Cirugia espanolaPub Date : 2025-06-01DOI: 10.1016/j.cireng.2025.800119
Fernando de la Portilla de Juan , María Luisa Reyes Díaz , Fátima Hinojosa Ramirez
{"title":"Response to the Letter to the Editor regarding our article on efficacy one year after the TROPIS Technique for the treatment of complex anal fistula","authors":"Fernando de la Portilla de Juan , María Luisa Reyes Díaz , Fátima Hinojosa Ramirez","doi":"10.1016/j.cireng.2025.800119","DOIUrl":"10.1016/j.cireng.2025.800119","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 6","pages":"Article 800119"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096247","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}
Cirugia espanolaPub Date : 2025-06-01DOI: 10.1016/j.cireng.2025.800097
Zekai Yu
{"title":"Beyond the Operating Room: Expanding the Surgical Metaverse Through Collaboration, Regulation, and Patient Empowerment","authors":"Zekai Yu","doi":"10.1016/j.cireng.2025.800097","DOIUrl":"10.1016/j.cireng.2025.800097","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 6","pages":"Article 800097"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096123","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}
Cirugia espanolaPub Date : 2025-06-01DOI: 10.1016/j.cireng.2025.800113
Manuel García García , Carlos Roberto Estrada López , José Manuel Domínguez Carrera , Lucía Rigueiro López , Purificación Fernández Souto
{"title":"Robot-assisted mastectomy combined with immediate reconstruction with prepectoral implant","authors":"Manuel García García , Carlos Roberto Estrada López , José Manuel Domínguez Carrera , Lucía Rigueiro López , Purificación Fernández Souto","doi":"10.1016/j.cireng.2025.800113","DOIUrl":"10.1016/j.cireng.2025.800113","url":null,"abstract":"<div><div>Robot-assisted sparing mastectomy combined with immediate reconstruction using a prepectoral breast implant is a novel technique that provides good aesthetic results and high patient satisfaction. It was described for the first time by Antonio Toesca in 2015. In Spain, it is currently carried out in very few places. The results of this technique have been reported in multiple studies with low conversion and complication rates. It is indicated in patients with genetic risk and in patients with early breast cancer presenting no evidence of skin, chest wall or nipple-areolar complex involvement. In order to advocate the robotic approach, we give a step-by-step explanation so that it can be reproduced safely. However, we are aware that the technique entails a long learning curve and requires the availability of robotic equipment as well as experience in open breast cancer surgery.</div></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 6","pages":"Article 800113"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096166","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}
Cirugia espanolaPub Date : 2025-06-01DOI: 10.1016/j.cireng.2025.800111
Ana Victoria Juárez San Juan , Paula Juárez San Juan , Manuel Artiles Armas , Laura Cano Contreras , Paula Beltrán Calero , Carlos Jorge Ripper , Pedro Rodriguez Suárez , Jorge L. Freixinet Gilart
{"title":"Retrospective study on the Delta Shock Index associated with age and the Glasgow Coma Score (dSIAG) as a prognostic scale for mortality in polytrauma patients","authors":"Ana Victoria Juárez San Juan , Paula Juárez San Juan , Manuel Artiles Armas , Laura Cano Contreras , Paula Beltrán Calero , Carlos Jorge Ripper , Pedro Rodriguez Suárez , Jorge L. Freixinet Gilart","doi":"10.1016/j.cireng.2025.800111","DOIUrl":"10.1016/j.cireng.2025.800111","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aims to analyze differences between the prognostic scales in the initial assessment of severe trauma, SIAG ((Shock Index × Age)/Glasgow Coma Scale) upon arrival at the hospital and at the scene of the trauma (dSIAG). It has been compared with other prognostic scales, including the Shock Index (SI), RTS (Revised Trauma Score) and ISS (Injury Severity Score), given that these scales may underestimate the risk of mortality in some polytrauma patients.</div></div><div><h3>Methods</h3><div>We have conducted a retrospective, observational study with a cohort of patients admitted to the Critical Care Unit of a tertiary center with a diagnosis of trauma from 2018−2020. The SI, dSI, SIAG, dSIAG, RTS and ISS scales were calculated. The AUC-ROC (area under the receiver operating characteristic curve) of each one was compared for M24 (mortality in the first 24 h) and HM (hospital mortality).</div></div><div><h3>Results</h3><div>Out of the 113 patients included, 11 died (9.7%), 9 in the first 24 h (8%). All scores were related to mortality. The dSIAG had the best AUC-ROC for M24 (0.88; 95%CI 0.80−0.96) and MH (0.84; 95%CI 0.71−0.96), although the results between dSIAG and SIAG were similar. The dSIAG value of 0.3 points showed a sensitivity of 77% and specificity of 78% for HM and 89% and 77% for M24. The AUC-ROC of the dSIAG for HM was higher than the classic RTS and ISS scores.</div></div><div><h3>Conclusion</h3><div>The dSIAG is similar to the SIAG and higher than the classic ISS and RTS scores as a predictor of HM in the initial assessment of polytrauma patients.</div></div>","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 6","pages":"Article 800111"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096251","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}
Cirugia espanolaPub Date : 2025-06-01DOI: 10.1016/j.cireng.2025.800116
Manuel Ferrer-Márquez , Raquel Sánchez Santos
{"title":"Integration of pharmacotherapy and bariatric surgery in the treatment of obesity: Advances and challenges","authors":"Manuel Ferrer-Márquez , Raquel Sánchez Santos","doi":"10.1016/j.cireng.2025.800116","DOIUrl":"10.1016/j.cireng.2025.800116","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 6","pages":"Article 800116"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096231","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}
Cirugia espanolaPub Date : 2025-06-01DOI: 10.1016/j.cireng.2025.800099
Josep M. García-Alamino , José Antonio Pereira , Manuel Lopez-Cano
{"title":"Methodology literacy for surgeons: More needed than ever","authors":"Josep M. García-Alamino , José Antonio Pereira , Manuel Lopez-Cano","doi":"10.1016/j.cireng.2025.800099","DOIUrl":"10.1016/j.cireng.2025.800099","url":null,"abstract":"","PeriodicalId":93935,"journal":{"name":"Cirugia espanola","volume":"103 6","pages":"Article 800099"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096246","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}