Cirugia espanola最新文献

{"title":"Intraoperative endoscopy in bariatric surgery.","authors":"Maria Lapeña-Rodríguez, Rosa Martí-Fernández, Raquel Alfonso-Ballester, Norberto Cassinello-Fernández","doi":"10.1016/j.cireng.2024.12.014","DOIUrl":"10.1016/j.cireng.2024.12.014","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461144","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":"Influence of cosmetic results of thyroidectomy scars on patient quality of life.","authors":"Fátima María Sánchez-Cabezudo Noguera, Jose Luis Muñoz de Nova, Mariana Garcia Virosta, Álvaro Valdés de Anca, Maria Antonia Vaquero Pérez, Elena Martin Perez, Antonio Luis Picardo Nieto","doi":"10.1016/j.cireng.2024.12.013","DOIUrl":"10.1016/j.cireng.2024.12.013","url":null,"abstract":"<p><strong>Introduction: </strong>This study in a Spanish population evaluates patient concerns about an anterior cervicotomy scar due to thyroid surgery, both before and after surgery.</p><p><strong>Methods: </strong>This prospective, observational study included consecutive patients proposed for thyroidectomy who completed, prior to surgery, an adapted Dermatology Life Quality Index (DLQI) questionnaire regarding the expected results in relation to their scar. Six months after surgery, they completed the questionnaire again, with an additional evaluation of the scar using the Vancouver Scar Scale (VSS). Changes in the score were analyzed, as well as the possible influence of demographic and surgical factors on the results obtained.</p><p><strong>Results: </strong>90 patients were included (78.9% women). Preoperative concern was generally low (DLQI 4.68), although the score for moderate preoperative concern was 16.7%. Female sex was associated with greater preoperative concern regarding the future outcome of the scar, and age had an inverse correlation with the DLQI score. After surgery, no patient had a significant impact. Age was inversely related to the impact of the scar on quality of life 6 months after surgery.</p><p><strong>Conclusion: </strong>Patients who are scheduled to undergo conventional thyroid surgery show limited concern about the aesthetic result of their scar. The most concerned patients are young women. The aesthetic distress due to scars in Asian populations does not seem to transfer to our environment.</p>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461141","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":"Predictors for cure of obstructive sleep apnea in bariatric patients.","authors":"Sergio Navarro-Martínez, Jose Ángel Diez-Ares, Marina Carrasco-Llatas, Núria Peris-Tomás, Silvia Matarredona-Quiles, Ramón Trullenque-Juan, Carlos Domingo-Del-Pozo","doi":"10.1016/j.cireng.2025.02.002","DOIUrl":"10.1016/j.cireng.2025.02.002","url":null,"abstract":"<p><strong>Introduction: </strong>Obstructive sleep apnea (OSA) is common among candidates for bariatric surgery and is often underdiagnosed. Given that obesity and OSA share comorbidities and mutually reinforce each other, it is important to identify factors that predict OSA resolution after bariatric surgery. However, studies on this topic are limited and offer contradictory results. The objective of the study was to identify predictors of OSA resolution one year after bariatric surgery.</p><p><strong>Methods: </strong>A prospective study was conducted with bariatric surgery candidates aged 18-65. Patients underwent preoperative cardiorespiratory polygraphy (PR) and an otorhinolaryngological examination. A follow-up PR was performed one year after surgery. A multivariate analysis was conducted, examining anthropometric, metabolic, and upper airway anatomical variables to determine predictors of resolution.</p><p><strong>Results: </strong>The prevalence of OSA was 75%. Predictors of resolution included preoperative body mass index (BMI), neck circumference and age. Each additional kg/m² in BMI reduced the probability of resolution by 14% (OR = 0.86; P = .037), each additional centimeter of neck circumference reduced the probability by 16% (OR = 0.84; P = .018), and each year of age reduced the probability by 11% (OR = 0.89; P = .009).</p><p><strong>Conclusions: </strong>The prevalence of OSA in bariatric patients is high, and BMI, neck circumference, and age are predictive factors of OSA resolution after bariatric surgery.</p>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442803","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":"Excision of a large adenovillous lesion (four quadrants) with peritoneal perforation via Transanal Endoscopic Operation (TEO). Step-by-step surgical strategy.","authors":"Xavier Serra-Aracil, Jesus Badia-Closa","doi":"10.1016/j.cireng.2024.12.012","DOIUrl":"10.1016/j.cireng.2024.12.012","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143375000","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":"Candy cane syndrome with or without concomitant hiatal hernia after Roux-en-Y gastric bypass: A hidden enemy leading to postoperative symptoms","authors":"Italo Braghetto ,&nbsp;Owen Korn ,&nbsp;Ramon Sanz-Ongil ,&nbsp;Ana Burgos ,&nbsp;Deycies Gaete","doi":"10.1016/j.cireng.2024.11.004","DOIUrl":"10.1016/j.cireng.2024.11.004","url":null,"abstract":"<div><h3>Background</h3><div>Candy cane syndrome (CCS) is a rare complication of laparoscopic Roux-en-Y gastric bypass (LRYGB). It occurs due to redundancy in the blind loop at the gastro-jejunal anastomosis.</div></div><div><h3>Objective</h3><div>To evaluate the type of symptoms, anatomic and functional findings, and outcome after treatment.</div></div><div><h3>Material and methods</h3><div>A prospective case series study was conducted between 2010 and 2022, including symptomatic patients with CCS after LRYGB. Symptoms were correlated with anatomic and functional findings. Big gastric pouch was defined if its size was <u>&gt;</u>5 cm, and a long candy cane loop was diagnosed if its length was <u>&gt;</u>5 cm. Due to failure of medical treatment, revision surgery (RS) was indicated for resection of the elongated blind jejunal loop, resizing the redundant gastric pouch and repairing the hiatal hernia repair (HH) when necessary.