Cirugia y cirujanos最新文献

A strategy for the one-stage treatment of open Pilon fractures based on an accelerated rehabilitation surgical concept. 基于加速康复外科概念的开放性皮隆骨折一期治疗策略。

Cirugia y cirujanos Pub Date : 2025-07-04 DOI: 10.24875/CIRU.24000013

Jianchuan Wang, Zongpu Wan, Xiaowei Ma

{"title":"A strategy for the one-stage treatment of open Pilon fractures based on an accelerated rehabilitation surgical concept.","authors":"Jianchuan Wang, Zongpu Wan, Xiaowei Ma","doi":"10.24875/CIRU.24000013","DOIUrl":"10.24875/CIRU.24000013","url":null,"abstract":"Objective: The objective of the study was to study the strategy of one-stage emergency treatment of open Pilon fracture with the concept of accelerated rehabilitation surgery.Methods: The data of 18 patients with open Pilon fracture treated by first-stage emergency debridement, fracture internal fixation, bone grafting, negative pressure closed drainage covering the wound, leg incision reduction, and second-stage skin grafting or flap transfer in the Department of Orthopedics of our hospital from January 2014 to December 2018 were retrospectively analyzed. Joint surface reduction was evaluated by radiological evaluation criteria such as Burwell-Charnley, fracture healing quality was evaluated by Merchant score, and ankle joint function was evaluated by Tornetta and other criteria at the last follow-up.Results: All 18 patients were followed up, and the anatomical reduction rate was 94% (17/18) according to radiological evaluation criteria such as Burwell-Charnley. According to Merchant scoring criteria, the fracture healing rate was 83.3% (15/18). At the last follow-up, the ankle function was evaluated according to Tornetta and other criteria, and the excellent rate was 88.9% (16/18).Conclusions: Using the concept of accelerated rehabilitation surgery to treat open Pilon fractures in the first emergency can effectively avoid soft-tissue complications and is an effective treatment strategy.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565559","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

Host biliary bacteria in cholecystectomy at a secondary-care teaching hospital, an observational study. 二级护理教学医院胆囊切除术中宿主胆道细菌的观察性研究。

Cirugia y cirujanos Pub Date : 2025-07-04 DOI: 10.24875/CIRU.23000169

Adriana A Duarte-Martinez, Carlos R Cervantes-Sánchez

{"title":"Host biliary bacteria in cholecystectomy at a secondary-care teaching hospital, an observational study.","authors":"Adriana A Duarte-Martinez, Carlos R Cervantes-Sánchez","doi":"10.24875/CIRU.23000169","DOIUrl":"10.24875/CIRU.23000169","url":null,"abstract":"Objective: The prevalence of cholelithiasis in Mexico is high, and cholecystectomy is a very frequent procedure where antimicrobials are employed, being important to sample and culture the bile fluid to identify local susceptibility to antibiotics to avoid complications and reduce antimicrobial resistance.Methods: An observational, cross-sectional, prospective study was designed to identify bile fluid flora in patients undergoing cholecystectomy in a secondary-care teaching hospital with identification, sensitivity, and antimicrobial resistance testing.Results: There were 60 patients (47 female and 13 male), which yielded 15 cases with bactibilia. Bacterial identification was Enterococcus faecalis in 6 cases (40%), Escherichia coli in 5 cases (33.3%), Klebsiella pneumoniae in 2 cases (13.3%), and Raoutella planticola and Streptococcus infantarius, each in one patient. E. faecalis, E. coli, R. planticola, and S. infantarius were mostly sensitive to quinolones, whereas K. Pneumoniae was sensitive to carbapenems and tigecycline. Resistance occurred for ampicillin, benzylpenicillin, and trimethoprim/sulfamethoxazole.Conclusion: Based on our local microbial findings, it is proposed that in cases of acute biliary pathology in patients above the seventh decade of life, empirical antibiotic prophylaxis be used and a bile fluid sample be taken before starting gallbladder dissection, for later adjustment of antibiotic therapy.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565560","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

