Cirugia y cirujanos最新文献

Morphometric analysis of male and female inner ear structures in Caucasian population using three-dimensional modeling and oriented bounding box. 利用三维建模和定向包围盒技术对高加索人群男女内耳结构进行形态计量学分析。

Cirugia y cirujanos Pub Date : 2026-10-06 DOI: 10.24875/CIRU.24000165

Emrah Akay, Bahar Yanik, Erdogan Bulbul, Gulen Demirpolat, Hasmet Yazici

{"title":"Morphometric analysis of male and female inner ear structures in Caucasian population using three-dimensional modeling and oriented bounding box.","authors":"Emrah Akay, Bahar Yanik, Erdogan Bulbul, Gulen Demirpolat, Hasmet Yazici","doi":"10.24875/CIRU.24000165","DOIUrl":"https://doi.org/10.24875/CIRU.24000165","url":null,"abstract":"Objectives: This study aims to determine the standard morphometric structure of male and female inner ear structures in the Caucasian population by analyzing computed tomography (CT) images of 130 people without hearing or balance complaints.Methods: Three-dimensional (3D) models of the semicircular canals (SC), vestibule, and cochlea were created using semi-automatic segmentation. Angles between SCs were calculated using oriented bounding boxes (OBB). Size, volume, radius of curvature, canal diameters, common crus dimensions, central bone island areas, and cochlear and vestibule volumes were measured.Results: Although significant deviations from 90° on a case-by-case basis were observed in SC pairs, no statistically significant deviation from orthogonality was detected. While there was no significant difference between SC angulations, there were significant gender differences between other inner ear morphometric measurements.Conclusions: This study has shown that reliable SC angulation measurements can be made on conventional CT images with the OBB method, which has not been used for this purpose before. Significant differences were found between inner ear morphometric measurements of Caucasian male and female populations.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149120308","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

Implementation of quality function deployment to improve the healthcare of a private hospital. 实施质量功能部署，提高私立医院的医疗服务水平。

Cirugia y cirujanos Pub Date : 2026-10-06 DOI: 10.24875/CIRU.24000588

Gizem Z Aydın, Elif Dikmetaş-Yardan

引用次数: 0

Integration of biochemical parameters into mortality prediction scores for burn patients: a step toward a new scoring system. 将生化参数纳入烧伤患者死亡率预测评分：迈向新评分系统的一步。

Cirugia y cirujanos Pub Date : 2026-10-06 DOI: 10.24875/CIRU.25000505

Isidora Djozic, Marija Marinkovic, Teodora Tubic, Ljubica Višnjevac, Vanja Tatalovic, Senjin Djozic, Nenad Djermanov, Jelena Nikolic

{"title":"Integration of biochemical parameters into mortality prediction scores for burn patients: a step toward a new scoring system.","authors":"Isidora Djozic, Marija Marinkovic, Teodora Tubic, Ljubica Višnjevac, Vanja Tatalovic, Senjin Djozic, Nenad Djermanov, Jelena Nikolic","doi":"10.24875/CIRU.25000505","DOIUrl":"https://doi.org/10.24875/CIRU.25000505","url":null,"abstract":"Objectives: This study aimed to evaluate and compare the performance of five prognostic scoring systems for predicting burn mortality: chronic health evaluation II (APACHE II), abbreviated burn severity index (ABSI), Ryan score, rBaux, and Belgium outcome in burn injury, alongside the influence of initial laboratory analyses.Methods: A retrospective clinical study analyzed 343 patients hospitalized for moderate to severe burn injuries at a major clinical Center in Serbia. Data were extracted from medical records, and logistic regression assessed the impact of laboratory results on mortality. Sensitivity, specificity, and area under the curve were calculated for each scoring system.Results: The overall mortality rate was 11.4%. Non-survivors were significantly older (60.87 ± 15.72 years) and had a higher median total body surface area burned (40%) compared to survivors (6%). Inhalation injuries were more common in non-survivors (53.8%). Higher potassium levels were significantly associated with mortality (p < 0.001; odds ratio = 3.624). The APACHE II score demonstrated the highest accuracy (89.7%), while the ABSI score had the lowest (71.8%).Conclusion: In this cohort, the APACHE II score showed the highest discriminative accuracy. However, its performance may vary in other populations. Incorporating potassium levels into future scoring systems may improve mortality prediction.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149120266","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

Investigation of the protective effect of adalimumab on stricture and inflammation in an experimental corrosive esophageal burn model in rats. 阿达木单抗对实验性腐蚀性食管烧伤模型大鼠狭窄和炎症保护作用的研究。

