Cirugia y cirujanos最新文献

Investigation of the effect of ABO blood types on the prognosis of endometrioid-type endometrial cancer. ABO 血型对子宫内膜样型子宫内膜癌预后影响的研究。

Cirugia y cirujanos Pub Date : 2024-09-23 DOI: 10.24875/CIRU.24000061

Havva H Keser-Şahin, Fazıl Avcı, Mehmet Kulhan, Abdul Hamid-Güler, Mete Can-Ateş, Çetin Çelik, Ahmet Bilgi

{"title":"Investigation of the effect of ABO blood types on the prognosis of endometrioid-type endometrial cancer.","authors":"Havva H Keser-Şahin, Fazıl Avcı, Mehmet Kulhan, Abdul Hamid-Güler, Mete Can-Ateş, Çetin Çelik, Ahmet Bilgi","doi":"10.24875/CIRU.24000061","DOIUrl":"https://doi.org/10.24875/CIRU.24000061","url":null,"abstract":"Objective: The aim of this study was to examine how the ABO blood type affects endometrioid-type, EC prognosis.Method: A total of 522 patients diagnosed with EC between February 2010 and December 2021 were assessed, retrospectively. ABO blood types were used to divide the patients into four groups as A, B, O, and AB. Demographic data, menopause, prognostic variables, FIGO stage, and survival were evaluated. A in 217 patients, B in 84 patients, O in 181 patients, and AB blood type in 40 patients were analyzed.Results: Age, gravida, parity, body mass index, menopause, comorbidity, prognostic variables, FIGO stage, and survival according to the groups were similar (p > 0.012). Group A differed from other groups statistically in peritoneal fluid cytology (p = 0.004). B blood type had the best chance of cumulative overall survival, followed by AB, A, and O blood types, in that order (p = 0.170).Conclusion: In light of blood types sensitivity to endometrioid-type EC, O blood type has been identified as blood type with the highest risk of endometrioid EC.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142303402","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

Clinical efficacy of radiofrequency ablation guided by high-density mapping on persistent atrial fibrillation. 高密度绘图引导下的射频消融术对持续性心房颤动的临床疗效。

Cirugia y cirujanos Pub Date : 2024-09-23 DOI: 10.24875/CIRU.24000027

Ting Huang, Han Xie, Ning Ma

{"title":"Clinical efficacy of radiofrequency ablation guided by high-density mapping on persistent atrial fibrillation.","authors":"Ting Huang, Han Xie, Ning Ma","doi":"10.24875/CIRU.24000027","DOIUrl":"https://doi.org/10.24875/CIRU.24000027","url":null,"abstract":"Objective: The study aimed to explore the clinical efficacy of radiofrequency ablation (RFA) guided by high-density mapping on persistent atrial fibrillation (PsAF).Method: A total of 190 patients with PsAF undergoing RFA were divided into a routine group (n = 105) and a high-density mapping group (n = 85). The indicators of therapeutic efficacy were collected and compared.Results: A statistically significant difference was found in the overall rate of post-operative recurrence between the two groups (11.58% vs. 23.81%, χ2 = 5.055, p = 0.025). The effects of different treatment methods on SF-36 score varied (FSF-36 treatment = 43.142, p < 0.05), and SF-36 scores at 3, 6, and 12 months of both groups were in the same order: the high-density mapping group > the routine group. While surgery guided by high-density substrate mapping (odds ratio = 0.453, 95% confidence interval: [0.232-0.784], p < 0.001) was a protective factor for recurrence.Conclusion: For patients with PsAF, more accurate mapping is conducted on the atrial substrate using a PentaRay electrode, which further verifies that the success rate of individualized ablation strategy is like mainstream procedures, and it significantly improves the subsequent health status of patients and reduces their incidence of adverse reactions.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309371","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

Clinical effect analysis of different treatment schemes for children with ulnar and radial double fractures. 尺桡骨双骨折儿童不同治疗方案的临床效果分析。