A retrospective evaluation of delayed diagnosis and misdiagnosis in skeletal muscle ion channelopathy patients. 骨骼肌离子通道病的误诊与延误回顾性分析。

Cirugia y cirujanos Pub Date : 2025-07-04 DOI: 10.24875/CIRU.24000236

Askeri Turken

{"title":"A retrospective evaluation of delayed diagnosis and misdiagnosis in skeletal muscle ion channelopathy patients.","authors":"Askeri Turken","doi":"10.24875/CIRU.24000236","DOIUrl":"10.24875/CIRU.24000236","url":null,"abstract":"Objective: Skeletal muscle ion channelopathies are a rare genetically inherited orphan disease. Due to the unique characteristics of the symptoms of the disease, misdiagnosis of patients leads to irreversible losses. This study aims to raise awareness on this issue.Methods: 35 patients with a definitive diagnosis of skeletal muscle ion channelopathy were included in the study. The diagnoses of all patients were confirmed by gene analysis. Demographic and clinical characteristics of the patients were examined. After a definitive diagnosis was made, mimic symptoms and misdiagnoses were evaluated separately.Results: It was determined that 30 of the patients included in the study had multiple different diagnoses until they got the correct diagnosis. It is thought that due to delayed diagnosis or misdiagnosis, patients experience physical and mental loss, are exposed to ineffective drugs, and their daily lives are adversely affected, as well as serious cost losses.Conclusions: It is stated that the names of misdiagnoses for imitation symptoms have changed with aging, and drug treatments are applied for each diagnosis. It is stated that health authorities should pay attention to this situation to reduce this.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565558","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

Post-operative pancreatitis following ERCP and EST in elderly patients with choledocholithiasis. 老年胆总管结石患者ERCP和EST术后胰腺炎。

Cirugia y cirujanos Pub Date : 2025-07-04 DOI: 10.24875/CIRU.24000565

Jiwei Wang, Kai Liu, Hong Zhao, Kanghu Li, Yin Wu, Tao Zhang, Ming Xie

{"title":"Post-operative pancreatitis following ERCP and EST in elderly patients with choledocholithiasis.","authors":"Jiwei Wang, Kai Liu, Hong Zhao, Kanghu Li, Yin Wu, Tao Zhang, Ming Xie","doi":"10.24875/CIRU.24000565","DOIUrl":"10.24875/CIRU.24000565","url":null,"abstract":"Objective: Herein, we identified risk factors (RFs) for post-operative pancreatitis among elderly sufferers of choledocholithiasis undergoing endoscopic retrograde cholangiopancreatography (ERCP) along with endoscopic sphincterotomy (EST), and to develop a predictive model for pancreatitis occurrence.Methods: We retrospectively collected clinical data of elderly patients (≥ 65 years old) with choledocholithiasis undergoing ERCP+EST at Affiliated Liupanshui Hospital of Zunyi Medical University from January 2017 to April 2024. Participants were stratified into pancreatitis and non-pancreatitis cohorts according to their post-operative outcomes.Results: Using multivariate analysis, we determined stand-along RFs for post-operative acute pancreatitis as follows: Age under 75 years, a history of acute pancreatitis, pancreatography, difficult intubation, and multiple guidewire insertions into the pancreatic duct (p < 0.05). The area under the curve of the predictive model was 0.783 (95% confidence interval: 0.705-0.862), indicating good predictive capability. Calibration curves showed consistency between predicted risks and observed outcomes (Hosmer-Lemeshow test, p > 0.05). Clinical decision curves demonstrated the model's clinical utility.Conclusions: In elderly patients with choledocholithiasis, factors such as younger age (under 75), history of acute pancreatitis, challenging intubation, pancreatography, and multiple guidewire insertions into the pancreatic duct are significant RFs for post-ERCP pancreatitis.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565563","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

Neoadjuvant Chemo (radio) therapy and anastomotic leakage risk in patients with esophageal squamous cell carcinoma. 食管鳞状细胞癌患者的新辅助化疗（放疗）与吻合口漏风险。