Cirugia y cirujanos Pub Date : 2026-10-06 DOI: 10.24875/CIRU.26000181

Süleyman Şen, Mehmet A Üstüner, Berkay Demir, Zehra A Küpeli

{"title":"Investigation of the protective effect of adalimumab on stricture and inflammation in an experimental corrosive esophageal burn model in rats.","authors":"Süleyman Şen, Mehmet A Üstüner, Berkay Demir, Zehra A Küpeli","doi":"10.24875/CIRU.26000181","DOIUrl":"https://doi.org/10.24875/CIRU.26000181","url":null,"abstract":"Objectives: This study aimed to investigate the effectiveness of the tumor necrosis factor-α inhibitor adalimumab on inflammation and subsequent stricture development in a corrosive esophageal burn model in rats, based on its antifibrotic effect in Crohn's disease.Methods: Forty-eight female Wistar Albino rats were randomized into four groups (n = 12): control, local intraluminal adalimumab (5 mg/kg), systemic subcutaneous adalimumab (5 mg/kg), and combined local plus systemic adalimumab. A corrosive esophageal burn was created in all animals. After 10 days, the distal esophageal segment was excised and evaluated by stenosis index (SI), histopathologic damage score (HDS), and tissue hydroxyproline level. Data were analyzed using non-parametric tests.Results: Compared with the control group, the systemic and combined groups showed a significant reduction in SI and hydroxyproline level (p < 0.05). The combined group also reduced HDS. Local adalimumab showed no difference from the control.Conclusions: Systemic adalimumab reduced inflammation and stenosis in corrosive esophageal burns, whereas local administration had no significant effect. Further clinical studies are needed before adalimumab can be considered for these injuries.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149120301","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

[Effect of continuous nursing based on "Internet + nursing service" on prognosis of elderly patients with hip fracture after PFNA surgery]. [基于“互联网+护理服务”的持续护理对老年髋部骨折患者PFNA术后预后的影响]。

Cirugia y cirujanos Pub Date : 2026-10-02 DOI: 10.24875/CIRU.26000152

Gao Xing, Hongwei Li

{"title":"[Effect of continuous nursing based on \"Internet + nursing service\" on prognosis of elderly patients with hip fracture after PFNA surgery].","authors":"Gao Xing, Hongwei Li","doi":"10.24875/CIRU.26000152","DOIUrl":"https://doi.org/10.24875/CIRU.26000152","url":null,"abstract":"Objective: The aim of this study was to evaluate if \"Internet + nursing service\"-based continuous nursing improves hip function, self-management efficacy, and quality of life in elderly hip fracture patients post-PFNA surgery.Methods: This prospective, non-randomized controlled study with a non-concurrent control group used consecutive sampling to enroll 88 elderly patients (April 2024-September 2025): 44 patients in the control group received routine discharge guidance and telephone follow-up, and 44 patients in the intervention group received routine care plus the \"Internet + nursing\" intervention. General self-efficacy scale (GSES), rehabilitation compliance, Harris hip score, ADL, SF-36, nursing satisfaction, complications, and first ambulation time were compared.Results: No baseline differences (p > 0.05). At 1 month, study group had higher GSES, better compliance, and shorter ambulation time (p < 0.05). At 3/6 months, higher Harris, ADL, and SF-36 scores (p < 0.05). Complication rate: 8.18% (study) versus 27.27% (control); nursing satisfaction: 95.45% versus 79.55% (p < 0.05).Conclusions: \"Internet + nursing service\" in post-proximal femoral nail anti-rotation care accelerates mobilization, functional recovery, reduces complications, and improves adherence/satisfaction, with strong clinical applicability.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149120269","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

[Reasons for delaying surgical treatment in patients over 60 years of age with hip fracture in a reference hospital]. [参考医院60岁以上髋部骨折患者延迟手术治疗的原因]。

Cirugia y cirujanos Pub Date : 2026-10-01 DOI: 10.24875/CIRU.24000366

Lizel López-Meléndez, Lindayran Fitz-Valladares, Edgar Corpus-Mariscal, Rubén Romero-Méndez, Jorge Quiroz-Williams, Suemmy Gaytán-Fernández, Rodolfo G Barragan-Hervella, Ana B Barrios-López