Cirugia y cirujanos Pub Date : 2024-03-19 DOI: 10.24875/CIRU.23000426

Jibin Liu, Zongpu Wang, Xiaowei Ma, Jianchuan Wang

{"title":"Clinical effect analysis of different treatment schemes for children with ulnar and radial double fractures.","authors":"Jibin Liu, Zongpu Wang, Xiaowei Ma, Jianchuan Wang","doi":"10.24875/CIRU.23000426","DOIUrl":"https://doi.org/10.24875/CIRU.23000426","url":null,"abstract":"Objective: The objective of the study is to evaluate the safety and efficacy of three different treatment methods for pediatric ulnar and radial double fractures.Methods: 120 children with ulnar and radial double fractures were included in the study. According to the different treatment plans, children were divided into three groups: manual reduction, splint external fixation, double elastic intramedullary fixation, and double plate fixation. Surgical indicators, radiological results, clinical efficacy, and complications were evaluated and compared among the groups.Results: The average hospital stay and operation time were significantly longer in the double plate internal fixation group compared to the other two groups. The double elastic intramedullary nailing group showed a higher fracture healing rate at 3 months compared to the other groups. There were no significant differences in clinical efficacy among the three groups. Complications were observed in all groups but did not show significant statistical differences.Conclusion: Double elastic intramedullary nailing fixation demonstrated favorable outcomes in terms of surgical indicators and fracture healing rates for pediatric ulnar and radial double fractures.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140178261","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

Beneficial effects of IVIG treatment on experimental-induced osteoporosis. IVIG 治疗对实验性骨质疏松症的有益影响。

Cirugia y cirujanos Pub Date : 2024-03-19 DOI: 10.24875/CIRU.23000219

Savaş Özdemir, Oytun Erbas

{"title":"Beneficial effects of IVIG treatment on experimental-induced osteoporosis.","authors":"Savaş Özdemir, Oytun Erbas","doi":"10.24875/CIRU.23000219","DOIUrl":"https://doi.org/10.24875/CIRU.23000219","url":null,"abstract":"Objective: Estrogen (E2) plays a significant role in postmenopausal osteoporosis, and its deficiency is related to chronic low-grade inflammation. Intravenous immunoglobulin (IVIG) is composed of immunoglobulins derived from the plasma of healthy donors. Numerous anti-inflammatory pathways are responsible for IVIG's anti-inflammatory action The aim of this study is to investigate the effects of IVIG on experimental-induced osteoporosis.Materials and methods: Forty adult female Wistar rats were included in the study. Thirty rats underwent bilateral dorsal ovariectomy. Rats were grouped as Group 1 (n = 10, ovariectomy and saline); Group 2 (n = 10, ovariectomy and E2); Group 3 (n = 10, ovariectomy and IVIG), and Control group (n = 10, no oophorectomy). Histopathological examination of bone tissue, and biochemical analysis for beta-catenin, plasma Tumor Necrosis Factor-α, IL-6, receptor activator of nuclear-κB ligand (RANKL), and osteoprotegerin (OPG) levels were made.Results: The IVIG group had increased trabecular number, area, and thickness with increased bone mineral density as well as decreased trabecular separation compared with the saline group. IVIG group had lower serum RANKL and higher serum OPG levels when compared with the saline group. The bone marrow beta-catenin level was significantly higher in the control and ovariectomy + IVIG groups.Conclusion: IVIG has beneficial effects on experimentally induced osteoporosis with a possible action on inflammation and RANKL-β-catenin pathway.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140178260","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

Pharyngeal mucosal closure in total laryngectomy: comparison between vertical and T-shaped closure. 全喉切除术中的咽粘膜闭合：垂直闭合与 T 形闭合的比较。