Cirugia y cirujanos Pub Date : 2025-07-04 DOI: 10.24875/CIRU.24000374

Yuzhen Xie, Hongni Qin, Fan Wu, Yong Zhang, Yang Yang

{"title":"Neoadjuvant Chemo (radio) therapy and anastomotic leakage risk in patients with esophageal squamous cell carcinoma.","authors":"Yuzhen Xie, Hongni Qin, Fan Wu, Yong Zhang, Yang Yang","doi":"10.24875/CIRU.24000374","DOIUrl":"10.24875/CIRU.24000374","url":null,"abstract":"Objective: To investigate the different impacts of neoadjuvant chemotherapy (NCT) and neoadjuvant chemoradiotherapy (NCRT) on anastomotic leakage after esophageal cancer resection.Methods: The data of three clinical studies (222 patients) launched were retrospectively collected, including 113 patients in the NCRT group and 109 patients in the NCT group. The NCT group received platinum-based doublet chemotherapy once every 3-4 weeks, whereas the NCRT group received platinum-based doublet chemotherapy weekly (taxane-containing regimen) or once every 3-4 weeks (5-Fu-containing regimen) concurrently with thoracic radiotherapy. After neoadjuvant therapy, all patients underwent Ivor-Lewis or McKeown esophagectomy. The study compared the pathologic complete remission (pCR) rate, 30-day post-operative mortality rate, incidence of anastomotic leakage, post-operative complications, and survival rates between the two groups.Results: The pCR rate, 30-day post-operative mortality rate, and the incidence of anastomotic leakage were 39.8% versus 5.5% (p < 0.001), 2.7% versus 0% (p = 0.043), and 28.3% versus 5.5% (p < 0.001) in the NCRT group and NCT group, respectively. Multivariate analysis showed that only NCRT significantly increased the incidence of anastomotic leakage (odds ratio 7.28, 95% confidence interval 2.44-21.78, p < 0.001).Conclusion: The results show that NCRT can improve the pathological response rate but will increase the incidence of anastomotic leakage. Radiation dose-volume parameters were not associated with anastomotic leakage risk.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565562","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

Hyperbaric oxygen and metformin treatment in ovarian torsion preserves ovarian reserve. 高压氧和二甲双胍治疗卵巢扭转保留卵巢储备。

Cirugia y cirujanos Pub Date : 2025-07-04 DOI: 10.24875/CIRU.25000033

Enes Karaman, Mahmut T Ozgun, Ahmet Cumaoglu, Mehmet A Baktir, Esra Balcioglu, Fulya Cagli, Mehmet Dolanbay, Betul Yalcin, Mustafa Ermis, Erol Karakas

{"title":"Hyperbaric oxygen and metformin treatment in ovarian torsion preserves ovarian reserve.","authors":"Enes Karaman, Mahmut T Ozgun, Ahmet Cumaoglu, Mehmet A Baktir, Esra Balcioglu, Fulya Cagli, Mehmet Dolanbay, Betul Yalcin, Mustafa Ermis, Erol Karakas","doi":"10.24875/CIRU.25000033","DOIUrl":"10.24875/CIRU.25000033","url":null,"abstract":"Objective: Ovarian torsion is a gynecological emergency that reduces ovarian reserve in reproductive-aged women. This study aimed to evaluate the effects of metformin and hyperbaric oxygen therapy (HBOT) on ovarian reserve after ovarian torsion.Methods: Forty female Wistar-Albino rats were divided into five groups: control, torsion/detorsion (T), torsion/detorsion + metformin (TM), torsion/detorsion + HBOT (THBO), and torsion/detorsion + metformin + HBOT (TMHBO). Rats in the experimental groups underwent 2 h of unilateral ovarian torsion followed by detorsion. Metformin (50 mg/kg/day) and HBOT (100% oxygen at 2.4 atm for 2 h/day) were administered for 14 days post-detorsion. Serum AMH levels, tissue AMH expression, and ovarian follicle counts were evaluated.Results: In the torsion group, ovarian histology was disrupted, follicle numbers decreased, TUNEL-positive cells increased, and both serum and tissue AMH levels were reduced. The TM, THBO, and TMHBO groups demonstrated improvements in follicle numbers, TUNEL-positive cells, and AMH levels compared to the torsion group. Among them, TMHBO exhibited the best numerical outcomes, but no significant superiority was observed among TM, THBO, and TMHBO groups.Conclusions: Both metformin and HBOT were effective in preserving ovarian reserve following ovarian torsion. These therapies may have potential as protective treatments in gynecological emergencies involving ovarian torsion.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565561","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