{"title":"[Reasons for delaying surgical treatment in patients over 60 years of age with hip fracture in a reference hospital].","authors":"Lizel López-Meléndez, Lindayran Fitz-Valladares, Edgar Corpus-Mariscal, Rubén Romero-Méndez, Jorge Quiroz-Williams, Suemmy Gaytán-Fernández, Rodolfo G Barragan-Hervella, Ana B Barrios-López","doi":"10.24875/CIRU.24000366","DOIUrl":"https://doi.org/10.24875/CIRU.24000366","url":null,"abstract":"Objective: To analyze the reasons for delaying surgical treatment in patients over 60 years old with hip fracture in a reference hospital.Methods: Analytical observational study of patients over 60 years old with hip fractures, surgically managed in the period from January 1st 2020 to December 31 2023. Medical and administrative causes were analyzed. Statistical analysis with χ2 and Fisher, as well odds ratio; statistically accepted value p < 0.05.Results: Sample 80 patients. Age 77.9 ± 9.1 years. ICC 4.8±1.2. ASA II 57.5%, ASA III 36.3%. In-hospital stay 5.9 ± 3.8 days and surgical deferral rate 2.9 ± 3.1 days. Medical causes: CCI > 3 (OR: 2.8; p = 0.176). Administrative causes: lack of osteosynthesis material (OR: 10.7; p = 0.000) and lack of surgery time or surgery room availability (OR: 14.6; p = 0.000).Conclusions: Medical causes are more frequent than administrative causes for surgical deferral, but the latter one had a higher risk of being deferred than due to medical establishments.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149120283","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

Refractive outcomes of posterior chamber phakic intraocular lens implantation with a central port design. 中心孔型后房型人工晶状体植入术的屈光效果。

Cirugia y cirujanos Pub Date : 2026-10-01 DOI: 10.24875/CIRU.24000591

Guillermo R Vera-Duarte, Naomi C Zatarain-Barrón, David Jimenez-Collado, Carlos A Müller-Morales, Arturo Ramirez-Miranda, Enrique O Graue-Hernández, Arturo Gómez-Bastar, Alejandro Navas

{"title":"Refractive outcomes of posterior chamber phakic intraocular lens implantation with a central port design.","authors":"Guillermo R Vera-Duarte, Naomi C Zatarain-Barrón, David Jimenez-Collado, Carlos A Müller-Morales, Arturo Ramirez-Miranda, Enrique O Graue-Hernández, Arturo Gómez-Bastar, Alejandro Navas","doi":"10.24875/CIRU.24000591","DOIUrl":"https://doi.org/10.24875/CIRU.24000591","url":null,"abstract":"Objective: The objective of the study is to evaluate the visual and refractive outcomes of implantable Collamer lens (ICL) implantation with a new central port design.Methods: This is a retrospective observational study of patients with myopia and myopic astigmatism who underwent procedures for the ICL (STAAR Surgical) between 2013 and 2022. Measurements were taken for uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), manifest and cycloplegic refraction, and intraocular pressure.Results: 254 eyes of 135 patients who underwent. Of the 254 ICLs implanted, 226 (88.97%) were toric. Mean follow-up was 15.05 ± 15.12 months. Mean pre-operative sphere was -9.65 ± 4.46 D (-0.00--25.00 D) and the post-operative sphere was 0.07 ± 1.12 D (-5.75-2.50 D). Pre-operative mean spherical equivalent was -11.24 ± 4.35 D (-25-6.25 D) and -0.38 ± 1.16 D (-6.75-2.12 D) postoperatively. Mean pre-operative UDVA was 1.58 ± 0.44 (0.4-2.5) and the mean post-operative UDVA was 0.17 ± 0.17 (0-1.18). Mean pre-operative CDVA was 0.15 ± 0.12 (0-0.6) and the post-operative CDVA was 0.08 ± 0.09 (0-0.54 D).Conclusions: This study showcases a noteworthy level of visual and refractive efficacy in individuals who underwent implantation of ICL V4c models. The surgical procedure proved highly effective and safe for correcting myopia and astigmatism.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149120274","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

Association of Toll-like receptor 2, Toll-like receptor 4, and MyD88 gene polymorphisms with inflammation in subjects with metabolically healthy obesity. toll样受体2、toll样受体4和MyD88基因多态性与代谢健康肥胖受试者炎症的关系

Cirugia y cirujanos Pub Date : 2026-10-01 DOI: 10.24875/CIRU.24000529

Fernando Guerrero-Romero, Claudia I Gamboa-Gómez, Francisco X Castellanos-Juaréz, Jose M Salas-Pacheco, Francisco G Morales-Gurrola, Alma C Salas-Leal, Luis E Simental-Mendía