</div></div><div><h3>Results</h3><div>The study included 23 patients, with a mean age of 49 ± 11 years. Twenty-one patients underwent primary LRYGB, and 2 were converted to this technique after sleeve gastrectomy (SG). The mean time from LRYGB to symptom onset was 7.6 ± 4.3 years. Pain and reflux symptoms were the most frequent, with no differences between patients with or without HH (<em>P</em> &lt; .05). CCS coexisted with a large gastric pouch in 56.5% and HH in 52.2% of cases. A defective lower esophageal sphincter, abnormal esophageal motility, and pathological acid reflux test were observed. After surgery, improvement was observed in 86.9%.</div></div><div><h3>Conclusion</h3><div>CCS can lead to gastrointestinal symptoms following LRYGB, regardless of the presence of HH. Complete examinations are crucial for diagnosis and to determine the surgical intervention, which is the best option for treatment.</div></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 2","pages":"Pages 60-66"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683824","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":"Peritonitis in strangulated stomach in giant inguinoscrotal hernia","authors":"Ruth Lobato Navarro ,&nbsp;Carlota Cuenca Gómez ,&nbsp;Lilian Maria Escobar Lezcano ,&nbsp;Salvadora Delgado Rivilla","doi":"10.1016/j.cireng.2024.11.005","DOIUrl":"10.1016/j.cireng.2024.11.005","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 2","pages":"Page 117"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142696142","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":"Registration of a research project - clinical trial: which, when, where, and how","authors":"Anna Nonell ,&nbsp;Xavier Serra Aracil","doi":"10.1016/j.cireng.2024.09.014","DOIUrl":"10.1016/j.cireng.2024.09.014","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 2","pages":"Pages 100-103"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142483161","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":"Neoadjuvant treatment in locally advanced rectal cancer with deficient mismatch repair (dMMR): a paradigm shift","authors":"Alba Manuel-Vázquez ,&nbsp;Miguel Soria Tristán ,&nbsp;José Miguel Martín Martínez ,&nbsp;José Luis Ramos Rodríguez","doi":"10.1016/j.cireng.2024.10.003","DOIUrl":"10.1016/j.cireng.2024.10.003","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 2","pages":"Pages 118-120"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514691","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":"Persistent elevated serum parathyroid hormone levels with normocalcaemia after parathyroidectomy: Secondary hyperparathyroidism or pseudo- hyperparathyroidism?","authors":"Olivia Benet-Muñoz,&nbsp;María Asunción Acosta-Mérida,&nbsp;José Antonio Casimiro-Pérez,&nbsp;María Mar Callejón-Cara,&nbsp;Laura Jiménez-Díaz,&nbsp;Joaquín Marchena-Gómez","doi":"10.1016/j.cireng.2024.10.006","DOIUrl":"10.1016/j.cireng.2024.10.006","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aimed to determine the time to normalisation of postoperative parathyroid hormone levels after successful parathyroid surgery and to analyse the pathophysiology of postoperative normocalcaemic hyperparathyroidism.</div></div><div><h3>Method</h3><div>An observational retrospective study was conducted on a cohort of 186 patients who had undergone parathyroidectomy for primary hyperparathyroidism over a 5-year period. Demographic characteristics, surgical and histopathological data, bone densitometry (pre-and postoperative pharmacological treatment), creatinine plasma levels, and pre-and postoperative parathyroid hormone, calcium and vitamin D levels were recorded as predictive variables. The time to normalisation of the postoperative parathyroid hormone levels was recorded as the output variable. A univariate analysis was performed to investigate the factors related to the time to normalisation of parathyroid hormone levels.</div></div><div><h3>Results</h3><div>The final study sample was comprised of 176 patients, 46 of which (26.1%) had elevated postoperative parathyroid hormone levels and normocalcaemia. The median time to normalisation of the postoperative parathyroid hormone levels was 6 months. The cumulative probability of having normal parathyroid hormone levels 30 months after surgery was 89%. The time to normalisation was associated only with preoperative parathyroid hormone levels (<em>P</em> = .007; HR: 0.998). Vitamin D and creatinine levels were not associated with time to normalisation of parathyroid hormone levels (<em>P</em> = .744).</div></div><div><h3>Conclusions</h3><div>Persistently elevated postoperative parathyroid hormone levels with normocalcaemia may occur in one-quarter of patients after parathyroidectomy. Parathyroid hormone levels normalise in up to 90% of cases by 30 months. A high preoperative parathyroid hormone level is predictive of postoperative normocalcaemic hyperparathyroidism, and vitamin D deficiency does not seem to influence the pathogenic mechanism.</div></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 2","pages":"Pages 67-74"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142683837","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":"Transparency of my results. How to deposit my study data in an open access repository?","authors":"Raul Muñoz Garcia ,&nbsp;Guillem Cebrián Grifol","doi":"10.1016/j.cireng.2024.07.006","DOIUrl":"10.1016/j.cireng.2024.07.006","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 2","pages":"Pages 97-99"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142121326","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}