Cirugia y cirujanos Pub Date : 2024-03-19 DOI: 10.24875/CIRU.22000324

Adolfo Montemayor-Alatorre, Ruth P Serna-Vazquez, Karla M Santos-Santillana, Josefina A Morales-Del Ángel, José R Córtes-Ponce, José L Treviño-González

{"title":"Pharyngeal mucosal closure in total laryngectomy: comparison between vertical and T-shaped closure.","authors":"Adolfo Montemayor-Alatorre, Ruth P Serna-Vazquez, Karla M Santos-Santillana, Josefina A Morales-Del Ángel, José R Córtes-Ponce, José L Treviño-González","doi":"10.24875/CIRU.22000324","DOIUrl":"https://doi.org/10.24875/CIRU.22000324","url":null,"abstract":"Objective: The objective of this study was to compare the outcomes vertical and T-shaped pharyngoplasty closure techniques after total laryngectomy (TL) and to evaluate the factors associated with the development of pharyngocutaneous fistula.Materials and methods: We performed a retrospective study that included patients with a histopathological diagnosis of laryngeal cancer that underwent TL between 2009 and 2021.Results: Fifty-seven patients were included in the study. A total of 14 patients underwent a vertical closure of the neopharynx (24.6%), while 43 patients underwent a T-shaped closure (74.4%). Pharyngocutaneous fistula was the most common complication, observed in 40.4% of cases (n = 23). No difference in the rate of complications was observed between groups, with the exception of tracheal dehiscence which was reduced in patients with T-shaped closure (n = 2, 4.7% vs. n = 5, 35.7%, p = 0.002). Diabetes mellitus was more frequently observed in patients withthe development of pharyngocutaneous fistula (n = 7, 30.4% vs. n = 3, 8.8%, p = 0.03).Conclusions: Although complicationswere lower in the T-shaped closure group, we could not establish the superiority of either technique.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140178262","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

Identifying the best cutoff value of the fecal occult blood immunochemical test in the detection of advanced and neoplastic colorectal lesions. 确定粪便潜血免疫化学检验在检测晚期和肿瘤性结直肠病变中的最佳临界值。

Cirugia y cirujanos Pub Date : 2024-03-11 DOI: 10.24875/CIRU.23000651

Patricia Gaggero, Eduardo Fenocchi, Cecilia Silva, Juan C López-Alvarenga, Natalia Lambert, Fabián Batista, Sergio Sobrino-Cossío, Jonathan R White, Adolfo Parra-Blanco

{"title":"Identifying the best cutoff value of the fecal occult blood immunochemical test in the detection of advanced and neoplastic colorectal lesions.","authors":"Patricia Gaggero, Eduardo Fenocchi, Cecilia Silva, Juan C López-Alvarenga, Natalia Lambert, Fabián Batista, Sergio Sobrino-Cossío, Jonathan R White, Adolfo Parra-Blanco","doi":"10.24875/CIRU.23000651","DOIUrl":"https://doi.org/10.24875/CIRU.23000651","url":null,"abstract":"Objective: Screening is an effective tool for detecting colorectal lesions in asymptomatic subjects. There is a positive correlation between fecal immunochemical test (FIT) values and the size of tumors. Despite the efficacy of screening, the detection of colorectal cancer (CRC) remains low. The primary objective was to evaluate the best FIT cutoff value for detecting advanced adenomas and CRC among individuals at average risk in a country with a high incidence and morbidity from CRC.Methods: This observational and prospective study analyzed consecutive cases in 1461 asymptomatic subjects with a positive FIT (≥ 100 ng hemoglobin [Hb]/mL) referred for colonoscopy (2012-2015) at a tertiary center in Uruguay.Results: Colorectal lesions were detected in 35.3% (516/1461) of cases, with a mean age of 62.8 ± 8.3 years. About 53.2% were men and 65.1% of the tumors were located in the left side of the colon. The size of the lesion and FIT values (p = 0.001) were positively correlated. Laterally spreading tumors predominated in the right colon (586 ng Hb/mL; 95% Confidence interval [CI] 443.4-760). One hundred and thirty-five (26%) lesions were advanced adenomas (15 ± 6.7 mm); 694.6 ng/mL; 95% CI 632.4-756.9). The highest diagnostic yield (0.5112) for advanced adenomas was at a FIT level of 400 ng Hb/mL (accuracy 88.6%). There were significant differences in FIT values early and advanced CRC (927 ng/mL; [95% CI: 637-1082] vs. 1453 [95% CI: 1352-1594; p = 0.001]).Conclusion: A FIT value of 400 ng Hb/mL was the best diagnostic yield to detect advanced adenomas and CRC. This value is useful during the COVID-19 pandemic as it allows prioritization of colonoscopy to those most at risk of significant disease, thus reducing risks to both patients and healthcare workers.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140102984","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