{"title":"Association of Toll-like receptor 2, Toll-like receptor 4, and MyD88 gene polymorphisms with inflammation in subjects with metabolically healthy obesity.","authors":"Fernando Guerrero-Romero, Claudia I Gamboa-Gómez, Francisco X Castellanos-Juaréz, Jose M Salas-Pacheco, Francisco G Morales-Gurrola, Alma C Salas-Leal, Luis E Simental-Mendía","doi":"10.24875/CIRU.24000529","DOIUrl":"https://doi.org/10.24875/CIRU.24000529","url":null,"abstract":"Objectives: The aim of this study was to determine the association between the polymorphisms of Toll-like receptors (TLR2), TLR4, and MyD88 with inflammation in individuals with metabolically healthy obesity (MHO).Methods: Men and non-pregnant women with obesity were included in a cross-sectional study. Then, subjects diagnosed with MHO were allocated into the groups with and without inflammation. Low-grade inflammation was defined by C-reactive protein concentrations ≥ 3 < 10 g/dL.Results: A total of 64 subjects with MHO were enrolled and allocated into the groups with (n = 37) and without (n = 27) inflammation. The distribution of alleles and genotypes were not significantly different for the TLR4 rs11536889, TLR2 rs380499, and MyD88 rs7744 polymorphisms between the study groups. However, the genotypes G/A and G/A + A/A of the TLR4 rs10759931 polymorphism were significantly associated with inflammation.Conclusions: The TLR4 rs10759931 polymorphism, but not TLR4 rs11536889, TLR2 rs3804099, and MyD88 rs7744, is associated with low-grade inflammation in MHO.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149120247","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

Surgical complexity and early post-operative parathyroid function following incidental parathyroidectomy during thyroidectomy. 甲状腺切除术中意外切除甲状旁腺后手术复杂性和早期术后甲状旁腺功能。

Cirugia y cirujanos Pub Date : 2026-09-30 DOI: 10.24875/CIRU.26000173

Hamdi B Piyade, Ufuk Karabacak, Mahmut Başoğlu, Ayfer K Polat

{"title":"Surgical complexity and early post-operative parathyroid function following incidental parathyroidectomy during thyroidectomy.","authors":"Hamdi B Piyade, Ufuk Karabacak, Mahmut Başoğlu, Ayfer K Polat","doi":"10.24875/CIRU.26000173","DOIUrl":"https://doi.org/10.24875/CIRU.26000173","url":null,"abstract":"Objective: This study evaluated whether surgical complexity influences post-operative parathyroid function in patients with IP.Methods: A retrospective cohort study was conducted including 371 patients who underwent thyroidectomy between 2017 and 2020. Seventy-two patients (19.4%) with histologically confirmed IP were classified into total thyroidectomy, completion thyroidectomy, and substernal thyroidectomy groups. Post-operative day-1 parathyroid hormone (PTH) level was the primary outcome. Secondary outcomes included calcium levels and biochemical hypocalcemia.Results: IP was identified in 72 patients (19.4%). The number of excised parathyroid glands and autotransplantation rates were similar among groups. Patients undergoing substernal thyroidectomy had the lowest post-operative day-1 PTH levels (13.9 pg/mL), whereas the highest levels were observed after completion thyroidectomy (24.8 pg/mL). Although differences in post-operative PTH and calcium levels were not statistically significant, lower post-operative parathyroid function was observed with increasing surgical complexity. Biochemical hypocalcemia occurred in 84.6% of substernal thyroidectomy patients compared with 72.3% and 41.7% of total and completion thyroidectomy patients, respectively (p = 0.051).Conclusions: Surgical complexity may adversely affect early post-operative parathyroid function after IP.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149120214","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

Accuracy and limitations of artificial intelligence chatbots in answering patient questions on scoliosis surgery. 人工智能聊天机器人在脊柱侧凸手术中回答患者问题的准确性和局限性。

Cirugia y cirujanos Pub Date : 2026-09-30 DOI: 10.24875/CIRU.25000347

Güngör Alibakan, Yusuf Sülek

{"title":"Accuracy and limitations of artificial intelligence chatbots in answering patient questions on scoliosis surgery.","authors":"Güngör Alibakan, Yusuf Sülek","doi":"10.24875/CIRU.25000347","DOIUrl":"https://doi.org/10.24875/CIRU.25000347","url":null,"abstract":"Objective: The aim of this study was to analyze the accuracy, reliability, and quality of the content of responses provided by artificial intelligence (AI)-based chatbots to frequently asked questions related to scoliosis surgery.Methods: A set of 25 questions related to diagnosis, treatment options, surgical risks, and recovery was developed based on clinical experience. The responses were anonymized and evaluated by two orthopedic surgeons using a 4-point scale to rate accuracy, clarity, and consistency. Cohen's kappa coefficient was used for interrater reliability, and the Kruskal-Wallis test was used for statistical analysis.Results: ChatGPT 4o performed best, with 60% of responses rated as excellent. Gemini Advanced 1.5 Pro followed with 56%, while Microsoft Copilot performed poorly, with 76% of responses requiring moderate clarification. The differences between the chatbots were statistically significant (p < 0.001). ChatGPT 4o and Gemini did not differ significantly from each other (p = 0.850), but both outperformed Copilot (p < 0.001).Conclusions: AI chatbots show great potential for patient education in scoliosis surgery. ChatGPT 4o was the most effective, although complex queries still require medical supervision.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149120222","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