[Telerrehabilitación en pacientes con esguince de cuello en el primer nivel de atención]. [颈椎扭伤患者在一级护理中的远程康复]

Cirugia y cirujanos Pub Date : 2025-07-04 DOI: 10.24875/CIRU.24000028

Luis A Muñoz-Sánchez, M Carmen Aguirre-García, Juan Figueroa-García, David Rojano-Mejía

{"title":"[Telerrehabilitación en pacientes con esguince de cuello en el primer nivel de atención].","authors":"Luis A Muñoz-Sánchez, M Carmen Aguirre-García, Juan Figueroa-García, David Rojano-Mejía","doi":"10.24875/CIRU.24000028","DOIUrl":"10.24875/CIRU.24000028","url":null,"abstract":"Objective: To evaluate the effect of the neck specific exercise (NSE) program through telerehabilitation on the functional recovery of adults with grade I and II acute cervical sprain at the first level of care.Methods: Quasi-experimental before-and-after study in a family medicine unit. Subjects with grade I and II cervical sprain were included, and a specific telerehabilitation program for the neck was applied. The effect of the program on functionality and pain was determined by means of the neck disability index and the visual analog scale. Program participants completed a 6-week intervention that included five weekly sessions, performing baseline measurements, at 2 and 6 weeks.Results: The EEC program using telerehabilitation after 6 weeks demonstrated a statistically significant decrease compared to baseline measurement in functional recovery (11 points) and pain (6.5 points).Conclusions: The findings suggest that the application of the EEC program through telerehabilitation is effective in both improving functional recovery and reducing pain in patients with grade I and II acute cervical sprain at the first level of care.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144565557","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

The correlation histopathological and conventional/advanced MRI techniques in glial tumors. 神经胶质瘤的相关组织病理学和常规/先进MRI技术。

Cirugia y cirujanos Pub Date : 2025-01-09 DOI: 10.24875/CIRU.23000648

Selim Seker, Tamer Altay, Ece Uysal, Hidayet S Cine, Ahmed Y Yavuz, Idris Avci

{"title":"The correlation histopathological and conventional/advanced MRI techniques in glial tumors.","authors":"Selim Seker, Tamer Altay, Ece Uysal, Hidayet S Cine, Ahmed Y Yavuz, Idris Avci","doi":"10.24875/CIRU.23000648","DOIUrl":"10.24875/CIRU.23000648","url":null,"abstract":"Objective: We aimed to elucidate the histopathological pre-diagnosis of cranial gliomas with magnetic resonance imaging (MRI) techniques in gliomas.Method: A total of 82 glioma patients were enrolled to our study. Pre-operative conventional MRI images (non-contrast T1/T2/flair/contrast-enhanced T1) and advanced MRI images (DAG and ADC mapping, MRI spectroscopy and perfusion MRI [PMRI]) were analyzed.Results: Conventional MRI alone is useful in radiological pre-evaluation in low-grade glioma in 54.8% and 86.3% in high-grade glioma. Additional advanced MRI techniques were beneficial in comparing low-grade gliomas in 98% and 83.9% in high-grade glioma. On ROC analysis, ADC cutoff value 0.905 mm2/s (p = 0.001), rCBV cutoff value 1.77 (p = 0.001), Cho/NAA cut-off value 2.20 (p = 0.001), and Cho/Cr cutoff value 2.01 (p = 0.001) were achieved. Significant results were obtained when ADC, Cho/NAA, and Cho/Cr were analyzed into four histopathologically grade groups besides (p = 0.001). NAA/Cr values were not significant in pathological grading. rCBV measurements were statistically significant between Grades I and IV and between II and IV.Conclusion: Using additional advanced MRI techniques such as PMRI, magnetic resonance spectroscopy, and DWI with conventional MRI could enhance the accuracy of histopathological grading in cranial glioma.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":"129-137"},"PeriodicalIF":0.0,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960252","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