Thoracic lipoblastoma in a 6-year-old African male: a case report. 一名 6 岁非洲男性的胸部脂肪母细胞瘤：病例报告。

Cirugia y cirujanos Pub Date : 2024-03-11 DOI: 10.24875/CIRU.22000237

Javier Arredondo-Montero, Mónica Bronte-Anaut, Carlos Bardají-Pascual

引用次数: 0

Application of hip capsule peripheral nerve block in early analgesia in elderly patients with hip fracture. 髋关节囊周围神经阻滞在老年髋部骨折患者早期镇痛中的应用。

Cirugia y cirujanos Pub Date : 2024-03-11 DOI: 10.24875/CIRU.22000645

Jiangbo Zheng, Zhaoming Feng, Junfeng Zhu, Yuqing Kang

{"title":"Application of hip capsule peripheral nerve block in early analgesia in elderly patients with hip fracture.","authors":"Jiangbo Zheng, Zhaoming Feng, Junfeng Zhu, Yuqing Kang","doi":"10.24875/CIRU.22000645","DOIUrl":"10.24875/CIRU.22000645","url":null,"abstract":"Objective: The objective of the study is to investigate the effect of pericapsular nerve group (PENG) block in early analgesia in elderly patients with hip fracture.Methods: A total of 44 elderly patients with hip fracture admitted to our hospital from August 2021 to December 2022 were selected and divided into 2 groups according to different analgesia programs.Results: At T1~T4, the resting and active visual analog scale (VAS) scores in group P were lower than group F (p < 0.05). The resting and active VAS scores at T5 in both groups were no visible differences (p > 0.05). After 30 min of block, systolic blood pressure, diastolic blood pressure, and heart rate were decreased in both groups (p < 0.05), but no obvious difference was found in the two groups (p > 0.05). Before surgery, Pittsburgh Sleep Quality Index (PSQI) and mini-mental state scale (MMSE) scores in both groups were reduced, and PSQI score in group P was lower than that in group F and MMSE score was higher than group F (p < 0.05).Conclusion: PENG technology is safe and effective in the early analgesia of elderly hip fractures. It can effectively block physiological stress response caused by acute trauma, improve pre-operative sleep quality, and reduce the incidence of cognitive dysfunction.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140102983","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

[Construct validity of the TECS questionnaire for the quality of teamwork in surgery]. [外科团队合作质量 TECS 问卷的结构效度]。

Cirugia y cirujanos Pub Date : 2024-03-06 DOI: 10.24875/CIRU.23000297

Luis C Domínguez, Neil Valentín-Vega, Eduardo Tuta-Quintero, Diego Sierra, Álvaro Sanabria

引用次数: 0

[Mixed adenoneuroendocrine carcinoma: case report]. [混合性腺内分泌癌：病例报告]

Cirugia y cirujanos Pub Date : 2024-02-12 DOI: 10.24875/CIRU.21000713

Ángel A Hernández-Moreno, Carlos E Durón-Gutiérrez, Sheyla P Serrano-González, Grettel León-Martínez, José G Arroyo-Del-Castillo

引用次数: 0