic technique.</p><p><strong>Methods: </strong>Retrospective observational study of patients who underwent scheduled proctological surgery between January 2018 and September 2021. Patients were classified into four groups according to the anaesthetic technique used. The primary outcomes were the length of stay in AS, the need for postoperative opioids, postoperative nausea and vomiting, acute urinary retention, and failure to complete the AS regimen (unscheduled admission to the ward or visit to the emergency room in the first 24 h with or without hospital admission).</p><p><strong>Results: </strong>Out of 337 patients, 137 (40.4%) received HDSA, 68 (20.5%) LDSA, 106 (31.3%) GA, and 26 (7.7%) LA + DS. The longest median stay (226 min) was associated with HDSA (p < 0.001). The shortest time was recorded with LA + DS (121 min). Around 2% required opioids. 71% of them were operated under GA (p = 0.06). AUR occurred in 4% of patients, with no significant differences between groups. The rate of PONV was 74% in the GA group compared to 7-19% in the rest of the groups. A higher OS failure rate (15%) was observed in afternoon shifts compared to 5% in morning shifts.</p><p><strong>Conclusions: </strong>In ambulatory proctological surgery, spinal anaesthesia with doses less than 5 mg of bupivacaine or 20 mg of hyperbaric prilocaine is effective and reduces postoperative stay times. General anaesthesia is associated with a higher incidence of nausea, vomiting, and increased need for postoperative opioids.</p>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":"800157"},"PeriodicalIF":0.0,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144628104","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}