Complications in transgender patients undergoing vaginoplasty procedure. 变性人阴道成形术的并发症。

Cirugia y cirujanos Pub Date : 2025-01-09 DOI: 10.24875/CIRU.23000380

Francisco Delgado-Guerrero

{"title":"Complications in transgender patients undergoing vaginoplasty procedure.","authors":"Francisco Delgado-Guerrero","doi":"10.24875/CIRU.23000380","DOIUrl":"10.24875/CIRU.23000380","url":null,"abstract":"Objective: To report the statistics of complications in gender reassignment surgery (vaginoplasty) observed in the first surgical center in Mexico for public transgender surgery.Method: We conducted a descriptive, observational study of patients treated and postoperatively underwent vaginoplasty surgery in the period 2019 to 2022. Intraoperative, immediate and late complications were evaluated. Intraoperative complications were taken as: rectal perforation and bleeding. Immediate complications: wound dehiscence, hematoma, and necrosis of the vaginal segment. Late complications: urethrovaginal fistula, rectovaginal fistula, and stenosis of the vaginal introitus.Results: Twenty-two patients who underwent vaginoplasty with inversion of the foreskin were evaluated. Regarding immediate complications, the most frequent were alterations in scarring and tissue integration, being necrosis of the vaginal segment the most frequent. As for late complications, only vaginal prolapse and urethral stricture were found.Conclusion: Foreskin inversion vaginoplasty is the most widely used and safest technique worldwide, above colovaginoplasty and peritoneal vaginoplasty techniques, and fortunately serious complications are rare. In our report, tissue alterations were the common ones and that is secondary alteration of vascular integration and devascularization factors during the dissection.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":"177-180"},"PeriodicalIF":0.0,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960230","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

Retrospective evaluation of the effects of different anesthesia methods on emergence agitation in patients undergoing vitreoretinal surgery. 不同麻醉方法对玻璃体视网膜手术患者出现时躁动影响的回顾性评价。

Cirugia y cirujanos Pub Date : 2025-01-09 DOI: 10.24875/CIRU.23000484

Samet S Kucukosman, Ali Akdogan, Dilek Uzlu, Erdem N Duman

{"title":"Retrospective evaluation of the effects of different anesthesia methods on emergence agitation in patients undergoing vitreoretinal surgery.","authors":"Samet S Kucukosman, Ali Akdogan, Dilek Uzlu, Erdem N Duman","doi":"10.24875/CIRU.23000484","DOIUrl":"https://doi.org/10.24875/CIRU.23000484","url":null,"abstract":"Objective: The agitation that can occur in patients undergoing vitreoretinal surgery on awakening from general anesthesia is a serious post-operative problem. In our study, we aimed to compare the effects of different anesthesia methods on emergence agitation in patients undergoing vitreoretinal surgery.Method: Patients undergoing vitreoretinal surgery were divided into two groups: Total intravenous anesthesia (Group T) and inhalation anesthesia (Group D) according to the maintenance of anesthesia applied by consulting the records. Patients' heart rate, mean blood pressure, extubation quality scores, and Richmond Agitation and Sedation Scale values were examined.Results: For the study, data were available from 100 patients undergoing vitrectomy surgery. It was observed that in the total intravenous anesthesia group the quality of extubation and the patients' additional analgesic requirements were better, and the patients' agitation levels at min 0 were lower.Conclusion: In our study, it was observed that the choice of total intravenous anesthesia as an anesthetic method in patients undergoing vitreoretinal surgery reduced agitation upon awakening compared to those receiving inhalational anesthesia.","PeriodicalId":93936,"journal":{"name":"Cirugia y cirujanos","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960246","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